Risk Management Lead - Home Health

Become a part of our caring community and help us put health first

The Risk Management Lead - Home Health contributes to the success of Humana's business strategy by supporting risk management initiatives across Home Solutions teams.

As a Risk Management Lead - Home Health, you will be responsible for:

• Identifying strategic, operational, financial, and compliance risks through facilitation of risk assessments, providing cost-effective recommendations on improvements and efficiencies.

• Partnering with stakeholders across Home Solutions on a variety of risk initiatives related to Value-Based Purchasing Models and other strategic plans.

• Serving as a subject matter expert for home health processes to assess risks in existing operations, potential new initiatives, and key business priorities

• Exercising independent judgment requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree or equivalent work experience

• 5+ years of auditing, process design/improvement, project management, risk management, developing solutions, or business consulting

• Deep understanding of CMS Value-Based Purchasing Model

• Knowledge of various healthcare payer models, including episodic, fee-for-service, and value-based care

• Successful track record in influencing, facilitating, and consulting effectively across cross-functional teams and managing projects

• Proficiency in verbal and written communication to senior and executive leadership

• Strong organizational skills and ability to manage multiple or competing priorities

• Likes to focus on the "big picture" and thrives in a fast paced, multi-project work environment

• Ability to present opportunity for improvement on calls with business partners

• Comprehensive knowledge of MS Word, Power Point, Excel, including ability to create pivot tables and summarize data into reports and dashboards

Preferred Qualifications

• Advanced certifications such as CPA, CIA

• Previous experience in home health, care delivery, or care management

Additional Information

• Working hours EST

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: 01-19-2025

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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 ***/accessibility-resources