Baton Rouge, LA, 70806, USA
14 hours ago
Senior Strategy Advancement Professional
**Become a part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. CenterWell is seeking a Senior Strategy Advancement Professional for its Accountable Care (ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general direction and supervision from the ACO Director, the Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will work closely with leadership and cross-functional teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance, training, and more. Additionally, this role will assist with ad hoc reporting, modeling and analysis, and general strategy support overseeing policy, government relations and ACO planning support. Specifically, this role will be responsible for ensuring successful administration of the ACO REACH program and managing ACO participation for CenterWell’s wholly owned provider group segment. This position requires an in-depth understanding of the healthcare industry, including value-based care, Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management, health plans / insurance, and Management Service Organizations (MSOs). ESSENTIAL DUTIES: • Responsible for monitoring and analyzing relevant issues that will impact the organization and inform of necessary / required actions initiated by CMS • Oversee rules and regulations of ACO programs as outlined in model Participation Agreements; liaise with CMS on day-to-day program administration • Responsible for obtaining and managing documents from regulatory agencies and / or participating providers accurately and timely • Support accurate paper and electronic fillings as required by program; coordinate with cross-functional teams to ensure compliance with filings • Assure that standards of practice and policies are compliant with the ACO contractual requirements and other contractual and regulatory guidelines and standards • Ensure ACO programs are administered and configured and loaded properly; oversee key operational processes; identify opportunities for performance improvement, and provide regular performance updates • Oversee ACO wholly owned participant provider segment including key processes, programs, and performance; liaise with market teams • Manage ACO governance process, including the Center Well ACO Board • Provide ACO strategy and planning support; coordinate closely with M&A team on ACO integration planning for acquired provider groups • Prepare executive level presentations that highlight business performance and synthesize opportunities • Develop, prepare, and interpret reports. Write basic SQL queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting. • Develop basic modeling and business case analysis; work closely with Finance and Data teams • Coordinate with ACO Lead overseeing the IPA / Affiliate business segment • Adept at forming strong relationships with diverse teams and personalities through effective trust building and collaboration; highly organized, demonstrated ability to show meticulous attention to detail STANDARD REQUIREMENTS: 1. Supports the Mission, Value and Vision of CenterWell 2. Exhibits excellent customer service skills and behaviors toward internal and external customers and co-workers 3. Supports and participates in a collaborative team-oriented environment – cooperates and works together with all co-workers, plans and completes job duties, uses appropriate communications in sensitive and emotional situations and follows up as appropriate regarding reported complaints, problems and concerns. 4. Supports, cooperates with and demonstrates safe work practices and attitudes, follows safety rules – including universal precautions - reports and prevents/corrects unsafe conditions and behaviors, and participates in organizational and departmental safety programs. 5. Completes all required compliance standards that may be department specific and/or identified by the organization. Required Qualifications: • Bachelor’s Degree or equivalent experience • 3 - 5 years of healthcare experience focusing on accountable care organizations, population health, or value-based care • Familiarity with healthcare industry including value-based care, health plans, health systems, Medicare, accountable care, population health, medical group management / practice management, or Management Service Organizations (MSOs) • Program Management, Product Management, or Operations experience • Experience working in fast-paced administrative environment Preferred Education and/or Work Experience: • Graduate degree in Business or Healthcare Administration preferred • Previous experience supporting Medicare payment model programs i.e., ACO REACH, MSSP, other **Use your skills to make an impact** 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. $86,300 - $118,700 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: 07-30-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ **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. Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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