Value-Based Programs Professional 2-Remote/Virtual or in office Louisville KY

Profile

Description

Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was founded on this basic premise of how people should be treated, and this value is very much alive in our expectations for providing our customers with perfect service today. At Humana, Perfect Service means getting the basics done right, delivering value and quality, providing guidance on their needs, and actively engaging with our members. Our associates engage with members through every step of their road to wellness; whether it's through direct interaction or their efforts behind the scenes. Humana associates provide Perfect Service every day to our members, employers, providers and colleagues. As a member of our service organization you will respond directly to questions and provide guidance on transactions, inquires, or complaints from consumers. Humana is looking for people who improve their own well-being by taking care of others.

Responsibilities

Where you Come In

Be a part of the Humana Service Fund organization, enabling the success of our provider community with world class services only Service Fund can provide. You will collaborate with market contractors and finance leaders and other customers to understand their business objectives. You will develop solutions to complex business needs and make decisions based on logical arguments to create predictable outcomes. You will execute system updates utilizing Excel and web based interfaces that enable the Service Fund system to execute contract terms.

Humana is seeking an individual to effectively work with Service Fund customers and translate their objectives into effective actions that achieve desired results.


Skilled in analyzing data against expected outcomes to determine accuracy and issue root cause
Develop and communicate actionable and clear insights for customers' transactional request
Able to prepare concise and meaningful data presentations in excel using simple graphical presentations
Use appropriate problem-solving, research and analysis tools to collect, analyze and synthesize quantitative and qualitative data and information


What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications - What it takes to Succeed


Bachelor's Degree
Healthcare experience (provider or payer)
Financial analysis experience
Experience in provider contract interpretation, legal terminology, and/or Provider Value based financial analysis
Demonstrable expertise with data analytics and graphical presentations
Proficient in MS Office desktop applications (Excel, PowerPoint, Word)
Demonstrated ability to translate complex system capabilities into simple customer message
Demonstrated ability to identify root cause and corrective actions
Ability to drive self and others to achieve commitments
Strong written and verbal communication skills
Experience managing workload in deadline driven area


Preferred Qualifications


Experience in data management, data extraction and data reporting
Experience working with Senior Leaders
Basic SQL experience
Accounting or Finance degree desired

Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.
Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M


Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Company info

Sign Up Now - WashingtondcCrossing.com