Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
Ambulatory Supervisor - Outpatient Women's Services Clinic
Texas Children\'s
Austin, TX
…patient access to all clinical locations by managing the daily operations of the Ambulatory Service Representative functions at Texas Children's Hospital will provide the highest possible…
Added 8 mins ago
Postdoctoral Research Associate in Computational Acoustics and Materials Characterization
Los Alamos National Laboratory
Los Alamos, NM
Scientific programming and quantitative data-analysis experience using one or more languages such as Python, C++, Fortran, Julia, or MATLAB.
Added 8 mins ago
Financial Business Analyst 1
Los Alamos National Laboratory
Los Alamos, NM
The Laboratory invites you to join the Finance Operations (FIN-OPS) group, where you will provide financial operations support, reporting, and analysis for the Associate Laboratory…
Added 8 mins ago
Production Control Specialist 1/2
Los Alamos National Laboratory
Los Alamos, NM
…construction- and facility-related materials supporting the Associate Laboratory Director for Weapons Production (ALDWP) through Project Store operations and controlled storage in…
Added 8 mins ago
Associate Software Engineer
Highmark Health
Santa Fe, NM
1 year proficiency in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable; highly available systems
Added 8 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Santa Fe, NM
- $131,000 to $174,000 USD / year
Responsible for supporting and maintaining critical applications and related data processing platforms and services. Ensure the team has the facilities, tools, resources and skills they…
Added 8 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Santa Fe, NM
- $152,000 to $222,000 USD / year
…Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build on it and…
Added 10 mins ago
GE
Principal Technical Product Manager, Data & Platform
General Electric Company
United States
- $152,000 to $222,000 USD / year
…Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build on it and…
Added 14 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Providence, RI
- $152,000 to $222,000 USD / year
…Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build on it and…
Added 14 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Providence, RI
- $131,000 to $174,000 USD / year
Responsible for supporting and maintaining critical applications and related data processing platforms and services. Ensure the team has the facilities, tools, resources and skills they…
Added 18 mins ago
Analytical Chemist, Entry Level
Eurofins US Network
Easton, MD
Review data entry and calculations associate with the above techniques and instrumentation.
Added 18 mins ago
RS
Warehouse Associate Immediately Hiring
Ryder System
ELKRIDGE, MD
- $20 USD / hour
Immediately hiring a Permanent Full Time Warehouse Associate to support our Facility at Ryder in Elkridge, MD.
Added 18 mins ago
RS
Warehouse Associate
Ryder System
ELKRIDGE, MD
- $20 USD / hour
Immediately hiring a Permanent Full Time Warehouse Associate to support our Facility at Ryder in Elkridge, MD.
Added 18 mins ago
RS
Warehouse Associate Hiring Immediately
Ryder System
ELKRIDGE, MD
- $20 USD / hour
Immediately hiring a Permanent Full Time Warehouse Associate to support our Facility at Ryder in Elkridge, MD.
Added 18 mins ago
ID
Program Support & Office Administrator
ITC Defense
Lexington Park, MD
- $55,000 to $85,000 USD / year
…directly to program budgets and managing day-to-day office operations. A key responsibility of this role is serving as the primary point of contact for guests and visitors to the…
Added 18 mins ago
Financial Data Analyst
T. Rowe Price
Owings Mills, MD
Coordinate with Finance, Technology, Enterprise Data, Operations, and third-party providers to exchange information, track actions, and support timely resolution of assigned items.
Added 18 mins ago
B(
Bulking/Formulation Operator 3
BD (Becton, Dickinson and Company)
Hunt Valley, MD
- $22.8 to $36.4 USD / hour
o Possess the able to read, write, comprehend and interpret complex charts, drawings, diagrams, graphs and other data
Added 18 mins ago
Full Stack Application Engineer
CACI International
Laurel, MD
Design, develop, test, and maintain modern applications, software tools, and reusable components that support mission-critical operations.
Added 18 mins ago
Director, Network Observability & Compliance
Marriott
Bethesda, MD
8+ years’ experience in a technical role within a Network/Security Engineering or Operations oranization designing and implementing complex and integrated networking solutions with…
Added 18 mins ago
JH
Assistant Director, Doctoral Life Design, School of Medicine & OPTIONS - #Staff
Johns Hopkins University
Baltimore, MD
- $66,215 to $116,130 USD / year
Assemble and distribute bi-weekly OPTIONS Newsletter in collaboration with Assistant Director, Data & Operations.
Added 18 mins ago
Senior Cyber Fires Operations Planner
ManTech International
Annapolis Junction, MD
…thrilling projects in Digital Transformation, Cybersecurity, IT, Data Analytics and Software Development. Elevate your career and make a difference. Your adventure begins now-unleash your…
Added 26 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
At ARMA, people are our differentiator. As an Operations Analyst Technician you will help to continue to support the mission. You will utilize your 4+ years of experience to provide a wide…
Added 26 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
At ARMA, people are our differentiator. As an Operations Analyst Technician you will help to continue to support the mission. You will utilize your 4+ years of experience to provide a wide…
Added 26 mins ago
COMSEC Responsible Officer (CRO) - TS/SCI with Polygraph
GD Information Technology, Inc.
United States
GDIT is seeking an individual to fill a position as a COMSEC Manager/Alternate as part of our Operations and Maintenance team. Individual will be responsible for supporting day-to-day…
Added 27 mins ago
SW
Meat Cutter and Wrapper
Sam's West, Inc.
Springfield, MO
- $17 to $25 USD / hour
Be an Expert: Demonstrates knowledge of business on the floor, backroom operations, product safety standards, sanitation guidelines, inventory management, and the operation, maintenance,…

Humana

Value-Based Programs Lead (Medicaid)

Jefferson City, MO, United States

$104,000 - $143,000 per year

Apply About employer

Applications open in a new tab.

Job details

Pay: $104,000 - $143,000 per year
Experience: + Minimum 5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care.
Working hours: 40 hours per week
Posting language: English

Original job description

Summary

Become a part of our caring community

Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience.

+ Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value.

+ Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments.

+ Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care.

+ Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals.

+ Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance.

+ Partner with finance team to conduct impact analysis and modeling for new VBP models.

+ Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps.

+ Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data.

+ Ability to translate strategy into models that can be piloted and scaled across markets.

Use your skills to make an impact

Required Qualifications

+ Bachelor's degree.

+ Minimum 5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care.

+ Expertise in VBP model design and strategy with specialty providers, including pay for performance, bundles, accountable care, and shared savings and risk models.

+ Expertise in Medicare and/or Medicaid managed care.

+ Ability to understand and analyze financial, utilization, and performance data.

+ Ability to identify, structure and solve complex business problems.

+ Experience operating in matrixed environment.

+ Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team.

Preferred Qualifications

+ Master's degree.

+ Expertise in VBP financial modeling and impact analysis.

Additional Information

+ Workstyle: This is a remote position.

+ Travel: This role may require up to 10% travel for onsite meetings, which could include locations outside your state of residence.

+ Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 12-21-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.