Home Health Risk Management Lead
- OREGON EMPLOYMENT DEPARTMENT
- Salem, Massachusetts
- Full Time
Job Listing ID: 4259365 Job Title: Home Health Risk Management Lead
Application Deadline: Open Until FilledJob Location: Salem
Date Posted: 04/25/2025Hours Worked Per Week: Not Provided
Shift: Not Provided
Duration of Job: Either Full or Part Time, more than 6 months
You may contact this employer directly.
(Obtain the contact information to print or add to your jobs.)
Job Summary:
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
Home health experience
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
Additional Information
Working hours EST
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 required; 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.
Home or Hybrid Home/Office employees will be provided 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.
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, ...
Job Classification: Management Analysts
Access our statewide or regional occupation report for more information about wages,
employment outlooks, skills, training programs, related occupations, and more.
Compensation
Salary: Not Provided
Job Requirements
Experience Required: See Job Summary
Education Required: NoneMinimum Age: N/A
Gender: N/A
Application Deadline: Open Until FilledJob Location: Salem
Date Posted: 04/25/2025Hours Worked Per Week: Not Provided
Shift: Not Provided
Duration of Job: Either Full or Part Time, more than 6 months
You may contact this employer directly.
(Obtain the contact information to print or add to your jobs.)
Job Summary:
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
Home health experience
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
Additional Information
Working hours EST
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 required; 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.
Home or Hybrid Home/Office employees will be provided 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.
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, ...
Job Classification: Management Analysts
Access our statewide or regional occupation report for more information about wages,
employment outlooks, skills, training programs, related occupations, and more.
Compensation
Salary: Not Provided
Job Requirements
Experience Required: See Job Summary
Education Required: NoneMinimum Age: N/A
Gender: N/A
Job ID: 475078754
Originally Posted on: 4/29/2025
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