Network Optimization Lead
Remote Illinoisremotesenior
Posted today · via Workday
About this role
Become a part of our caring community Join the Humana team as a Network Optimization Lead. In this role you will drive network optimization and value, manage compliance with network requirements - including network adequacy - for Humana's Illinois Medicaid plan. Reporting to the Network Optimization Principal, you will help analyze provider network performance, support Provider Contracting and project manage terminations. You will work closely with the Provider Relations team to understand and address network operational issues and advise on network composition and value-based payment strategy.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: power bi, monday, teams, hipaa
2
Level fit
This role is senior-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
power bimondayteamshipaa
More at Humana
- View →AD, Actuarial Analytics/ForecastingRemote Kentucky
- View →Provider Data Validation (PDV) ManagerRemote Nationwide
- View →Network Optimization ProfessionalRemote Illinois
- View →Risk Adjustment Admin ProfessionalRemote Nationwide
- View →Lead Software Engineer (NBA)Remote Massachusetts
- View →Case ManagerLa Crosse, WI