As the Market Finance Lead you will:
Work directly with value-based providers to review financial performance, membership, cost and use trends, contractual results, and opportunities for improvement. Present on provider trends and opportunities for improvement directly with providers and senior leadership.
Analyze market financials, claims data, utilization trends, membership movement, risk adjustment impacts, medical cost drivers, and provider contract performance.
Evaluate provider and contract financials to identify cost-of-care opportunities, performance gaps, and areas for operational improvement.
Be a strategic finance partner to regional and market leadership, providing insights that support operational, financial, and value-based care performance.
Develop and deliver financial reporting dashboards, and executive-level summaries that performance trends, risks, and opportunities.
Support budget development, forecasting, administrative planning, and financial performance reviews for the market.
Lead financial analysis for strategic initiatives, including market optimization, value-based care performance, cost containment, and growth-related activities.
Advise regional leadership on financial strategies and performance matters of significance.
Address complex financial and operational issues.
Build relationships with internal stakeholders and external provider partners to support collaboration, accountability, and performance improvement.
Monitor company initiatives and assess financial and operational impacts across the market.
Required Qualifications
Bachelor's degree or higher
2 or more years of working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
Experience developing methods and criteria for measuring and summarizing data for complex analyses
Experience advising senior leadership on financial strategies
2 or more years of project leadership experience
1 or more years of SQL or other data related tools
Knowledge of complex accounting and financial transactions for internal and external reporting
1 or more years experience leading and managing special projects that may necessitate cross-functional partnerships
Preferred Qualifications
3 or more years healthcare economics or value based performance analytics experience
Experience in the Medicare Advantage bid process
3 or more years of experience in Service Fund reporting
Experience managing a team
Knowledge of complex accounting and financial transactions for internal and external reporting
Master's Degree in Business Administration or a related field
Project Management Professional (PMP)
Certified Public Accountant
Additional Information
Travel based on business needs
8am to 5pm EST or CST
HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Work at Home
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 07-10-2026
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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