Value-Based Programs Lead

Become a part of our caring community
 The Value-Based Program Lead leads VBP market support across assigned markets to ensure the Value-Based Program (VBP) achieves contract requirements and market objectives. The Value-Based Program Lead will manage and facilitate Business Review meetings with markets, offering performance updates, strategic consultation, and issue resolution related to VBP models. This position requires preparation and analysis of market data to drive effective decision-making and provides data driven insights into the performance of active VBP models.

• Manage and oversee the end-to-end market support for assigned Medicaid markets to ensure markets achieve their VBP contract requirements and market goals
• Manage and facilitate Quarterly Business Review Meetings (QBR) with assigned market leaders to provide updates on VBP model performance, answer questions and resolve issues, consult on VBP strategy and provider targets, and ensure timely decision making on VBP model rollout or changes.
• Effectively manage and facilitate new market VBP implementation of year 1 Medicaid VBP models and related contract requirements, including developing and maintaining project plans, facilitating implementation meetings, driving decisions on VBP model payouts and metrics, and developing provider-facing and associate trainings.
• Prepare for QBR meetings, including reviewing and analyzing data, to ensure effective calls.
• Consult with market on VBP strategy to ensure compliance with contractual requirements and market goals.
• Provide data-driven insights on market performance in each active VBP model.
• Research and answer market or provider questions on VBP models.
• Oversee the rollout of annual trainings for contracting, PR, PE, and other market staff on upcoming year VBP models and any changes.
• Work with markets to facilitate timely decision-making on new VBP models or changes to existing VBP models.
• Coordinate internally with Medicaid VBP model design, contracting, and operations and analytics teams to prepare for and manage rollout of new VB models or changes to existing models.
• Manage rollout of new VBP models or changes to VBP models, including coordinating with Medicaid VBP design, operations, and analytic colleagues and enterprise teams.
• Convene matrixed operational partners to solve operational gaps/barriers.
• Partner with cross functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
• Support onboarding of market Network Optimization team, including their responsibilities for driving market VBP strategy and responsibilities of the corporate Medicaid VBP team.
• Advise Medicaid market leaders on year 1 VBP model timing and rollout strategy.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree.
• 3 - 5 years of experience working at a health plan in value-based care and/or provider engagement.
• 3 or more years of highly data-driven analytics experience, with a consistent focus on deeply analyzing and interpreting financial, quality, and utilization data to inform decision-making and drive outcomes.
• 2 or more years of project management experience.
• 2 or more years of progressive leadership experience hiring, training, and managing associates.
• Highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results.
• Ability to identify, structure and solve business problems.
• Excellent interpersonal, organizational, written, and oral communication and presentation skills.

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).
• Direct Reports: 2 associates.

WAH Internet Statement

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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

Application Deadline: 08-10-2026
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.