Value-Based Programs Analyst

Become a part of our caring community and help us put health first
 The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance.

The Value-Based Programs Analyst supports our Market Contracting and Market Finance partners in multiple markets ensuring Provider Contracts are loaded in Service Fund accurately and timely for membership paneling and provider payments.

• Focuses on value based strategies related to the administration of value based contracts
• Supports the markets in all value based contract administration strategies and supports implementation of those strategies through regular engagement and analytical support
• Facilitates the loading of Provider Contracts through collaboration with our Service Fund Operational teams and our Market Partners and based upon contractual stipulations
• Ensures the accuracy of provider payment, membership paneling and allows us to identify broader synergies with our partners
• Uses excel to analyze, research and load Provider contracts

The ideal applicant will possess the following skills:

• Problem Solving
• Provider Management
• Relationship management
• Consumer Experiences
• Confidentiality
• Data Analysis
• Detail-Oriented
• Written Communication

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And more

Use your skills to make an impact
 

Required Qualifications

• 1+ year experience with data analysis
• Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables, vlookups, basic formatting, etc)
• Proven experience in organizing and prioritizing work to meet deadlines
• Proven experience in delivering exceptional customer experiences in a professional environment
• Strong attention to detail
• Strong verbal and written communication skills

Preferred Qualifications

• 1+ year of experience within the Humana Service Fund Department
• Provider installation experience
• SQL knowledge and experience in writing SQL queries
• Experience in the healthcare industry

Additional Information

Work at Home/Remote Requirements

Work-At-Home Requirements

• To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support …