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Medical Cost Strategist
Medical Cost Strategist-April 2024
Virtual
Apr 21, 2025
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
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About Medical Cost Strategist

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

  The Medical Cost Strategist provides support to Medicare Medical Cost Management in the delivery of enterprise trend savings goals. Come join this high performing team and work on solving complex and highly visible initiatives focusing on process improvement, finance/cost reduction.

  The Medical Cost Strategy team is seeking a talented strategist to support trend intelligence and investigation. The ideal candidate is intellectually curious and energized by complex problems with unique solutions. You will join a high performing team and will support enterprise partners in solving complex, highly visible initiatives.

  As a Medical Cost Strategist , you may:

  Lead with curiosity and identify future opportunities through investigation and analysis.

  Create lasting partnerships with subject matter experts across the organization. Examples of key partners include Healthcare Economics, Claims Cost Management and Pharmacy.

  Build comprehensive recommendations for executive approval including cost benefit analyses as needed to justify investments or recommendations of solutions.

  Drive for results, enabling cross functional teams to execute solutions for future trend savings.

  Use your skills to make an impact

  Required Qualifications

  Bachelor's degree or equivalent

  5 or more years business experience with emphasis on process improvement, finance/cost reduction

  1 or more years of project leadership experience or equivalent

  Strong business and financial acumen

  Comprehensive knowledge of all Microsoft Office Applications

  Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization

  Ability to perform with independence

  Ability to interact and defend position with senior leaders

  Willing to travel based on business need.

  Preferred Qualifications

  MBA in business or equivalent experience

  Project/Program management experience

  Additional Information

  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 recommended; 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

  As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.

  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.$112,400 - $154,900 per yearThis 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.

  About us

  Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

  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 because he or she is a protected veteran. 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.

  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.

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