Market Finance Lead

Become a part of our caring community. The Market Finance Lead is a financial and strategic partner responsible for connecting market financial performance with operational effectiveness. You will analyze financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence decisions, and support market growth and operational improvement.

• 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 highlight 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.

• 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 of experience leading and managing special projects that may necessitate cross-functional partnerships.

• 3 or more years of 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.

• Travel based on business needs.
• 8 am to 5 pm EST or CST.

Humana, Inc. offers competitive benefits that support whole-person well-being. Associate benefits include medical, dental and vision benefits, a 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.

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.