Risk Adjustment Lead – Platform Product Owner

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $117.6k - $161.7k / year

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery teams • Maximize Risk Adjustment platform and technical portfolio value • Translate and prioritize business needs into technical requirements • Drive measurable outcomes through technical requirements • Guide platform enhancements • Identify opportunities and escalate Risk Adjustment insights that may affect Stars • Exercise independent judgment and manage competing priorities • Drive initiatives • Navigate technical budgeting processes to deliver Risk Adjustment value • Report to the Director, Risk Management & Compliance

🎯 Requirements

• Bachelor’s degree in a related field • 3+ years of experience in system migrations, technical operations, or Agile product ownership • Experience developing business cases and quantifiable value assessments • Ability to translate complex business needs into technical requirements • Advanced degree in a related field (preferred) • Knowledge of Medicare Risk Adjustment or Medicare Advantage regulations (preferred) • Experience with ADO or Jira (preferred) • Experience with epics, features, user stories, and acceptance criteria (preferred) • Six Sigma certification (preferred) • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Self-provided internet service for remote employees • Remote work arrangement • Occasional travel to Humana offices for training or meetings