Financial Analytics Lead

Humana

2d•$106,900 - $147,000•Remote

About The Position

Humana is seeking a Financial Analytics Lead with healthcare analytics expertise to lead valuation, forecasting, methodology development, and analytical decision support. The role owns financial models for Medicare Advantage and Risk Adjustment programs and provides insights for strategic and operational decisions. The position is an individual-contributor role that leads cross-functional efforts, mentors team members, reviews analytical work, and influences stakeholders without formal direct reports. The Financial Analytics Lead independently develops, builds, modifies, validates, troubleshoots, and analyzes financial models used to project risk-score-driven revenue, estimate program value, and support forecasting and business decisions. The role translates business requirements, methodologies, assumptions, and data into scalable analytical models; performs complex SQL analysis; evaluates program performance; validates reporting; and communicates findings, risks, limitations, and recommendations to leaders. It also works closely with Finance, Operations, Analytics, program owners, and business leaders to improve forecasting and valuation approaches and establish reliable, scalable reporting processes. This is a remote position, with occasional travel to Humana offices for training or meetings potentially required. Employees working from home or a hybrid home/office arrangement must have internet service with at least 25 Mbps download and 10 Mbps upload and a dedicated space that protects member PHI/HIPAA information. The position is not eligible for work visa sponsorship.

Requirements

Bachelor's degree in Finance, Economics, Statistics, Mathematics, Business Analytics, Computer Science, or a related field.
At least 7 years of progressive experience in healthcare analytics, financial analytics, consulting, strategy, or related analytical disciplines.
Demonstrated experience developing financial models, valuation methodologies, or forecasting frameworks.
Experience leading complex analytical initiatives with significant business impact.
Advanced SQL proficiency, including independently writing, troubleshooting, and optimizing complex queries against large relational datasets.
Advanced financial modeling proficiency, including independently building, modifying, troubleshooting, validating, and analyzing complex forecasting and revenue projection models.
Ability to translate business rules, financial assumptions, analytical methodologies, and changing requirements into model logic using SQL, Excel, or related analytical tools.
Advanced Excel proficiency, including Pivot Tables, data validation, reconciliation, trend analysis, and synthesizing large datasets into business recommendations.
Strong understanding of forecasting, statistical analysis, and valuation concepts, with the ability to implement enhancements in SQL and Excel models.
Ability to work across disparate data sources and varying levels of analytical granularity.
Strong attention to detail and ability to validate assumptions, methodologies, and results.
Working knowledge of Medicare Advantage and Risk Adjustment methodology, including evaluating program performance and interpreting drivers of financial outcomes.
Strong ownership mindset and ability to work independently in ambiguous environments.
Ability to influence cross-functional stakeholders without direct authority.
Experience presenting results and recommendations to senior leaders.
Excellent written and verbal communication skills, including explaining complex analytical concepts to non-technical audiences.

Nice To Haves

Experience developing valuation methodologies to assess strategic initiatives or operational programs.
Familiarity with predictive modeling, regression analysis, causal inference, machine learning, or other advanced analytical methodologies.
Experience evaluating program effectiveness and measuring business impact.
Experience building scalable analytical processes and governance frameworks.
Experience supporting enterprise transformation, value realization, or strategic investment initiatives.

Responsibilities

Lead the development, enhancement, validation, and ongoing performance of forecasting and valuation models.
Translate Medicare Advantage, Risk Adjustment, operational, and financial requirements into model logic and analytical methodologies.
Independently write, troubleshoot, and optimize complex SQL to manipulate and analyze data.
Build and enhance forecasting model assumptions and methodologies.
Evaluate Medicare Advantage and Risk Adjustment program performance and assess financial outcomes.
Lead complex analytical initiatives from problem definition through implementation, including defining approaches, assumptions, methodologies, and success measures.
Mentor team members, review analytical work products, and promote analytical best practices.
Drive alignment among stakeholders while balancing competing priorities and business objectives.
Own recurring valuation, performance measurement, and reporting processes, ensuring outputs are accurate, scalable, and well documented.
Validate source data, assumptions, calculations, and reporting outputs; investigate unexpected trends, determine root causes, and reconcile findings across data sources and methodologies.
Establish quality control procedures for recurring financial and operational reporting.
Develop, modify, validate, troubleshoot, and improve financial models used to project risk-score-driven revenue, estimate program value, and support forecasting and decisions.
Evaluate and enhance model assumptions, segmentation, aggregation, projection methodologies, and analytical techniques.
Partner with business leaders, program owners, and analytical teams to align on objectives, assumptions, methodologies, and recommended actions.
Explain valuation assumptions, risks, limitations, methodology changes, and performance trends to leaders and stakeholders.
Influence business and operational decisions through data, business judgment, stakeholder relationships, and effective communication.