Experience Inc. Jobs

Job Information

Humana Delaware Valley ACO Fellowship/Provider Engagement Professional in Bethesda, Maryland

Description

The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP). DVACO is a joint venture among three stakeholders: Humana, Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.

DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers and manages population health initiatives for the employees and dependents of Jefferson Health and Main Line Health, enhancing DVACO's total number of beneficiaries to over 200,000.

Responsibilities

2024-2025 Administrative Fellowship

The DVACO Administrative Fellowship is a 1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of our member hospitals.

In addition to these rotations, the Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This design gives the Fellow the opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development.

Sample projects:

  • Assess behavioral health integration readiness of ACO physician practices

  • Develop contracts for enhanced track Medicare Shared Savings Program (MSSP)

  • Assist the care coordination team in identifying high risk patients

  • Research strategies on ACO development of a specialist network

  • Develop a social determinant of health (SDoH) flag in the EMR

  • Analyze quality metrics linked to shared savings

  • Communicate with practices about their performance in DVACO initiatives

  • Analyze administrative costs on a PMPM basis and develop a proforma

  • Develop financial models for new payor contracts

  • Support the development of a benchmarking system

  • Manage the implementation of care coordination software among post-acute facilities

  • Support the design of an employee ACO Product

  • Project manage IT implementation

Application Materials:

To be considered for the 2023 Administrative Fellowship, the following items must be attached to your application:

-Cover Letter -Current Resume -Three letters of Recommendation

At least one letter must be from a graduate professor

At least one letter must be from a current or former employer

-Personal Statement

1-2 pages addressing personal career goals and your view on the importance of population health management

-Official Graduate Transcript

IMPORTANT DATES

All application materials due

Sunday, September 24th, 2023 at 11:59pm EST

Phone interviews Early October

Finalists interview date (virtual, full-day interview) Mid-October

Selection date No later than October 31, 2022

In addition to being a great place to work, Humana/DVACO also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

  • Medical Benefits

  • Dental Benefits

  • Vision Benefits

  • Health Savings Accounts

  • Flex Spending Accounts

  • Life Insurance

  • 401(k)

  • PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time

  • And more

Required Qualifications

  • Graduate as of Spring 2024 of MHA/MPH/MBA/MS-POPH Accredited, or similar, degree program

  • Strong written and verbal communication skills in a remote work environment

  • Highly motivated and a self-starter

Preferred Qualifications

  • Graduate as of Spring 2024 of a Commission on the Accreditation of Healthcare Management Education (CAHME) program

  • Strong interest in Population Health and/or Value-Based Care

  • History of strong academic achievement

Additional Information

Application Materials

To be considered for the 2023 Administrative Fellowship, the following items must be attached to your application :

-Cover Letter -Current Resume -Three letters of Recommendation

At least one letter must be from a graduate professor

At least one letter must be from a current or former employer

-Personal Statement

1-2 pages addressing personal career goals and your view on the importance of population health management

-Official Graduate Transcript

IMPORTANT DATES

All application materials due

Sunday, September 24th, 2023 at 11:59pm EST

Phone interviews - Early October

Finalists interview date (virtual, full-day interview) - Mid-October

Selection date - No later than October 31, 2022

Work at Home/Remote Requirements

Work-At-Home Requirements

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

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.

  • Wireless, Wired Cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)

  • Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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 associates 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

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

This is a remote position.

#LI-LM1

#LI-Remote

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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$47,700 - $65,600 per year

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.

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.

DirectEmployers