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Remote Payer Strategy Jobs in Kentucky (NOW HIRING)

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

... payer, provider, or insurance preferred), with involvement in strategy, operations, or ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

... payer, provider, or insurance preferred), with involvement in strategy, operations, or ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

... payer, provider, or insurance preferred), with involvement in strategy, operations, or ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

Onco360

Telecommunications Engineer II

Louisville, KY · On-site +1

$78K/yr

... payers, and manufacturers. Our Onco360 Corporate Office in Louisville, Kentucky has an immediate ... Engineer office and remote work telecom solutions that support a "work from anywhere" model through ...

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Remote Payer Strategy information

What is a Remote Payer Strategy role?

A Remote Payer Strategy role involves developing and implementing plans to manage relationships with healthcare payers, such as insurance companies and government programs, from a remote location. Professionals in this position analyze payer trends, negotiate contracts, and ensure that healthcare services are reimbursed efficiently and accurately. They collaborate with internal teams and payers to optimize reimbursement rates and compliance, while working remotely to provide flexibility and broader geographic reach. The position typically requires knowledge of healthcare reimbursement, payer policies, and strong analytical and communication skills.

What are the key skills and qualifications needed to thrive as a Remote Payer Strategy professional, and why are they important?

To excel in Remote Payer Strategy, you need a strong understanding of healthcare reimbursement models, payer contract negotiation, and data analysis, typically supported by a degree in healthcare administration, business, or a related field. Familiarity with payer management systems, claims processing software, and sometimes certifications like Certified Professional in Healthcare Quality (CPHQ) are highly valued. Exceptional communication, strategic thinking, and relationship-building skills set professionals apart in this role. These skills ensure the effective development and execution of reimbursement strategies that optimize revenue and maintain positive payer relationships in a remote environment.

What is the difference between Remote Payer Strategy vs Remote Healthcare Analyst?

AspectRemote Payer StrategyRemote Healthcare Analyst
Required CredentialsBachelor's degree in healthcare, business, or related field; experience in payer or insurance industryBachelor's or master's in healthcare, statistics, or related field; analytical skills
Work EnvironmentFocus on payer strategies, insurance plans, and reimbursement modelsData analysis, reporting, and healthcare data interpretation
Employer & Industry UsageInsurance companies, healthcare payers, healthcare consulting firmsHealthcare providers, research organizations, consulting firms

Remote Payer Strategy professionals focus on developing and implementing strategies related to insurance reimbursement and payer relationships, while Remote Healthcare Analysts analyze healthcare data to inform decision-making. Both roles require healthcare knowledge but differ in their core functions and industry focus.

How does a Remote Payer Strategy professional typically collaborate with cross-functional teams to achieve organizational goals?

As a Remote Payer Strategy professional, you will routinely collaborate with teams such as sales, marketing, medical affairs, and data analytics to develop and execute market access strategies. This collaboration often involves virtual meetings, sharing payer insights, and aligning on tactics to optimize reimbursement and formulary inclusion. Effective communication and adaptability are essential, as you’ll bridge the needs of internal stakeholders with payer expectations, ensuring that the organization’s products gain and maintain favorable access in a dynamic healthcare landscape.
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Remote Payer Strategy jobs near you
Transformation Strategy Consultant

Transformation Strategy Consultant

Humana

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 263 frontline employees who took The Breakroom Quiz

161st of 299 rated insurance

Job description

Become a part of our caring community
Join the team shaping Humana's future
Humana's Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company's future. Transformation is critical to our core strategy: delivering great healthcare to seniors, providing a differentiated healthcare experience, and growing our reach and impact with members and patients. As a member of the Transformation team, you will support the complex and coordinated effort required to execute the enterprise strategy: accelerating our long-term vision by identifying opportunities, designing solutions, and implementing initiatives to fundamentally change the member, patient, provider, and associate experiences.

The Transformation team is modeled after top-tier management consultancies. Team members work on fast-paced and high-visibility projects aligned with the enterprise's most important Transformation topics. Every day in the role is different, but activities often include developing industry analysis, building high-level financial/business models, conducting informational interviews, managing complex projects with numerous stakeholders, and synthesizing recommendations into executive-level deliverables that drive real-world results. Work assignments require a combination of strategic thinking, quantitative analysis, workstream management, cross-team collaboration, and storytelling. Team members can align with one of the enterprise's lines of business, supporting functions, or key Transformation capabilities to become a trusted thought partner for the Transformation agenda.

Key Responsibilities:

  • Leads execution of one or more workstreams with limited support from team leadership

  • Solves problems flexibly: able to effortlessly jump between quantitative analysis, qualitative research, stakeholder management, slide design, etc.

  • Delivers high-quality, data-backed deliverables with limited rework

  • Translates insights into effective written communication, typically PowerPoint

  • Develops trust-based relationships with business partners

  • Demonstrates a growth mindset, requesting and acting upon coaching and feedback to accelerate professional development

  • Program management experience on driving large-scale, transformational change programs


Use your skills to make an impact

Required Qualifications

Qualified candidates will possess a Bachelor's degree with 3+ years of experience, or a Master'sdegree (e.g., MBA, MHA, MPH, or equivalent) with 2+ years of experience in one of the following:

oManagement consulting, withexperience solving strategic and operational problems for large-scale businesses, OR

oHealthcare industry experience(payer, provider, or insurance preferred), with involvement in strategy, operations, or transformation efforts

All candidates must meet the following:

  • Demonstrable capabilities withquantitative analysis and research, stakeholder management, slide designexecutive communications in PowerPointor Word formats
  • Demonstrated ability to structure problems and develop business recommendations using hypothesis-driven thinking
  • Experience supporting complex or cross-functional workstreams, with exposure to stakeholder-driven environments

Preferred Qualifications

  • Ability to identify, structure, and solve business problems

  • Healthcare / payer experience

  • Project management experience

Location: Working locations are Louisville, KY and Arlington, VA (Washington, DC metro area.) The Transformation team operates on a hybrid work arrangement (in office expectation of 3 days per week). Relocation assistance available. Remote NY will be considered.

Travel:

Occasional travel to Humana's offices for training or meetings may be required.

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.


$104,400 - $143,600 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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