The Market Finance Lead will collects, analyze and report on market data to connect financial outcomes with operational effectiveness. Also will review Market Financials, Claims and trend analytics, reviewing contract financials, and budget/administration development. You will report to the Regional VP, Operations.
As the Market Finance Lead you will
Work with Actuary, MRA, Corporate Finance, Clinical, Market Point and Providers/Hospitals/Ancillary internally
Work with our Value Based Providers relating financials, membership, cost and utilization reporting
Promote optimization inclusive of activities spanning decisions
Strategic planning and addressing specific performance issues across and relationships
Company Initiative
Advise regional leadership of functional strategies on matters of significance while exercising independent on complex issues
Use your skills to make an impact
Required Qualifications
Bachelor's degree
Work 8am to 5pm CST or EST hours
2 or more years of project leadership experience
1 or more years SQL experience or other data related tools (needs to be able to edit existing queries and ability to learn to write from scratch)
3 or more years of working with Value Based Contracts (VBC) or Value Based Providers (VBP)
Experience advising senior leadership on financial strategies
Knowledge of complex accounting and financial transactions for internal and external reporting
Experience developing methods and criteria for measuring and summarizing data for complex analyses
1 or more years of experience lead and manage special projects that may necessitate cross-functional partnerships
Demonstrated capability in coaching and developing associates, both formally and informally
Preferred Qualifications
Experience managing a team
Knowledge of complex accounting and financial transactions for internal and external reporting
Certified Public Accountant
Master's Degree in Business Administration or a related field
Project Management Professional (PMP)
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
Additional Information
Travel based on business needs
8am to 5pm CST or EST
HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Work at Home
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.
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.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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Scheduled Weekly Hours
40Pay 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.
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.Application Deadline: 05-21-2026About 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 at Humana.com and at CenterWell.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.
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