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Added 2 mins ago
Automotive Maintenance Technician
Bridgestone Americas
Brandywine, MD
Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including…
Added 2 mins ago
Sr Clinical Project Manager
BD (Becton, Dickinson and Company)
Sparks, MD
Lead all aspects of the planning and execution of complex IVD clinical studies, including study timeline development, to ensure that results are completed on time and within budget.
Added 2 mins ago
Automotive Technician
Bridgestone Americas
Burtonsville, MD
Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including…
Added 2 mins ago
CG
FOOD SERVICE WORKER (FULL TIME AND PART TIME)
Compass Group, North America
La Plata, MD
- $18 USD / hour
- Full-time
- Part-time
Full-time and part-time positions offer the following benefits to associates : Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity…
Added 2 mins ago
M
Associate, After Sales Center Technician
ManpowerGroup
Beltsville, MD
- $21 USD / hour
✅ Full-Time Schedule (Mon-Fri, 7:30 AM-4:30 PM)
Added 2 mins ago
Automotive Technician
Bridgestone Americas
California, MD
Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including…
Added 2 mins ago
Analytical Chemist, Entry Level
Eurofins US Network
Easton, MD
When you join the EAS Group, you’ll become part of a team that is focused on organization, communication and attention to detail while providing support for scientific studies and business…
Added 2 mins ago
Retail Salesperson
Bridgestone Americas
Waldorf, MD
Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including…
Added 2 mins ago
Automotive Maintenance Technician
Bridgestone Americas
Waldorf, MD
Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including…
Added 2 mins ago
Associate Product Manager - Sets & Promotions , DEWALT
Stanley Black and Decker
Towson, MD
As a Associate Product Manager - Sets & Promotions you’ll be part of our DEWALT team working as a hybrid employee in Towson, MD. The Associate Product Manager will assist in evaluating and…
Added 2 mins ago
PF
Hatchery Production Associate
Perdue Farms, Inc.
Salisbury, MD
- $16.95 USD / hour
As a Hatchery Production Associate, you play a key role in creating the optimal environment where healthy, high-quality chicks begin their journey. This hands-on position supports a variety…
Added 2 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 3 mins ago
CG
PREP COOK (FULL TIME AND PART TIME)
Compass Group, North America
Baltimore, MD
- $17 to $18 USD / hour
- Full-time
- Part-time
Both full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity…
Added 7 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
Seize your opportunity to make a personal impact as an Operations Analyst Technician supporting a critical mission on Fayetteville, NC. ARMA Global, a fully owned subsidiary of GDIT, is…
Added 7 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
Seize your opportunity to make a personal impact as an Operations Analyst Technician supporting a critical mission on Fayetteville, NC. ARMA Global, a fully owned subsidiary of GDIT, is…
Added 7 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 10 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
Seize your opportunity to make a personal impact as an Operations Analyst Technician supporting a critical mission on Fayetteville, NC. ARMA Global, a fully owned subsidiary of GDIT, is…
Added 10 mins ago
Operations Analyst Technician
ARMA Global Corporation
United States
Seize your opportunity to make a personal impact as an Operations Analyst Technician supporting a critical mission on Fayetteville, NC. ARMA Global, a fully owned subsidiary of GDIT, is…
Added 10 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 12 mins ago
SW
Meat Cutter and Wrapper
Sam's West, Inc.
Springfield, MO
- $17 to $25 USD / hour
Live Better U is a company paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 12 mins ago
SW
Meat Cutter and Wrapper
Sam's West, Inc.
Springfield, MO
- $17 to $25 USD / hour
Live Better U is a company paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 12 mins ago
SW
Freezer, Cooler and Deli Stocker Associate
Sam's West, Inc.
Springfield, MO
- $17 to $25 USD / hour
…keep shelves stocked, you’ll play an important role in the operations and sanitary conditions of our freezers and coolers that keep our product ready for our members. When you’re working in…
Added 12 mins ago
SW
Freezer, Cooler and Deli Stocker Associate
Sam's West, Inc.
Springfield, MO
- $17 to $25 USD / hour
…keep shelves stocked, you’ll play an important role in the operations and sanitary conditions of our freezers and coolers that keep our product ready for our members. When you’re working in…
Added 15 mins ago
T
Office Administrative Assistant (Bilingual in Chinese)
TransGlobal
Monrovia, CA
- $18 to $22 USD / hour
…administrative tasks, and assisting with day-to-day office operations. The ideal candidate is organized, detail-oriented, and able to manage multiple priorities in a fast-paced…
Added 16 mins ago
B
Retail Stocking Team Supervisor - Full-Time
Burlington
Arden, NC
- $18 to $22 USD / hour
- Full-time
As a Retail Stocking Team Supervisor, you’ll be an integral part of the store leadership team, working closely with Store Management while being the main leader and director of the Back of…

Humana

Value-Based Programs Lead (Medicaid)

Jefferson City, MO, United States

$104,000 - $143,000 per year

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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.