Risk Adjustment Financial Analytics Lead
$106.9k - $147kHumana Inc
Become a part of our caring community The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Risk Adjustment Financial Analytics Lead collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends. May possess financial or actuarial background. Delivers insights that answer questions from leadership, informs decision-making and supports strategic planning initiatives. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's Degree 6+ years finance, analytics, and/or healthcare Experience in integrating and analyzing data from multiple sources (e.g., MMR, MOR, claims), discovering new insights to support and influence decisions on strategic planning and specific business performance issues Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends Work independently and able to exercise independent judgment and decision making on complex issues regarding job duties Preferred Qualifications Experience working with medical claims or other healthcare data Medicare risk adjustment experience Financial or actuarial background Additional Information If local to the Louisville area, team meets in office one day a week, typically Wednesdays. Work at Home Requirements 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range 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 and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $106,900 - $147,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 07-14-2026 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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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 #J-18808-Ljbffr Humana Inc
$99k - $124k
Strivehealth is seeking a Lead Actuarial Analyst in Denver, CO to enhance risk adjustment analytics and financial performance. This hybrid role requires collaboration onsite two days a week, analyzing crucial data to support patient outcomes and operational efficiency....Risk2 days per week$99k - $124k
A healthcare company in Denver is looking for a Lead Actuarial Analyst to enhance financial performance in risk adjustment analytics. The role includes translating complex data into actionable strategies and requires 4+ years of experience in analytics and proficiency...RiskRemote job$99k - $124k
...conditions by identifying risk earlier, coordinating... ...flexible spending accounts. Financial & Retirement Support -... ...You’ll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing... ...Analyst, Risk Adjustment Analytics). This is a hybrid...RiskWork at officeRemote workWork from homeFlexible hours2 days per week- Humana Inc is looking for a Financial Analytics Lead in Denver, Colorado to manage data that influences operational and strategic decisions. This role involves analyzing diverse data to identify trends and support leadership with actionable insights. Candidates should...RiskWork at officeRemote work
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$169.4k - $279.6k
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...Datavant is trusted by the world’s leading life sciences companies,... ..., set priorities, identify risks, and recommend strategies to... ...Healthcare Management, Business Analytics, Economics or related field... ...preferred. Understanding of Risk Adjustment and Healthcare/Health IT...Risk$176k - $288k
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$98.4k - $160k
...driven by a common purpose to help make financial lives better through the power of every connection... ...Security Incident Response Orchestration Lead is responsible for defining, scoping, and... ...Security Information Systems Management Risk Management Collaboration DevOps Practices...Risk$120k - $140k
...AI FinOps & Governance Lead to join our IT PMO team... ...platforms while owning the financial operations (FinOps)... ...with strong financial, analytical, and vendor‑management... ...Information Security, Risk, Compliance, Legal, Procurement... ..., and the ability to adjust focus. EEOC Bayview is...RiskWork at officeLocal areaWork from home$110k - $130k
...to join our Operations team as Lead Manufacturing Associate -... ...compliance with ISO 13485 Generate risk assessments and mitigation... ...formulation and scale up. Good analytical skills to interpret manufacturing... ...the leveling of the role is adjusted. Your recruiter can share more...RiskFull time$144.2k - $288.4k
...at a time. Position Summary The Lead Director of Third-Party Security Assessment & Risk Operations plays a critical role... ...landscapes and proactively adjust program requirements to maintain... ...support the physical, emotional, and financial well‑being of colleagues and...RiskHourly payFull timeTemporary workLocal area- ...Lead Estimators are responsible for the development of CSI Division and Uniformat estimates... ..., understand, manage and communicate risk during the procurement process. Survey and... ...on position location, a cost of living adjustment (COLA) may also be included (subject to periodic...RiskFor contractorsWork at officeLocal area
$65k - $75k
...possible. As a full-service financial institution, we offer a full... ...second line Information Security Risk & Compliance function by... ...and executive communications. Analytical mindset with practical, operational... ..., and the ability to adjust focus. Benefits 401(k) Plan...Risk- ...Wealth Partners is a full-service financial advisory practice... ...management and accumulation, risk management, retirement planning... ...performance and risk, and recommend adjustments based on market conditions... ...CONTRIBUTION Partner closely with lead advisors to deliver a...RiskTemporary work
$170k - $200k
...future of energy. Role Synopsis The Lead Surface Land Negotiator is primarily... ...facilitate access to surface. Manages risk and drives safe, reliable and compliant behaviours... ...an accessibility need may request an adjustment/accommodation related to bp’s recruiting...RiskFull timeH1bWork at officeLocal areaRemote workWorldwideRelocationRelocation package- Cornerstone Capital Bank is looking for a Mortgage Originations Compliance Program Manager to oversee compliance risk management for Cornerstone Home Lending. This role involves developing policies, tracking regulatory updates, and conducting risk assessments to ensure...Risk
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$70k - $100k
...knowledge of regulations like OSHA and DOT. Responsibilities include EHS program management, regulatory compliance, and conducting risk assessments. The position is based onsite in Colorado, offering a competitive salary range of $70,000 to $100,000 along with comprehensive...Risk- ...a Denver North EHS Advisor responsible for developing and implementing EHS solutions in Denver. This role focuses on mitigating EHS risks to employees, facilities, and communities while ensuring compliance with regulations. Candidates should have a Bachelor's degree, four...Risk
$140k - $200k
...a common purpose to help make financial lives better through the power... ...Join us! The Transformational Lead - Data Loss Prevention (DLP) &... ...through forward‑looking risk mitigation strategies. Key Responsibilities... ...machine learning, behavioral analytics, and advanced data analysis to...RiskWork at officeShift workDay shift$85k - $95k
Within our Corporate Enterprise Risk Management team in Denver, Leprino is seeking a Senior Risk & Insurance Analyst to support and... ...risk. Support departmental budgeting, accounting activities, and financial reporting related to insurance programs. Contribute to...Risk- ...Chief Risk Officer (CRO) About the Company Innovative financial technology (FinTech) organization providing end-to-end solutions Industry Internet Type... ...Company is seeking a Chief Risk Officer (CRO) to lead the global risk function and play a pivotal role...Risk
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$77.04k - $127.12k
...help connect actuarial revenue analytics with financial close processes, providing... ...and models data including risk reporting and forecasting. Support... ..., membership changes, risk adjustment impacts, settlement drivers,... ...our strategy but will also lead to personal and professional...RiskFull timeContract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$145.6k - $168k
...Lead Global Solutions Architect Enterprise Technology is a global organization... ...in insurance products or annuities or financial services, we're here to ensure they don... ...security, infrastructure services, data & analytics, risk & controls, procurement, program management...RiskWork at officeRemote workWork visaRelocation packageFlexible hours3 days per week
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