Market Finance Lead

About the role

The Market Finance Lead is a financial and strategic partner responsible for connecting market financial performance with operational effectiveness. Key responsibilities include analyzing financial results, claims experience, and data to identify opportunities, influence decisions, and support market growth and operational improvement. The role involves partnering with various departments such as actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales, and value-based care providers.

Responsibilities

• Translate complex financial and operational data into meaningful recommendations and action plans that improve performance across the market.
• Partner 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 highlight 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.
• Maintain awareness of company initiatives and assess financial and operational impacts across the market.

Requirements

• 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
• 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) certification
• Certified Public Accountant

Additional Information

Travel based on business needs
Work at Home: To ensure home or hybrid home/office employees' ability to work effectively, the self-provided internet service must meet the following criteria: at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps. Satellite, cellular, and microwave connections 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.
Scheduled Weekly Hours: 40
Pay Range: $104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.