Become a part of our caring community and help us put health first
 

The Senior Value-Based Payments 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 reconciliation of provider payments and settlements.

The Senior Value-Based Payments Analyst supports our Market and Provider partners through ensuring Provider payments and settlements are complete, accurate, and timely.  Payments and settlements may be performed on a monthly, quarterly and annual basis and be reviewed with the Market partners to ensure understanding and accuracy.

• Focuses on value-based strategies related to the administration of value-based contracts
• Supports the markets in all value-based contract administration strategies and support implementation of those strategies through regular engagement and analytical support
• Calculates the settlements based upon contractual stipulations and reconciliation of payments, driving results across the enterprise to support existing trend bender deliverables, and identifying broader synergies
• ​This is an individual contributor role

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

• 3+ years of experience with healthcare and/or financial policies
• Financial and business acumen with proven ability to put context around data
• 1+ year data analysis experience
• Microsoft Office Suite expertise, particularly in MS Excel (Pivot tables, Macros, etc.)
• Proactive with leadership abilities
• Comfortable presenting in front of leadership
• Must be adaptable, able to manage and prioritize diverse and complex projects
• Self-starter, highly motivated and confident in their ability to drive program results independently

Preferred Qualifications

• BS Degree in Accounting, Finance, Economics, or Business
• SQL experience
• Medicaid and/or Value Based knowledge

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 Humana applications, per associate.
  • Wireless, Wired Cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership.  (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
  • Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota.  Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Our Hiring Process

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If partic