Value Based Programs Lead

Value-Based Programs Lead

Become a part of our caring community and help us put health first. The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Value-Based Programs Lead works with senior executives to develop and drive segment or enterprise-wide functional strategies with key national value-based provider partners. 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.

Advises market executives to develop functional strategies on matters of significance for provider contracting and performance management

Consults and leads the internal and external provider engagement strategy

Leads national joint operating committee with internal and external leadership

Possess a solid understanding of how organization capabilities interrelate across department(s)

Use your skills to make an impact

Required Qualifications

3+ years of experience with provider performance management and / or value-based contracting

Strong understanding of key value-based financial components including revenue drivers, expense (DOFR) components, benefit and sales process.

Experience working with senior leadership

Experience facilitating cross departmental projects

Strong communication and presentation skills, including experience developing polished presentations to influence key decision makers

Strong project management experience on mid to large scale projects

Flexible, dynamic personality who works well in a team environment

Preferred Qualifications

Provider contracting and / or provider relations experience

Working knowledge of Service Fund reports

Advanced Degree (Bachelor's, Master's)

Experience with data extraction and analysis technologies

Experience preparing contracts and knowledge of Medicare and other reimbursement methodologies

Financial acumen with proficiency in analyzing and synthesizing provider financial trends into actionable insights

Solid experience building templates, standard documentation, and disseminating best in class knowledge

Additional Information

This role is "remote / work at home" and can be based anywhere in the United States.

Work at Home Information

To ensure Home or Hybrid Home / Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office employees must meet the following criteria :

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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

40

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. $104,000 - $143,000 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits

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.

Application Deadline : 12-11-2025

About Us

Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.