[Remote] Market Finance Lead at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree
3+ years experience in data analytics
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
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)
Preference for candidates to live in WA, OR, ID, MT, or UT (preferred)

Responsibilities

Lead 1-3 direct Analytical Staff
Lead market financial reporting, budget/administration development, product/bid development trend analytics and overall P&L support
Work closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement
Leverage data analytics, 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
Lead membership, financial, cost & utilization reporting at all levels
Support Humana’s Medicare Advantage product strategy, budgets, and administrative staffing and expenses
Include 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
Advise regional leadership of functional strategies on matters of significance while exercising independent judgment and decision making on complex issues with minimal supervision
Support financial modeling for contract negotiations

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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