[Hiring] Market Finance Lead @Humana

Role Description

The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director.

This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement.

As the Market Finance Lead, you will:

• Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement.
• Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement.
• Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends.
• Leverage data analytics, business insights, cross-functional collaboration, in-depth business knowledge, and strong written and verbal communication skills to drive optimization of Medicare Advantage performance.
• Support the region’s bid strategy, product positioning, and competitive analytics in partnership with Regional Leadership, MarketPoint, actuarial, product, and growth strategy teams.
• Align with Corporate Finance partners on monthly accruals for value-based providers and the monthly financial close process.
• Establish cross-functional relationships with multiple business partners across the organization to ensure the timely, accurate, and effective delivery of recurring and ad hoc initiatives.
• Analyze market financials, claims data, utilization trends, membership movement, risk adjustment impacts, medical cost drivers, and provider contract performance.
• Serve as a strategic finance partner to regional leadership, providing insights that support operational, financial, and value-based care performance.
• Use independent judgment to address complex financial and operational issues with minimal supervision.
• Build strong 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.

Qualifications

• Bachelor’s degree
• 3 or more years of experience working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
• 3 or more years of experience in financial analysis and reporting
• Experience presenting to and advising senior leadership on financial strategies
• Knowledge of complex accounting and financial transactions for internal and external reporting
• Demonstrated experience leading and managing special projects that may require cross-functional partnerships
• Strong Microsoft Excel skills, including formulas, pivot tables, and charts
• Proficiency with PowerPoint, SQL, and PowerBI
• Ability and willingness to travel up to 10% of the time

Requirements

• Master's Degree in Business Administration or a related field (preferred)
• Certified Public Accountant (CPA) (preferred)
• People management and leadership experience (preferred)
• Experience in Service Fund reporting (preferred)
• Microsoft PowerQuery (preferred)
• Power Automate (preferred)
• Hyperion Essbase (preferred)
• Experience with the Medicare Advantage bid process, including financial projections, product design, and competitive analysis (preferred)

Benefits

• 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
• Many other opportunities

Company Description

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.