Market Finance Lead

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

You will partner with regional leadership. The Market Finance Lead will also partner with actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/Market Point and value-based care providers. You will translate complex financial and operational data into meaningful recommendations, and action plans that improve performance across the market.

As the Market Finance Lead you will:

• 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.

• 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

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

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue 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.

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.

40

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…