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Hire.Monster

Value-Based Programs Principal

Annapolis, Maryland, US
MedTechУдалённаяДругоеСША$$138k - $$191k

Обязанности

  • The Principal, Value-Based Programs works with senior executives to develop and drive segment or enterprise-wide functional strategies

Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise

  • Programs Principal 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
  • Develops new/innovative payment designs for specialist physicians and specialty organizations
  • Standardizes and accelerates innovative payment arrangements across multiple specialties (MSK, GI, Oncology, ER Medicine, etc.)
  • Collaborates with internal teams to develop contracts that ensure the proper measurement and financial compensation for successes
  • Leads multiple new initiatives, annually, through rigorous internal governance processes
  • Partners with market leaders to design/develop/communicate payment strategies and contract performance results that improve quality, member experience, and the cost of care
  • 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

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

Требования

  • 9+ years' healthcare provider contracting experience
  • 5+ years' experience with developing and/or managing value-based payment models/relationships
  • 5+ years of project leadership experience
  • Able to exercise independent judgment and decision making on complex issues
  • Capable of working under minimal supervision
  • Be able to use independent judgment requiring analysis of variable factors and determining the best course of action
  • Bachelor's degree
  • Master's Degree
  • Accounting or Finance experience
  • 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.)

Условия

  • In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment
  • Medical Benefits
  • Dental 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
  • Actuary experience

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 *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 $138,900 - $191,000 per year

  • This job is eligible for a bonus incentive plan
  • This incentive opportunity is based upon company and/or individual performance
  • 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities *Equal Opportunity Employer**

Зарплата

$138'900 - $191'000

Опубликовано: 13.01.2026