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Be ready to walk through a multi-stakeholder program you delivered under constraints: how you managed risk logs, change control, and delayed dependencies. Tie examples to payer or regulated settings when possible, and show how you translate risk goals into measurable milestones for leaders at a large insurer like Humana.
Strong fit if you like cross-functional program delivery in a large health insurer, can work onsite in the Annapolis area, and are comfortable owning timelines and risk communication more than pure individual-contributor analysis.
As a Risk Program Delivery Professional at Humana, expect to coordinate risk-related initiatives end to end: clarify scope with clinical, compliance, and operations partners; track milestones and dependencies; surface issues early; and report status so insurance and care programs stay on plan. Work ties program delivery discipline to Humana’s health-plan environment rather than pure underwriting or pure software delivery.
Focus on structured delivery (charters, RAID logs, stakeholder maps), healthcare risk and regulatory literacy, clear status writing, and facilitation across clinical and business teams. No certification family or priced cert list was supplied for this listing.
The listing marks remote as no; the location is Annapolis, Anne Arundel County, Maryland.
Humana is a major U.S. for-profit health insurance company headquartered in Louisville, Kentucky (Wikipedia).
No certification family or costed resources were included with this job’s enricher data; confirm any preferred credentials on the official posting.
Website: humana.com
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2024, the company ranked 92 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It is the fourth largest health insurance provider in the U.S.
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Risk Program Delivery ProfessionalHumana - Annapolis, Anne Arundel County Position Summary The In-Office Provider Programs organization within Humana's Risk Adjustment division is seeking a dedicated Risk Program Delivery Professional to join our team. This role will be instrumental in delivering a portfolio of products aimed at supporting physicians in providing optimal patient care and enhancing the accuracy of clinical documentation. The position involves working with both in-house and vended solutions, with a focus on advancing analytics-driven and interoperable solutions. Responsibilities Support physicians in delivering high-quality patient care through the use of various products and services Ensure the accuracy and completeness of clinical documentation to improve risk adjustment outcomes Collaborate with cross-functional teams, including product development, IT, and marketing, to drive innovation and growth Manage and maintain in-house and vended solutions, ensuring they meet regulatory requirements and are up-to-date Analyze data to identify trends and opportunities for improvement in the delivery of healthcare services Requirements Experience in healthcare or related field with a focus on risk adjustment and clinical documentation Strong analytical skills with experience in data analysis and interpretation Excellent communication and interpersonal skills, capable of working effectively with physicians and other stakeholders Familiarity with healthcare regulations and compliance requirements Proficiency in Microsoft Office Suite and data management tools Ability to work independently and as part of a team in an office-based environment More About Humana Humana is a leading health and well-being company dedicated to making healthcare work better for everyone. Our mission is to improve the health and wellness of our members, patients, and communities through innovative solutions that make healthcare simpler, more accessible, and more affordable. Applying for This Role To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. Please ensure all required fields are filled out accurately and thoroughly to increase your chances of being considered for this exciting opportunity. To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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