Market Finance Lead

Humana • Fort Lauderdale, VT

10d • $104,000 - $143,000 • Hybrid

About The Position

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. The Market Finance Lead will also partner with 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.

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

Nice To Haves

• 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
• Experience managing a team
• 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)
• Certified Public Accountant

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 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.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior