Senior Financial Analytics Professional

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's Degree and have over 5 years of technical experience, including proficiency in writing, manipulating, and developing SQL, SAS, or similar software for forecasting and reporting. A working knowledge of Excel pivots for data summary and analysis is required, along with the ability to explain variances and trends and enhance modeling techniques. Experience managing complex datasets for forecasting and reporting is essential, as is the ability to exercise independent judgment and decision-making on complex issues. Preferred qualifications include experience with Medical Claims or other healthcare data, Medicare Risk Adjustment experience, a financial or actuarial background, and a Master's Degree.

Responsibilities

The Senior Financial Analytics Professional will manage data to support and influence decisions on day-to-day operations, strategic planning, and business performance issues, working with Medicare risk adjustment. This role involves projecting and tracking risk-adjustable revenue from prospective programs and strategic initiatives, utilizing claims data and data from CMS. Responsibilities include collating, modeling, interpreting, and analyzing data to identify, explain, and influence variables and trends, as well as enhancing modeling techniques. The professional will evaluate strategic initiatives and programs to inform decisions and planning, compile data for operational leaders to optimize strategic initiative effectiveness, and independently monitor reporting for emerging trends and insights. Continuous improvement through analysis of program data and performance, and timely communication of results are also key responsibilities.

Skills

Financial Projection

Data Analysis

SQL

Excel Pivots

Medicare Risk Adjustment

Data Modeling

Trend Analysis

Stakeholder Management

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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