Senior Consultant, FSS/IFF/TRICARE
Model NSalary not specified
- Full Time
- Senior (5 to 8 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health Insurance, Government & Public SectorIndustries
Requirements
Candidates must be a U.S. citizen and be able to successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services). A Bachelor’s degree in Accounting or Finance is required, along with three years of experience in accounting/finance, specifically within the Military, government contractor, or government handling financial modeling. Strong Excel skills, including pivot tables and formulas, and knowledge of Healthcare, Provider Contracting, and/or the TRICARE program are also necessary.
Responsibilities
The Network Optimization Lead will be responsible for sourcing, modeling, and analyzing data for the TRICARE optimization product lines, identifying and explaining variance and outcomes. They will support and execute data capture and processing, conduct audits and reviews, analyze healthcare, productivity, and financial data, develop corrective actions, assimilate market models, evaluate analytical methodologies, and ensure compliance with government regulations. The role also involves preparing and advising on performance reporting, supporting technology development, collaborating with government customers and internal teams, managing payments and receivables, and supporting operational planning, forecasting, and optimization activities.
Skills
Data analysis
Financial modeling
Data management
Operational analytics
Performance reporting
Algorithm development
Healthcare analytics
Statistical tools
Technology tools
Market modeling
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees