Market Finance Lead

Role Description

The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness.

Location: remote but MUST be in one of the following locations: Washington, Colorado, New Mexico, Arizona, Utah, Montana, Oregon.

Humana is seeking to fill a Market Finance Lead role within the Intermountain Region Finance department. 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.

• Leads 2-3 direct Analytical Staff
• Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally
• 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
• Leads membership, financial, cost & utilization reporting at all levels
• 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

Qualifications

• Bachelor's degree
• 7 years of experience in finance, data analytics and/or accounting
• 3 years experience using SAS, SQL and/or other data related tools
• Experience advising leadership on financial strategies
• Experience leveraging data analytics to identify improvement opportunities and influence change
• Experience developing methods and criteria for measuring and summarizing data for complex analyses

Requirements

• Master’s Degree in Business Administration (MBA) or a related field (Preferred)
• Certified Public Accountant (CPA) (Preferred)
• Experience in the Medicare Advantage bid process (Preferred)
• 2+ years of project leadership experience (Preferred)
• 3+ years of healthcare experience (Preferred)
• Strong knowledge of claim-line level healthcare data (Preferred)

Benefits

• 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
• Many other opportunities

Additional Information

• To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service must meet the following criteria: minimum download speed of 25 Mbps and upload speed of 10 Mbps; 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 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.
• As part of our hiring process, we will be using an interviewing technology called HireVue.
• Humana values personal identity protection; applicants may be asked to provide their Social Security Number.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40
• Pay Range: $114,400 - $157,300 per year, eligible for a bonus incentive plan.