Shane Mains

Associate Director at Humana

Louisville, Kentucky, United States

About

Experienced leader with a demonstrated history of working in the health and wellness industry. Skilled in SAS, Tableau and Microsoft Office Suite. Strong research professional with a Master’s Degree in Business Administration and Bachelor's Degree focused in Accounting from Bellarmine University.

Experience

  • Humana (8 yrs 10 mos)
    • Associate Director, Provider Incentive Programs
      Mar 2026 - Present · 5 mos

    • Value-Based Programs Lead
      Apr 2021 - Mar 2026 · 5 yrs

    • Senior Value-Based Strategies Professional
      Oct 2017 - Apr 2021 · 3 yrs 7 mos

  • Senior Financial Analyst at UofL Health
    Oct 2016 - Oct 2017 · 1 yr 1 mo

    • Support Directors of Finance at University of Louisville Hospital and Sts. Mary & Elizabeth Hospital • Provide mid-month stat projections for ED visits, patient days, surgeries and cash on a weekly basis to respective hospital Presidents and executive leadership • Maintain Labor Optimization analysis on a pay-period basis for each facility, trending and projecting salaries and wages expense for regular, agency, overtime and premium pay costs by department • Assist with Month End Close process and Year End Projections by updating Smart View general ledger files, updating trend charts and preparing Monthly Operating Report presentations • Pull report from Meditech to create and analyze the monthly billing for Signature Healthcare facility leasing space at Sts. Mary & Elizabeth Hospital • Work with Decision Support to develop ad hoc reports through EPSi • Assist with Budgeting for upcoming fiscal year

  • PharMerica (Louisville, KY)
    • Sr. Margin Analyst - Per Diem Services
      Jan 2014 - Oct 2016 · 2 yrs 10 mos

      • Perform Per Diem Reset process on a monthly basis to ensure that customer rates are in line with contractual agreements and profitability standards set by Senior Management • Develop working models in both Access and SAS to analyze facility utilization and determine Therapeutic Interchange and Global Authorization savings opportunities for current clients • Provide in-depth analysis of pharmacy and facility level margin and make recommendations to Senior Management regarding Per Diem client performance • Support Sales and Account Management with subject matter expertise on current Per Diem Book of Business • Work with Plan Administration and Clinical team to analyze, manage and audit all per diem formulary option setups, ensuring the accuracy of all included and excluded products at the individual drug level • Develop corporate-specific pricing scenario models to evaluate current top tier clients worth $400M+ in annual revenue and project profitability for 1,000+ bed prospects

    • Pricing & Business Analyst
      Jun 2012 - Jan 2014 · 1 yr 8 mos

      • Responsible for the evaluation, development and implementation of pricing strategies and policies for the company, based on current and future market environments • Worked with complex datasets pulled from SAS and Cognos to provide profitability and invoice analyses to executive leadership on a daily basis • Used strong Excel and VBA skills to contribute to the development of an effective pricing input sheet for Account Management and Account Executives, as well as a working model for the Pricing department • Worked interdepartmentally with Executives, Account Management, Sales, Marketing and Acquisition team members on various ad hoc projects • Built SAS queries to cleanse and filter third party data to price out pharmaceuticals for potential customers

  • Front Office Clerk at All Children Pediatrics
    Sep 2006 - Jun 2012 · 5 yrs 10 mos

    • Spearheaded the creation of a documentation process used to identify what discs/drives house copies of paper medical records for both current and former patients • Created standard operating procedure for copying transferred patients' medical records to a disc in place of printing hard copies, helping save the company thousands of dollars in paper and postal costs • Responsible for balancing the daily ledger at close of business, reconciling totals with the credit card batch and creating daily deposit slip for cash and checks collected • Collected copayments, deductibles and coinsurances from patients at time of service • Performed various types of data entry including demographic information, immunization records and health maintenance rules on a daily basis • Learned to multitask in a fast pace environment