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.
• Partner with value-based providers to review financial performance, membership, cost, and use trends, 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.
• Identify cost-of-care opportunities, performance gaps, and areas for operational improvement.
• 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+ 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+ years of project leadership experience
• 1+ years of SQL or other data related tools
• Knowledge of complex accounting and financial transactions for internal and external reporting
• 1+ years experience leading and managing special projects that may necessitate cross-functional partnerships

Preferred Qualifications

• 3+ years healthcare economics or value based performance analytics experience
• Experience in the Medicare Advantage bid process
• 3+ 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: Requires a minimum download speed of 25 Mbps and an upload speed of 10 Mbps
• HireVue: Interviewing technology used to enhance hiring and decision-making
• Application Deadline: July 10, 2026

Pay Range

$104,000 - $143,000 per year

Description of Benefits

Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, a 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.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.

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.