Note: The job is a remote job and is open to candidates in USA. Humana is a leading U.S. healthcare company that aims to simplify healthcare for millions. The Market Finance Lead will connect financial performance with operational effectiveness by analyzing various data to support market growth and operational improvement.
Responsibilities
- Work directly with value-based providers to review financial performance, membership, cost and use trends, contractual results, and opportunities for improvement. Present on provider trends and opportunities for improvement directly with providers and senior leadership
- Analyze market financials, claims data, utilization trends, membership movement, risk adjustment impacts, medical cost drivers, and provider contract performance
- Evaluate provider and contract financials to identify cost-of-care opportunities, performance gaps, and areas for operational improvement
- Be a strategic finance partner to regional and market leadership, providing insights that support operational, financial, and value-based care performance
- Develop and deliver financial reporting dashboards, and executive-level summaries that performance trends, risks, and opportunities
- Support budget development, forecasting, administrative planning, and financial performance reviews for the market
- Lead financial analysis for strategic initiatives, including market optimization, value-based care performance, cost containment, and growth-related activities
- Advise regional leadership on financial strategies and performance matters of significance
- Address complex financial and operational issues
- Build relationships with internal stakeholders and external provider partners to support collaboration, accountability, and performance improvement
- Monitor company initiatives and assess financial and operational impacts across the market
Skills
- Bachelor's degree or higher
- 2 or more years of working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
- Experience developing methods and criteria for measuring and summarizing data for complex analyses
- Experience advising senior leadership on financial strategies
- 2 or more years of project leadership experience
- 1 or more years of SQL or other data related tools
- Knowledge of complex accounting and financial transactions for internal and external reporting
- 1 or more years experience leading and managing special projects that may necessitate cross-functional partnerships
- 3 or more years healthcare economics or value based performance analytics experience
- Experience in the Medicare Advantage bid process
- 3 or more years of experience in Service Fund reporting
- Experience managing a team
- Knowledge of complex accounting and financial transactions for internal and external reporting
- Master's Degree in Business Administration or a related field
- Project Management Professional (PMP)
- Certified Public Accountant
Benefits
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- 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.
- Employees 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 employees with telephone equipment appropriate to meet the business requirements for their position/job.
Company Overview