Delaware Valley ACO Fellowship/Provider Engagement Professional - Humana
Columbia, SC
About the Job
Become a part of our caring community and help us put health first
The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.
DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers, enhancing DVACO's total number of beneficiaries to approximately 150,000.
2025-2026 Administrative Fellowship
The DVACO Administrative Fellowship is a 1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of our member hospitals.
In addition to these rotations, the Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This design gives the Fellow the opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development.
Sample projects:
+ Analyzes quality metrics linked to ACO financial performance and present findings to the Board
+ Leads strategic planning efforts to develop a specialist network within the ACO
+ Develops a health equity strategy to update existing value-based contracting principles
+ Designs a social determinant of health (SDOH) flag in the EMR
+ Assesses behavioral health integration readiness of ACO physician practices
+ Leads the design of a new employee ACO Product
+ Creates financial models for new payor contracts
+ Manages the implementation of care coordination IT software among post-acute facilities
+ Develops contracts for the enhanced track Medicare Shared Savings Program (MSSP)
+ Designs a strategy for the care coordination team to identify high risk patients
+ Communicate with physician practices about their performance in DVACO initiatives
+ Analyzes administrative costs on a per member per month (PMPM) basis and develop a proforma
+ Leads the development and implementation of a quality benchmarking system
Application Materials:
To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application:
1. Cover Letter
2. Current Resume
3.Three letters of Recommendation
a. At least one letter must be from a graduate professor
b. At least one letter must be from a current or former employer
4. Personal Statement (1 -2 pages addressing personal career goals and your view on the importance of population health management)
5. Official Graduate Transcript
IMPORTANT DATES
All application materials due
Sunday, September 22, 2024 at 11:59pm EST
Phone interviews late September - Early October
Finalists interview date (virtual, full-day interview), October 11, 2024
Selection date No later than October 31, 2024
Want to learn more about our Fellowship program?
Sign up for our Informational Webinars
Register for our webinars by contacting KOsterhout@dvaco.org .
Upcoming Webinar Dates:
+ Monday, July 29th, 2024 at 9 AM EST
+ Wednesday, August 14th, 2024 at 1 PM EST
+ Tuesday, August 27th, 2024 at 5 PM EST
Application Due Date
Sunday, September 22nd, 2024 at 11:59pm EST
Phone Interviews - Late September - Early October
Finalists Interviews (Virtual, full-day interview format) - October 11th.
The application will be open for submissions by July 2024. Please contact Krista Osterhout, current fellow, at KOsterhout@dvaco.org with any questions.
In addition to being a great place to work, Humana/DVACO also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
Use your skills to make an impact
Required Qualifications
+ Graduate as of Spring 2025 of MHA/MPH/MBA/MS-POPH Accredited, or similar, degree program (for programs requiring a third year "residency" before granting a degree, completion of all academic course work is required)
+ Strong written and verbal communication skills in a remote work environment
+ Highly motivated, and a self-starter
Preferred Qualifications
+ Graduate as of Spring 2025 of a Commission on the Accreditation of Healthcare Management Education (CAHME) program
+ Strong interest in Population Health and/or Value-Based Care
+ History of strong academic achievement
Additional Information
Want to learn more about our Fellowship program?
Sign up for our Informational Webinars
Register for our webinars by contacting KOsterhout@dvaco.org .
Upcoming Webinar Dates:
+ Monday, July 29th, 2024 at 9 AM EST
+ Wednesday, August 14th, 2024 at 1 PM EST
+ Tuesday, August 27th, 2024 at 5 PM EST
Application Materials
To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application :
-Cover Letter -Current Resume -Three letters of Recommendation
At least one letter must be from a graduate professor
At least one letter must be from a current or former employer
-Personal Statement
1-2 pages addressing personal career goals and your view on the importance of population health management
-Official Graduate Transcript
IMPORTANT DATES
All application materials due
Sunday, September 22nd, 2024 at 11:59pm EST
Phone interviews - Late September - Early October
Finalists interview date (virtual, full-day interview) - October 11, 2024
Selection date - No later than October 31, 2024
Work at Home/Remote Requirements
Work-At-Home Requirements
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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.
+ Humana will provide Home or Hybrid Home/Office associates 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
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
#LI-LM1
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, certifications, etc.$52,500 - $72,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.
DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers, enhancing DVACO's total number of beneficiaries to approximately 150,000.
2025-2026 Administrative Fellowship
The DVACO Administrative Fellowship is a 1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of our member hospitals.
In addition to these rotations, the Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This design gives the Fellow the opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development.
Sample projects:
+ Analyzes quality metrics linked to ACO financial performance and present findings to the Board
+ Leads strategic planning efforts to develop a specialist network within the ACO
+ Develops a health equity strategy to update existing value-based contracting principles
+ Designs a social determinant of health (SDOH) flag in the EMR
+ Assesses behavioral health integration readiness of ACO physician practices
+ Leads the design of a new employee ACO Product
+ Creates financial models for new payor contracts
+ Manages the implementation of care coordination IT software among post-acute facilities
+ Develops contracts for the enhanced track Medicare Shared Savings Program (MSSP)
+ Designs a strategy for the care coordination team to identify high risk patients
+ Communicate with physician practices about their performance in DVACO initiatives
+ Analyzes administrative costs on a per member per month (PMPM) basis and develop a proforma
+ Leads the development and implementation of a quality benchmarking system
Application Materials:
To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application:
1. Cover Letter
2. Current Resume
3.Three letters of Recommendation
a. At least one letter must be from a graduate professor
b. At least one letter must be from a current or former employer
4. Personal Statement (1 -2 pages addressing personal career goals and your view on the importance of population health management)
5. Official Graduate Transcript
IMPORTANT DATES
All application materials due
Sunday, September 22, 2024 at 11:59pm EST
Phone interviews late September - Early October
Finalists interview date (virtual, full-day interview), October 11, 2024
Selection date No later than October 31, 2024
Want to learn more about our Fellowship program?
Sign up for our Informational Webinars
Register for our webinars by contacting KOsterhout@dvaco.org .
Upcoming Webinar Dates:
+ Monday, July 29th, 2024 at 9 AM EST
+ Wednesday, August 14th, 2024 at 1 PM EST
+ Tuesday, August 27th, 2024 at 5 PM EST
Application Due Date
Sunday, September 22nd, 2024 at 11:59pm EST
Phone Interviews - Late September - Early October
Finalists Interviews (Virtual, full-day interview format) - October 11th.
The application will be open for submissions by July 2024. Please contact Krista Osterhout, current fellow, at KOsterhout@dvaco.org with any questions.
In addition to being a great place to work, Humana/DVACO also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
Use your skills to make an impact
Required Qualifications
+ Graduate as of Spring 2025 of MHA/MPH/MBA/MS-POPH Accredited, or similar, degree program (for programs requiring a third year "residency" before granting a degree, completion of all academic course work is required)
+ Strong written and verbal communication skills in a remote work environment
+ Highly motivated, and a self-starter
Preferred Qualifications
+ Graduate as of Spring 2025 of a Commission on the Accreditation of Healthcare Management Education (CAHME) program
+ Strong interest in Population Health and/or Value-Based Care
+ History of strong academic achievement
Additional Information
Want to learn more about our Fellowship program?
Sign up for our Informational Webinars
Register for our webinars by contacting KOsterhout@dvaco.org .
Upcoming Webinar Dates:
+ Monday, July 29th, 2024 at 9 AM EST
+ Wednesday, August 14th, 2024 at 1 PM EST
+ Tuesday, August 27th, 2024 at 5 PM EST
Application Materials
To be considered for the 2025 Administrative Fellowship, the following items must be attached to your application :
-Cover Letter -Current Resume -Three letters of Recommendation
At least one letter must be from a graduate professor
At least one letter must be from a current or former employer
-Personal Statement
1-2 pages addressing personal career goals and your view on the importance of population health management
-Official Graduate Transcript
IMPORTANT DATES
All application materials due
Sunday, September 22nd, 2024 at 11:59pm EST
Phone interviews - Late September - Early October
Finalists interview date (virtual, full-day interview) - October 11, 2024
Selection date - No later than October 31, 2024
Work at Home/Remote Requirements
Work-At-Home Requirements
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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.
+ Humana will provide Home or Hybrid Home/Office associates 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
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
#LI-LM1
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, certifications, etc.$52,500 - $72,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana