Value-Based Programs Professional 2

Humana Inc; Dover; On-site; USD 59,000 - 81,000; Full time

Job summary

Humana Inc. is seeking a Value-Based Programs Analyst to support Market Contracting and Market Finance in ensuring provider contracts are loaded in Service Fund accurately and timely for membership paneling and provider payments.

The role focuses on value-based strategies, provides analytical support to markets, collaborates with Service Fund Operations and Market Partners, and uses Excel to analyze and load provider contracts.

Qualifications

• Minimum 1 year experience with data analysis
• Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables and basic formatting)
• Proven experience organizing and prioritizing work to meet deadlines

Responsibilities

• Focuses on value-based strategies related to the administration of value-based contracts
• Supports the markets in all value-based contract administration strategies and provides analytical support
• Facilitates the loading of Provider Contracts through collaboration with Service Fund Operational teams and Market Partners
• Ensures the accuracy of provider payment, membership paneling and identifies broader synergies with partners
• Uses Excel to analyze, research and load Provider contracts

Skills

Data analysis

Microsoft Word

Microsoft Excel

Pivot tables

SQL knowledge

Job description

Become a part of our caring community

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

Use your skills to make an impact

Required Qualifications

• Minimum 1 year experience with data analysis
• Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables and basic formatting, etc)
• Proven experience in organizing and prioritizing work to meet deadlines

Preferred Qualifications

• Knowledge of Medicare and/or Medicaid Lines of Business
• SQL knowledge and experience in writing SQL queries

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-03-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.