Director Market Finance

Humana

Work at Home - FloridaPosted 11 days agoDiscoveredMatch locked

RemoteFull time2+ years exp

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About the role

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The Director, Market Finance key 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 report to the Regional VP of Operations.

As the Director, Market Finance you will

Work directly with value-based providers to review financial performance, membership, cost and utilization 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
Serve as a strategic finance partner to regional and market leadership, providing insights that support operational, financial, and value-based care performance
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 business performance matters of significance
Monitor company initiatives and assess financial and operational impacts across the market.

Use your skills to make an impact

Required Qualifications

Live in Florida
Bachelor's degree
3 or more years of experience working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
4 or more years of management experience
Experience advising senior leadership on financial strategies
5 or more years of project leadership experience
2 or more years of SQL or other data related tools
Demonstrated experience leading and managing special projects that may necessitate cross-functional partnerships

Preferred Qualifications

Master's Degree

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities. About us About Humana: 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. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Not included in the source posting: about the role.

Skills

sql

Who can apply

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