Market Finance Lead

$102,200 - $140,700/Yr

Humana - Tallahassee, FL

posted 4 months ago

Full-time - Mid Level
Remote - Tallahassee, FL
Insurance Carriers and Related Activities

About the position

The Market Finance Lead at Humana plays a crucial role in connecting financial outcomes with operational effectiveness by collecting, analyzing, and reporting on various market data. This position is situated within the SouthEast Region Operations and Finance department, which oversees a significant geography covering four states and more than 1.2 million Medicare Advantage members. Reporting directly to the Regional Vice President of Operations, the Market Finance Lead is responsible for supporting the Medicare Advantage line of business and ensuring that all market financial, administrative, product, claims, and trend analytics are effectively managed. As the team lead for market financial reporting, the Market Finance Lead will oversee the development of budgets and administration, product and bid development, trend analytics, and overall profit and loss (P&L) support. This role requires collaboration with various internal stakeholders, including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement. The Market Finance Lead will leverage data analytics and business insights to drive optimization of financial and operational performance for the region. The position also involves substantial visibility to the regional senior leadership team and exposure to a broad spectrum of corporate business partners and leaders, as well as some visibility to external provider partners. The Market Finance Lead will advise regional leadership on functional strategies and exercise independent judgment and decision-making on complex issues with minimal supervision. This role is pivotal in supporting Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses.

Responsibilities

  • Lead a team of 3 direct Analytical Staff to support key functions and deliverables.
  • Collect, analyze, and report on market data to connect financial outcomes with operational effectiveness.
  • Oversee market financial reporting, budget/administration development, product/bid development, and overall P&L support.
  • Collaborate with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement.
  • 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 a relevant field.
  • 3+ years of experience in data analytics.
  • Ability to lead and manage special projects requiring cross-functional partnerships.
  • Experience advising leadership on financial strategies.
  • Comprehensive knowledge in Excel.
  • 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.

Nice-to-haves

  • Master's Degree in Business Administration (MBA) or a related field.
  • 3+ years of experience using SAS and/or SQL.
  • Strong knowledge of 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.

Benefits

  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Health Savings Accounts
  • Flex Spending Accounts
  • Life Insurance
  • 401(k)
  • PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time.
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