{"id":4345471,"url":"https://alion.io/job/humana-directed-payment-programs-manager","title":"Directed Payment Programs Manager","company":{"id":2742,"name":"Humana","domain":"humana.com","url":"https://alion.io/company/humana","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":98,"open_postings":56,"ghost_share":0.036,"stale_share":0.036,"repost_share":0.286,"time_to_fill_p50_days":14,"computed_at":"2026-11-15T07:52:55Z"}},"role":"Management","role_family":"Management","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Oklahoma City, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":93600,"max":128700,"currency":"USD","period":"year","gross":null,"usd_annual":128700},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Excel","optional":false},{"name":"Power BI","optional":true},{"name":"SAS","optional":true},{"name":"Snowflake","optional":true},{"name":"Tableau","optional":true}],"status":"live","first_seen_at":"2026-11-13T00:00:00Z","employer_posted_date":"2026-11-13","last_verified_at":"2026-11-15T21:32:39Z","board_verified":true,"closed_at":null,"days_open":2,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":2},"description":"Become a part of our caring community\nBring your financial and analytical expertise to a role that supports the success of Humana's Oklahoma Medicaid programs and provider network. As the Directed Payment Programs Manager, you'll use financial and healthcare data to help ensure accurate payments, strengthen program performance, and support regulatory compliance. Reporting to the Director, Financial Planning & Analysis, you'll collaborate across teams to solve complex problems and turn data into insights that inform business decisions.Directed Payment Program Administration\nManage key activities supporting Oklahoma Medicaid Directed Payment Programs.\nMonitor program activity and compliance with OHCA, CMS, and contractual requirements.\nValidate provider payment calculations and methodologies.\nCoordinate quarterly payments, reporting, and financial reconciliations.\nAnalytics & Data Management\nAnalyze data and support payment validation, reporting, and financial oversight.\nAnalyze claims, encounters, provider, and membership data to identify trends and data issues.\nDevelop recurring and ad hoc reports for leadership and external stakeholders.\nInvestigate and resolve discrepancies across systems and data sources.\nFinancial Analysis & Reconciliation\nPerform reconciliations for directed payments, provider incentives, and Medicaid funding.\nSupport monthly and quarterly financial close activities.\nAnalyze budget-to-actual variances and communicate findings to leadership.\nAssess financial impacts of payment adjustments, operational changes, and regulatory updates.\nStakeholder Collaboration\nServe as a key contact for providers, state agencies, and internal stakeholders.\nLead cross-functional coordination across Finance, Network, Operations, Actuarial, Compliance, and Technology.\nTranslate complex financial and analytical findings into clear business insights.\nBuild effective relationships with providers, OHCA, and internal partners.\nCompliance & Audit Support\nEnsure payment and reporting activities meet regulatory, contractual, and corporate requirements.\nSupport internal and external audits through analysis and documentation.\nMaintain process documentation and standard operating procedures.\nUse your skills to make an impact\nRequired Qualifications\nBachelor's degree in finance, accounting, economics, healthcare administration, information systems, data analytics, or related field.\nMinimum 5 years of progressive experience in finance, accounting, analytics, healthcare operations, or related business functions.\nAdvanced Excel skills, including financial modeling and data analysis.\nExperience performing reconciliations, variance analysis, and financial reporting.\nPreferred Qualifications\nMaster's degree (MBA, MHA, MS Analytics, Accounting, Finance, or related field).\nHealthcare or Medicaid managed care experience.\nExperience with Medicaid Directed Payment Programs, provider incentives, value-based payment programs, or supplemental payment programs.\nKnowledge of healthcare claims, encounters, membership, and provider data.\nExperience using Power BI, Tableau, SAS, Snowflake, Oracle, or other enterprise analytics platforms.\nCPA, CMA, or other relevant professional certification preferred.\nAdditional Information\nWork Style: Hybrid Office - 2-3 days per week in Humana's Oklahoma City office.\nTypical Schedule: Monday - Friday, 8:00 AM - 5:00 PM CST\nTravel: up to 10%.\nScheduled Weekly Hours\n40Pay Range\nThe 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.$93,600 - $128,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits\nHumana, 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\nAbout 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 at Humana.com and at CenterWell.com. Equal Opportunity Employer\nIt 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.","description_format":"text","description_chars":5999,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Life insurance","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Home Care Services","Primary Care & Medical Centers","Pharmacies","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-11-15T21:32:39Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 339 · green card filings: 89","filings_12m":339,"filings_prev_12m":256,"green_card_filings_12m":89,"median_offered_wage_usd":137500,"route":null,"cap_exempt":false,"checked_at":"2026-11-15T09:21:55+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":2,"expected_fill_days":14,"reasons":["conf:0","win:early","comp:brand"],"computed_at":"2026-11-15T22:12:58Z"},"pay":{"stated_usd_annual":128700,"is_top_pay":false},"html_url":"https://alion.io/job/humana-directed-payment-programs-manager","json_url":"https://alion.io/job/humana-directed-payment-programs-manager.json","meta":{"generated_at":"2026-11-15T22:12:58Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":17919,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-16T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2742},"rest":"https://alion.io/mcp/rest/get_company?id=2742"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhumana-directed-payment-programs-manager"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhumana-directed-payment-programs-manager"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhumana-directed-payment-programs-manager"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/humana-directed-payment-programs-manager\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhumana-directed-payment-programs-manager"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4345471}},{"tool":"search_jobs","arguments":{"company":"humana.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4345471},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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