Market Finance Lead

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About the role

The Market Finance Lead is a necessary financial and strategic partner responsible for connecting market financial performance with operational effectiveness. You will analyze financial results, claims experience, use trends, contract performance, membership, and provider performance data to identify opportunities, influence decisions, and support market growth and operational improvement. You will partner with regional leadership and cross-functional teams including actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/MarketPoint, and value-based care providers. You will translate complex financial and operational data into meaningful recommendations and action plans that improve performance across the market.

Responsibilities

• 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 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.
• Monitor 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 of experience leading and managing special projects that may necessitate cross-functional partnerships.

Preferred Qualifications

• 3 or more years of 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.
• Master's Degree in Business Administration or a related field.
• Project Management Professional (PMP) certification.
• Certified Public Accountant (CPA).

Schedule

• Scheduled weekly hours: 40.
• 8 AM to 5 PM EST or CST.
• Travel based on business needs.
• Work at home or hybrid home/office with specific internet requirements:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps.
  • Wireless, wired cable, or DSL connection suggested; satellite, cellular, and microwave connections require leadership approval.
  • Employees in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
  • Humana provides telephone equipment appropriate for business requirements.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

Pay

The pay range reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting. The range may be higher or lower based on geographic location, and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, and certifications.

• $104,000 - $143,000 per year.
• Eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

Humana offers competitive benefits that support whole-person well-being, including:

• 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.
• Other opportunities and benefits.