Value-Based Programs Analyst

Socket.dev; Town of Florida (NY); Hybrid; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical Benefits

Dental Benefits

Vision Benefits

Health Savings Accounts

Flex Spending Accounts

Life Insurance

401(k)

Job summary

Humana is seeking a Value-Based Programs Analyst to support value-based provider relationships and improve provider experiences while aligning with organizational goals. The role involves interpreting data, reviewing contracts, and collaborating with multiple departments to implement compliant value-based strategies.

The ideal candidate will have experience in data analysis, Excel/Word proficiency, and strong communication skills.

Qualifications

• 2+ years experience with data analysis.
• Comprehensive knowledge of Microsoft Word and Excel (pivot tables, vlookups, basic formatting).
• Proven experience delivering exceptional customer experiences in a professional environment.
• Proven experience in organizing and prioritizing work to meet deadlines.
• Strong verbal and written communication skills.
• Strong attention to detail.
• Ability to communicate with various levels in the organization.

Responsibilities

• Analyzes provider financial patterns and trends utilizing excel and/or SQL.
• Updates, maintains, and reviews fee scheduling and pricing structures.
• Thoroughly reviews provider contracts and ensure rates are priced and applied accurately.
• Identifies process recommendations and ensures compliance with government regulations.
• Collaborates and communicates with internal partners of all professional levels within various departments.

Skills

Data analysis

Customer experience

Verbal and written communication

Attention to detail

Organizing and prioritizing work

Written communication

Interdepartmental communication

Tools

Excel

Word

SQL

Job description

Become a part of our caring community

Are you ready for a great job? The Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Analyst work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action

The Value-Based Programs Analyst understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas to include, but not limited to: the Value-Based organization, Enrollment, Product Development, Market Finance, Corporate Finance, Actuarial, Network Contracting, and National Contracting.

• Analyzes provider financial patterns and trends utilizing excel and/or SQL
• Updates, maintains, and reviews fee scheduling and pricing structures
• Thoroughly reviews provider contracts and ensure rates are priced and applied accurately
• Identifies process recommendations and ensures compliance with government regulations
• Collaborates and communicates with internal partners of all professional levels within various departments

The ideal applicant will have 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 9 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

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

Preferred Qualifications

• 1+ year of experience within the Humana Service Fund Department
• Experience with contracts
• Experience in the healthcare industry
• SQL knowledge and experience in writing SQL queries
• Experience with project management

Additional Information

This will be for EST hours.

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 yearThis 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.

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.