Provider Program Delivery Lead

CarePlus Health Plans Inc

Louisville, KY, US
Base: $115,200 - $158,400 py; bonus: eligible for ...
Hybrid
8+ years healthcare program management experience
Medicare risk adjustment (mra) expertise
Specialist physician program strategy
The role focuses on guiding strategy and performance management for Medicare Risk Adjustment programs specifically targeting physician specialists

Job Summary

  • The role focuses on guiding strategy and performance management for Medicare Risk Adjustment programs specifically targeting physician specialists.
  • Candidates will collaborate across enterprise functions to scale specialist engagement, optimize program outcomes, and identify new growth opportunities.
  • Humana offers competitive benefits including medical, dental, vision, 401(k), and paid time off to support whole-person well-being.

Matching Summary

The role focuses on guiding strategy and performance management for Medicare Risk Adjustment programs specifically targeting physician specialists.

Salary

Base: $115,200 - $158,400 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), PTO

Skills & Requirements

Must-have

  • 8+ years healthcare program management experience
  • Medicare Risk Adjustment (MRA) expertise
  • Specialist physician program strategy
  • Executive-level presentation skills
  • Data-driven performance monitoring

Nice-to-have

  • Master's degree in business or public health
  • Hospital inpatient risk adjustment experience
  • CMS payment model regulatory knowledge
  • Management consulting background
  • Vendor partnership development

Key Requirements

  • Bachelor's degree required
  • 8+ years in healthcare program management
  • 2+ years leading strategic programs
  • Experience with Stars/Quality metrics

Work Rights

Not specified

Tailored Resume

Cover Letter