About the Role
Sr. Value-Based Programs Professional
Location:Nationwide
Location Type: Remote
Schedule:Full_time
Req:R-337147
About this job
Become a part of our caring community and help us put health first
The Senior Value-Based Programs Professional will work to drive Value Based Payment (VBP) strategy and implementation for our Medicaid markets from beginning to end. This position will translate market VBP requirements into tactical plans that can be executed to ensure timely and successful new market launches including directing timelines, processes, and education material creation. The Senior Value-Based Programs Professional requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
Key Responsibilities:
- Oversee the market implementations of Medicaid VBP models to ensure timely and accurate delivery of health plan VBP operational functions, including market leaders, provider operations, and provider services areas
- Partner with cross functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
- Develop and maintain project plan
- Convene matrixed operational partners to solve for operational gaps/barriers
- Lead market implementation meetings, including identifying business owners and subject matter experts, identifying potential business or operational gaps and state nuances.
- Support development of associate and provider education materials
- Drive process improvements and operational gap closure to improve efficiencies of VBP implementations
- Identify and solve problems that impact the management and direction of the business
- Build and maintain strong internal working relationships at all levels of the organization and across the Enterprise; leverage these relationships in helping to drive innovation and effective operations for Humana Medicaid
Use your skills to make an impact
Required Qualifications
- Bachelors Degree
- 3-5 years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics
- 3+yearsofprojectmanagementexperience and operating in a matrixed environment
- Understanding of Medicaid and/or Medicaid managed care
- Proven expertise in driving operational efficiencies and management of timelines and processes
- Highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results
- Ability to understand and analyze financial, utilization, and performance data
- Ability to identify, structure and solve business problems
- Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team.
- Passion for people development and demonstrated leadership success
- Must be passionate about contributing to an organization focused on continuously improving consumer experience