Humana

Delaware Valley ACO Fellowship

San Antonio, Texas, United States

Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Healthcare, Accountable Care OrganizationIndustries

Requirements

Candidates must be recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs. Applicants must submit a cover letter, current resume, three letters of recommendation (at least one from a graduate professor and one from a current or former employer), a personal statement (1-2 pages) addressing career goals and the importance of population health management, and official graduate transcripts.

Responsibilities

The DVACO Administrative Fellow will gain experience in population health management, healthcare business planning, and leadership through rotations in departments such as Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care, and Clinical Quality. Responsibilities include undertaking projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. The Fellow will also attend Board and administrative meetings, analyze quality metrics and financial performance, lead strategic planning, develop health equity strategies, assess practice readiness for behavioral health integration, create financial models for new payor contracts, manage IT software implementation, develop contracts, design patient identification strategies, communicate with physician practices about performance, analyze administrative costs, and lead the development of a quality benchmarking system.

Skills

population health management
healthcare business planning
leadership
quality oversight
data reporting
performance improvement
physician engagement
informatics
network development
contract/payer relations
communication
analytic
problem-solving

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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