Market Finance Lead

Overview

The Market Finance Lead collects, analyzes and reports on market data to connect financial outcomes with operational effectiveness. Also reviews Market Financials, Claims and trend analytics, reviewing contract financials, and budget/administration development. You will report to the Regional VP, Operations.

• 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

• 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

• 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

• Travel based on business needs
• 8am to 5pm CST or EST
• Work at Home or Hybrid Home/Office employees: ensure internet service meets minimum criteria and provide equipment as needed; work from a dedicated space to protect member PHI / HIPAA information

Humana is an 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our accessibility resources.