Finance Director - South Central Region
Humana - Lansing, MI
posted 4 months ago
About the position
The Director, Market Finance plays a crucial role in connecting financial outcomes with operational effectiveness by collecting, analyzing, and reporting on various market data. This position requires a deep understanding of how organizational capabilities interrelate across functions or segments. The Director will lead a team of associates focused on value-based provider contracting, provider network analysis and optimization, and identifying local trend bender opportunities. Responsibilities include managing the valuation of provider risk deals, recommending impactful changes to provider networks, and collaborating closely with regional leaders to identify and value solutions that help manage cost trends. In this role, the Director will work closely with internal and external associates at various levels, from analysts to VPs, tailoring communications appropriately. The position involves significant interaction with the RVP of Operations, including exposure to Medicare Advantage bid strategy, regional operations staffing, and administrative expense oversight. As the team becomes established and capable of managing day-to-day tasks, the Director is expected to contribute directly to these areas. Regular interactions with regional and divisional leaders, as well as external VP+ associates at key providers, are integral to the role. The Director will create a culture of high performance through accountability and engagement, overseeing provider financial analysis for both value-based and fee-for-service contracts. This position offers substantial visibility to the regional senior leadership team and a broad spectrum of corporate business partners, as well as significant exposure to external provider partners. The Director will support Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses, leveraging data analytics and business insights to drive optimization of financial and operational performance for the region. The role requires advising regional leadership on functional strategies while exercising independent judgment on complex issues with minimal supervision.
Responsibilities
- Collect, analyze, and report on various market data to connect financial outcomes with operational effectiveness.
- Lead a team of associates in value-based provider contracting, provider network analysis, and optimization.
- Manage the valuation of provider risk deals and recommend impactful changes to provider networks.
- Work closely with regional leaders to identify and value solutions to manage cost trends.
- Tailor communications appropriately for internal and external associates at various levels.
- Collaborate with the RVP of Operations on Medicare Advantage bid strategy and administrative expense oversight.
- Create a culture of high performance through accountability and engagement.
- Oversee provider financial analysis for value-based and fee-for-service contracts.
- Support Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses.
- Leverage data analytics and business insights to drive optimization of financial and operational performance.
Requirements
- Bachelor's degree in Business, Finance, Accounting or a related field.
- 7+ years of operations and/or finance experience in the health solutions industry.
- 3+ years of leadership experience.
- Experience building a high performing team to support a growth market.
- Excellent communication and presentation skills.
- Experience leveraging data analytics to identify improvement opportunities and influence change.
- Experience developing methods and criteria for measuring and summarizing data for complex analyses.
- Ability to travel up to 20%.
Nice-to-haves
- Located in Austin, TX.
- Certified Public Accountant certification.
- Master's Degree in Business, Finance, Accounting or a related field.
- Knowledge of local market dynamics - TX, AR, OK.
- Knowledge of both group and individual Medicare products.
- Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions.
Benefits
- Medical, dental and vision benefits.
- 401(k) retirement savings plan.
- Paid time off, including company and personal holidays, volunteer time off, paid parental and caregiver leave.
- Short-term and long-term disability insurance.
- Life insurance and many other opportunities.
