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Market Finance Lead

1 month ago

Lansing, United States Humana Full time

Humana Market Finance Lead - Lansing, Michigan

Become a part of our caring community and help us put health first The Market Finance Lead collects, analyzes, and reports on various market data to connect financial outcomes with operational effectiveness. The Market Finance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Humana is seeking to fill a Market Finance Lead role within the SouthEast Region Operations and Finance department, which covers a 4-state geography and over 1.2 Million Medicare Advantage members. The position will report directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims, and trend analytics. This position is the team lead for all market financial reporting, budget/administration development, product/bid development trend analytics, and overall P&L support. The Market Finance Lead has 3 direct Analyst Staff directly providing support for all key functions and deliverables. Leads 3 direct Analytical Staff Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement 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 Supports Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses Includes 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 Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision-making on complex issues with minimal supervision Required Qualifications 3+ years experience in data analytics Ability to lead and manage special projects that may necessitate cross-functional partnerships 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 Strong written and verbal communication skills Preferred Qualifications Master's Degree in Business Administration (MBA) or a related field 3+ years experience using SAS and/or SQL Strong knowledge of at least one of the following: claim-line level healthcare data, provider contracting analysis, or clinical operations and metrics Experience in the Medicare Advantage bid process 2+ years of project leadership experience 3+ years of healthcare experience

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