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Become a part of our caring community and help us put health firstThe Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Market Finance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.Humana is seeking to fill a Market Finance Lead role within the SouthEast Region Operations and Finance department, which covers a 4 state geography and over 1.2 Million Medicare Advantage members. The position will report directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all market financial reporting, budget/administration development, product/bid development trend analytics and overall P&L support. The Market Finance Lead has 3 direct Analyst Staff directly providing support for all key functions and deliverables.
Leads 3 direct Analytical Staff
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
Supports Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses
Includes substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business partners and leaders, as well as some visibility to external provider partners
Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision making on complex issues with minimal supervision
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
Medical Benefits
Dental Benefits
Vision Benefits
Health Savings Accounts
Flex Spending Accounts
Life Insurance
401(k)
PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
And moreUse your skills to make an impactRequired Qualifications
Bachelor's degree
3+ years experience in data analytics
Ability to lead and manage special projects that may necessitate cross-functional partnerships
Experience advising leadership on financial strategies
Comprehensive Knowledge in Excel
Experience leveraging data analytics to identify improvement opportunities and influence change
Experience developing methods and criteria for measuring and summarizing data for complex analyses
Strong written and verbal communication skills
Preferred Qualifications
Master's Degree in Business Administration (MBA) or a related field
3+ years experience using SAS and/or SQL
Strong knowledge of at least one of the following: claim-line level healthcare data, provider contracting analysis, or clinical operations and metrics
Experience in the Medicare Advantage bid process
2+ years of project leadership experience
3+ years of healthcare experience
Additional InformationWork at Home/Remote RequirementsWork-At-Home Requirements
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
Wireless, Wired Cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. 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
Our Hiring ProcessAs part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.#LI-LM1Scheduled 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.$102,200 - $140,700 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.