Market Finance Lead

HumanaFort Lauderdale, FL
Hybrid

About The Position

The Market Finance Lead will collect, analyze, and report on market data to connect financial outcomes with operational effectiveness. This role will also review Market Financials, Claims and trend analytics, review contract financials, and assist with budget/administration development. You will report to the Regional VP, Operations. As the Market Finance Lead, you will work with Actuary, MRA, Corporate Finance, Clinical, Market Point, and Providers/Hospitals/Ancillary internally. You will also work with our Value Based Providers relating financials, membership, cost, and utilization reporting. Promote optimization inclusive of activities spanning decisions, strategic planning, and addressing specific performance issues across relationships and company initiatives. Advise regional leadership of functional strategies on matters of significance while exercising independent judgment on complex issues. Use your skills to make an impact.

Requirements

  • Bachelor's degree
  • Work 8am to 5pm CST or EST hours
  • 2 or more years of project leadership experience
  • 1 or more years SQL experience or other data related tools (needs to be able to edit existing queries and ability to learn to write from scratch)
  • 3 or more years of working with Value Based Contracts (VBC) or Value Based Providers (VBP)
  • Experience advising senior leadership on financial strategies
  • Knowledge of complex accounting and financial transactions for internal and external reporting
  • Experience developing methods and criteria for measuring and summarizing data for complex analyses
  • 1 or more years of experience leading and managing special projects that may necessitate cross-functional partnerships
  • Demonstrated capability in coaching and developing associates, both formally and informally

Nice To Haves

  • Experience managing a team
  • Knowledge of complex accounting and financial transactions for internal and external reporting
  • Certified Public Accountant
  • Master's Degree in Business Administration or a related field
  • Project Management Professional (PMP)
  • 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

Responsibilities

  • Collect, analyze, and report on market data to connect financial outcomes with operational effectiveness.
  • Review Market Financials, Claims and trend analytics.
  • Review contract financials.
  • Assist with budget/administration development.
  • Work with Actuary, MRA, Corporate Finance, Clinical, Market Point, and Providers/Hospitals/Ancillary internally.
  • Work with Value Based Providers relating financials, membership, cost, and utilization reporting.
  • Promote optimization inclusive of activities spanning decisions, strategic planning, and addressing specific performance issues across relationships and company initiatives.
  • Advise regional leadership of functional strategies on matters of significance while exercising independent judgment on complex issues.
  • Lead and manage special projects that may necessitate cross-functional partnerships.
  • Coach and develop associates, both formally and informally.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan
  • Telephone equipment
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