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Healthcare Market Finance Lead

$104k - $143k

Humana

About the Role 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 and various functional teams, translate complex financial and operational data into actionable recommendations, and drive performance improvements across the market. Responsibilities 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 of 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. Required Qualifications 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 Preferred Qualifications 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 Additional Information Travel based on business needs 8am to 5pm EST or CST Pay Range $104,000 - $143,000 per year. This range reflects a good faith estimate of starting base pay. Compensation may vary based on geographic location and individual qualifications, and the role is eligible for a bonus incentive plan. Benefits Humana offers competitive benefits that support whole‑person well‑being, including medical, dental and vision coverage, a 401(k) retirement savings plan, paid time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance, and other opportunities. 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. Humana also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance in employment individuals with disability or protected veteran status, and bases all employment decisions only on valid job requirements. #J-18808-Ljbffr Humana

Vacancy posted 14 hours ago
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