Market Finance Lead

Employment Type: Full-time

Position Overview

Humana is seeking a Market Finance Lead to join the Intermountain Region Finance department. This role reports directly to the Regional Vice President of Operations and supports the Medicare Advantage line of business. The Market Finance Lead is responsible for collecting, analyzing, and reporting on various market data to connect financial outcomes with operational effectiveness. This position serves as the team lead for all market financial reporting, budget/administration development, product/bid development trend analytics, and overall Profit & Loss (P&L) support.

Responsibilities

• Team Leadership: Leads 2-3 direct analytical staff.
• Stakeholder Collaboration: Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement.
• Performance Optimization: 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.
• Reporting: Leads membership, financial, cost, and utilization reporting at all levels.
• Product Strategy Support: Supports Humana’s Medicare Advantage product strategy, budgets, and administrative staffing and expenses.
• Leadership Visibility: Provides substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business partners and leaders, and some visibility to external provider partners.
• Advisory Role: Advises regional leadership on functional strategies for matters of significance, exercising independent judgment and decision-making on complex issues with minimal supervision.
• Financial Modeling: Supports financial modeling for contract negotiations.

Required Qualifications

• Bachelor's degree
• 3+ years of experience in data analytics
• 3+ years of 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

Preferred Qualifications

• Master’s Degree in Business Administration (MBA) or a related field
• Certified Public Accountant (CPA)
• Experience in the Medicare Advantage bid process
• 2+ years of project leadership experience
• 3+ years of healthcare experience
• Strong knowledge of claim-line level healthcare data
• Preference for candidates living in WA, OR, ID, MT, or UT

Additional Information

Work at Home / Internet Information: To ensure effective work for Home or Hybrid Home/Office employees, 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 connections may be used only if approved by leadership.
• Employees living and working from home in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
• Humana will provide appropriate telephone equipment for Home or Hybrid Home/Office employees.
• Employees must work from a dedicated space lacking ongoing interruptions to protect member Protected Health Information (PHI) / HIPAA information.

SSN Information: Humana values personal identity protection. Applicants may be asked to provide their Social Security Number if it is not already on file. An email from Humana@myworkday.com will be sent with instructions if this information is required.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.