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The Value-Based Programs Specialty Care Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty deals.

In supporting Humana's Value-Based Strategies organization, the Value-Based (VB) Programs Lead will be accountable for the development of new innovative VB provider payment models designed to promote improved quality, outcomes, and cost of care.  Primary responsibilities of this role will be the evaluation of VB Payment Model efficacy and scalability as we seek to broaden our core VB Program portfolio.  The ultimate goal is to lay the foundation with providers for additional partnerships that help create the most integrated and value based relationships in the industry.

• Develops, designs, and implements new payment arrangements that improve quality and the member experience
• Works with senior executives and various program owners to develop and drive value based contracts for vendor and specialty programs
• Becomes an expert in the data available from disparate sources and use this information to conduct business analyses and recommend implementation and execution plans
• Conducts complex financial and other data analysis and makes recommendations (cost-benefit, market recommendations, strategy pro-forma, and impact analysis) that significantly impact the market operations
• Assesses emerging trends, develops formulas to measure and manage initiative success
• Designs complex mathematical models to help drive contractual decisions
• Manages the development and review/measurement of key business priorities
• This is an individual contributor role
• This role reports to the Associate Vice President of Value Based Strategies

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:

• 5+ years of experience in a corporate strategy role or financial leadership role
• 3+ years of healthcare contracting experience
• Experience in managing the strategic planning cycle for a large organization with cross-functional engagement and prioritization
• Excellent written and verbal communication skills
• Problem-solving leadership skills with limited oversight
• Flexible, dynamic personality who works well in a team environment

Preferred Qualifications:

• BA/BS degree in Accounting, Finance, or Mathematics
• MBA or graduate degree in a management field
• Experience executing complex strategic and operational initiatives
• Clinical experience or certification
• Knowledge of Humana’s internal policies, procedures and systems

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 lackin