Humana Work From Home Jobs Advisor Full Time

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Industry: Private
Employment Type: Full Time
Work Hours: 8
Salary: £35 – £45Hour
Location: United Kingdom
Company: Humana

Description:

Humana Work From Home Jobs Advisor Full Time

The Advisor, Medicaid Provider & Network Strategy will be accountable for leading the development of Humana Healthy Horizon’s (Medicaid) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development of strategies that produce robust, adequate, and accessible networks. The Advisor will also drive the development of competitive & innovative provider & network strategies to support request for proposals (RFPs) and market entry. Such strategies include, but are not limited to access to care, practice transformation, provider relations, alternative sites of care, and value-based purchasing. The position requires an in-depth understanding of how organizational capabilities interrelate within the enterprise to develop and execute on network strategy. This position exercises strong project management skills, analysis of variable source information, independent judgment, and decision making on complex issues related to the job duties and related tasks. Up to 10% travel is expected for this role.

Humana Work From Home Jobs Advisor Full Time

Key Responsibilities

Oversees the creation of a playbook that drives Humana’s provider & network market entry strategy decisions.
Works cross functionally to seek consult and provide advisement on a proposed network build approach and timeline based on analysis of internal and external source data and managed care program requirements.
Drives market competitor analysis and the evaluation existing managed care requirements to assess gaps in Humana’s pre-rfp & market entry provider & network strategy.
Leads network workstream meetings, including content creation from the market development kick-off through the initiation of the network build.
Presents to Medicaid senior leadership regular progress updates on Provider & Network Strategy in assigned markets.
Develops provider & network strategies based on insights from the playbook in assigned Medicaid pipeline markets to support RFP responses and market entry.
Serves as the market subject matter expert to assist business development in developing provider & network request for proposal (RFP) responses.

Humana Work From Home Jobs Advisor Full Time

Use your skills to make an impact

Required Qualifications

Bachelor’s degree
5+ years of experience in network development, contracting, and/or network management or provider relations experience.
2+ years of project leadership experience
2+ years of Medicaid experience/Managed Care
Experienced strategist with a track record of synthesizing and evaluating multiple sources of qualitative and quantitative data to define network priorities and build solutions
Proven ability to analyze, interpret, and utilize competitive intelligence, state regulatory and contractual requirements, and financial analyses to inform & develop strategy
Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team and internal business partners
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Master’s degree in business administration, healthcare administration, public administration, public health, or public policy.

Humana Work From Home Jobs Advisor Full Time

About the Humana Company:-

Humana is a prominent American health insurance company, originally founded in 1961. While it is predominantly based in the United States, Humana does have a presence in the United Kingdom through its healthcare and wellness services. Humana UK operates with a focus on delivering personalized healthcare solutions, leveraging its extensive expertise in health insurance and care services.

In the UK, Humana is known for providing health and well-being services tailored to the needs of individuals and organizations. The company collaborates with healthcare providers to offer a range of services including health assessments, wellness programs, and support for chronic conditions. Humana’s approach is centered around preventative care and the promotion of healthier lifestyles to reduce long-term healthcare costs and improve quality of life for its clients.

Humana UK’s services are characterized by their emphasis on integrating digital health tools and data analytics to offer innovative solutions. This includes the use of telehealth services, personalized health coaching, and digital health platforms that allow users to track their health metrics and access support remotely. The company aims to empower individuals to take control of their health through accessible and user-friendly services.

Moreover, Humana UK engages in various community health initiatives, partnering with local organizations to address public health challenges and promote wellness in the community. This commitment to public health and preventative care reflects Humana’s broader mission to make it easier for people to achieve their best health.

Overall, Humana UK stands out as a key player in the healthcare sector, utilizing advanced technology and a holistic approach to healthcare to support individuals in managing their health and well-being.

Humana Work From Home Jobs Advisor Full Time

Humana Work From Home Jobs Advisor Full Time In RealJobs

Humana Work From Home Jobs Advisor Full Time In RealJobs

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