Humana - Juneau, AK

posted 4 months ago

Full-time - Senior
Remote - Juneau, AK
5,001-10,000 employees
Insurance Carriers and Related Activities

About the position

Become a part of our caring community and help us put health first. The Director, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. This position requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Director, Market Finance will be accountable for and provide direct leadership to a team of associates in the areas of value-based provider contracting, provider network analysis and optimization, and local trend bender opportunities. This includes managing the valuation of provider risk deals, recommending and valuing impactful changes to provider networks, and working closely with regional leaders to identify and value solutions to help manage cost trends. The role involves close collaboration with internal and external associates at various levels, from analyst to VP, necessitating the ability to tailor communications appropriately. The Director will work closely with the RVP, Operations, gaining exposure to MA bid strategy, regional operations staffing, and administrative expense oversight. As the team is established and able to effectively manage day-to-day tasks, the expectation is that the Director will begin to make direct contributions to these areas. Regular interaction with regional and divisional leaders, including external interactions with VP+ associates at key providers, is a key aspect of this role. The Director leads a team of 4-5 direct staff, including the Market Finance Lead, and is responsible for creating a culture of high performance through accountability and engagement. This position also supports Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses, leveraging data analytics, business insights, and strong communication skills to drive optimization of financial and operational performance for the region.

Responsibilities

  • Collect, analyze and report on various market data to connect financial outcomes with operational effectiveness.
  • Provide direct leadership to 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.
  • Interface regularly with regional and divisional leaders, including external interactions with VP+ associates at key providers.
  • 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 for the region.
  • Advise regional leadership on functional strategies and exercise independent judgment on complex issues.

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.
  • Master's Degree in Business, Finance, Accounting or a related field.
  • Knowledge of the 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
  • Company and personal holidays
  • Volunteer time off
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Bonus incentive plan based on performance
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