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Senior Value-Based Programs Professional-Louisville, KY - Louisville, KY #7249699

Company: Humana

Date: 01/24/2020

Category: Insurance

City: Louisville, KY


The Senior Value-Based Programs Professional builds templates, standard documentation, policy and protocol, and disseminates best in class knowledge concerning Humana's Physician Recognition programs. The Senior Contract Tools, Education, Processes Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.This position serves as a subject matter expert for Humana's strategies supporting physician practice evolution and movement along the value-based continuum, with a specific focus on the Medicaid line of business. The Senior Professional will utilize complex SQL, SAS, and other technical skills to drive process improvement and assist markets in managing their value-based relationships.


Associate will make decisions on moderately complex to complex issues regarding technical approach for project components, and work is often performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Position will serve as a

subject matter expert (SME) for the creation and implementation of Humana's Physician Recognition programs, including Model Practice, Patient-Centered Medical Home, and Star Rewards programs within the Medicaid line of business.

Associate will work cross-functionally with various other departments in order to source and aggregate data elements for program administration. Position is responsible for creating the data infrastructure that supports various downstream departmental processes. This position serves as the primary technical subject matter expert for the department's processes.

Required Qualifications

  • Bachelors Degree (Preferably in Finance, Business Administration, or Computer Information Systems)

  • Advanced knowledge of MS Excel (pivot tables, vlookups)

  • Strong Experience with Data Analytics and Reporting

  • Ability to grasp complex subjects and work independently to devise creative solutions

  • Ability to work well with others

  • Good Communication Skills (both oral and written)

  • Individual initiative

Preferred Qualifications

  • Prior healthcare experience

  • Experience working with MS SQL, Tableau, Qlikview, or other BI Tools

  • Understanding of Humana's data infrastructure

Scheduled Weekly Hours


About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact to validate the request.

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