Market Finance Lead

3 semanas atrás

Serra, Brasil Humana Tempo inteiro

Become a part of our caring community and help us put health first The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Humana is seeking to fill a Market Finance Lead role within the Intermountain Region Finance department. The position will report directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all market financial reporting, budget/administration development, product/bid development trend analytics and overall P&L support. Role Responsibilities Leads 1-3 direct Analytical Staff Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally Leverages data analytics, business insights, cross-functional collaboration, in-depth business knowledge, and strong written and verbal communication skills to drive optimization of financial and operational performance for the region Leads membership, financial, cost & utilization reporting at all levels Supports Humana’s Medicare Advantage product strategy, budgets, and administrative staffing and expenses Includes substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business partners and leaders, as well as some visibility to external provider partners Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision making on complex issues with minimal supervision Supports financial modeling for contract negotiations Required Qualifications Bachelor's degree 3+ years experience in data analytics 3+ years experience using SAS, SQL and/or other data related tools Experience advising leadership on financial strategies Experience leveraging data analytics to identify improvement opportunities and influence change Experience developing methods and criteria for measuring and summarizing data for complex analyses Preferred Qualifications Master’s Degree in Business Administration (MBA) or a related field Certified Public Accountant (CPA) Experience in the Medicare Advantage bid process 2+ years of project leadership experience 3+ years of healthcare experience Strong knowledge of claim-line level healthcare data Preference for candidates to live in WA, OR, ID, MT, or UT 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. #J-18808-Ljbffr

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