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Become a part of our caring community and help us put health firstThe Director, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Director, Market Finance requires an in-depth understanding of how organization capabilities interrelate across the function or segment.The Director, Market Finance will be accountable for and provide direct leadership to a team of associates in the areas of value-based provider contracting, provider network analysis and optimization, and local trend bender opportunities. This will include managing the valuation of provider risk deals, recommending and valuing impactful changes to provider networks, and working closely with regional leaders to identify and value solutions to help manage cost trends. Will work closely with internal and external associates at various levels, from analyst to VP, and must be able to tailor communications appropriately. Collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness.This person will work closely with the RVP, Operations, including exposure to MA bid strategy, regional operations staffing, and administrative expense oversight. As their team is established and able to effectively manage the day-to-day tasks, the expectation is the Director, Market Finance will begin to make direct contributions to these areas. This role will also interface regularly with regional and divisional leaders, including regular external interactions with VP+ associates at key providers.
Leads 4-5 direct staff including Market Finance Lead
Creates a culture of high performance through accountability and engagement.
Responsible for provider financial analysis including value based as well as FFS contracts.
Includes substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business partners and leaders, as well as significant visibility to external provider partners.
Supports Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses.
Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement
Leverages data analytics, business insights, cross-functional collaboration, in-depth business knowledge, and strong written and verbal communication skills to drive optimization of financial and operational performance for the region.
Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision making on complex issues with minimal supervision.
Use your skills to make an impactRequired Qualifications
Bachelor's degree in Business, Finance, Accounting or a related field
7+ years of operations and/or finance experience in the health solutions industry
3+ years of leadership experience
Experience building a high performing team to support a growth market
Excellent communication and presentation skills
Experience leveraging data analytics to identify improvement opportunities and influence change
Experience developing methods and criteria for measuring and summarizing data for complex analyses
Ability to travel up to 20%
Preferred Qualifications
Located in Austin, TX.
Certified Public Accountant
Master's Degree in Business, Finance, Accounting or a related field
Knowledge of the local market dynamics - TX, AR, OK
Knowledge of both group and individual Medicare products
Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions
Additional InformationWork-At-Home Requirements
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Associates 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 associates 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
Virtual Pre-ScreenAs part of our hiring process for this opportunity, we will be using an exciting 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.If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
Scheduled Weekly Hours40Pay RangeThe 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.$149,800 - $206,100 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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.About usHumana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt 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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.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 https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.