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Market Finance Lead
2 months ago
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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