Senior Market Finance Professional

San Antonio, Texas, United States

Apply with AI Apply

Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree or equivalent experience, with at least 5 years of technical experience. Required qualifications include experience with Value-Based Care, payor, and/or provider settings, strong attention to detail, the ability to work independently and collaboratively, comprehensive knowledge of Microsoft Office Suite (Word, Excel, PowerPoint), and proficiency in SQL, pivot tables, and look-up functions. A passion for improving consumer experiences is also essential.

Responsibilities

The Senior Market Finance Professional will collect, analyze, and report on market data to link financial outcomes with operational effectiveness. This role involves assessing provider performance, financial outcomes, and clinical/quality metrics to support value-based care initiatives. Responsibilities include analyzing provider performance under value-based contracts, developing performance reports, supporting contract negotiations, partnering with provider engagement teams, conducting provider-level analytics, providing insights on care patterns and cost drivers, collaborating with internal stakeholders, communicating findings, and reconciling settlement statements.

Skills

Data Analysis

Financial Reporting

Value-Based Care

Provider Performance Analysis

Contract Management

Financial Modeling

Forecasting

Dashboard Development

Stakeholder Communication

Reconciliation

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.

Land your dream remote job 3x faster with AI

Try Jobo Free