57 applicants

Company

Humana · 23 hours ago

Senior Market Consultation Professional

Remote Nationwide

Full-time

Remote

Mid, Senior Level

$77K/yr - $106K/yr

2+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Promotes and improves the quality and measurement of provider education programs with a market(s).

Engages and partners with physicians, physician groups, and market leadership to drive initiatives.

Influences and consults on matters related to quality and measurement of provider education programs with a market(s).

Begins to influence department’s strategy.

Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

Exercises considerable latitude in determining objectives and approaches to assignments.

Work directly with EMR vendors, market(s) and physician groups to enroll providers into the provider reconciliation program.

Require an in depth understanding of risk adjustment and be able to clearly articulate the value of the program.

Process large data-set files, analyze data, and also present findings to leadership.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Risk AdjustmentClaims encounters 837 transactionsMicrosoft Office ExcelData processingEMR systemsSQLAlteryxHealth industry solutionsProcess improvementsRelationship building

Required

Bachelor's degree or 2+ years equivalent experience in Risk Adjustment

Experience working with Claims encounters 837 transactions

Strong knowledge of Microsoft Office Excel

Excellent communication skills both oral and written

Proficiency in processing data, analyzing and interpreting data trends and continuous quality improvement process

Experience building strong relationships and collaborating

Knowledge of EMR systems

Preferred

Experience working directly with markets/regional associates

Must be able to work independently

Stars experience

Progressive business consulting experience

Working knowledge of the provider reconciliation program

SQL and Alteryx experience

Health industry solutions experience

Ability to manage multiple or competing priorities and work in a fast-paced environment with changing priorities

Intermediate ability to implement process improvements

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Company and personal holidays

Volunteer time off

Paid parental and caregiver leave

Short-term and long-term disability

Life insurance

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)