About The Position

Become a part of our caring community and help us put health first The Senior Market Finance Professional supports more than half of Humana’s Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets.

Requirements

  • Bachelor’s degree in finance, accounting, or related field.
  • 5+ years of experience in finance or a combination of finance and accounting.
  • Advanced SQL skills; capable of writing complex queries and data manipulation independently.
  • Proficiency with Excel and Power BI (or similar visualization tools).
  • Demonstrated experience presenting technical insights visually to management and stakeholders.
  • Strong attention to detail and ability to work independently.
  • Excellent cross-functional collaboration and relationship-building skills.
  • Passion for driving continuous improvement in consumer and provider experiences.
  • You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role.

Nice To Haves

  • Experience with healthcare insurance, Medicaid, or claims data analytics
  • Prior exposure to financial analysis or interest in transitioning to actuarial or advanced finance roles.

Responsibilities

  • Collect, analyze, and report on market data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums.
  • Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider performance, RFPs, and market trends.
  • Manage ad hoc requests from Market CFOs, Presidents, and leadership, ranging from member utilization to premium reconciliation and strategic market analysis.
  • Design, code, and execute advanced SQL queries; independently pull and manipulate claims data from established databases.
  • Develop and present Power BI dashboards and visualizations (preferred); alternatively, collaborate with internal teams for BI support.
  • Lead data presentations for provider Joint Operating Committee (JOC), focusing on performance drivers and improvement strategies in value-based risk arrangements.
  • Collaborate cross-functionally with market leadership, accounting, actuarial, clinical, operations, and Medicare counterpart teams.
  • Work closely with market actuaries; assist on actuarial exercises and daily coordination with actuarial teams.
  • Foster strong working relationships with stakeholders and providers, supporting direct business optimization efforts.
  • Adapt to a fast-paced, dynamic environment with continuous change and minimal structure.
  • Seek opportunities for career progression, including future advancement towards Market CFO

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Humana provides medical, dental and 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 and long-term disability, life insurance and many other opportunities.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service