Become a part of our caring community and help us put health first
The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Market Finance Professional leverages data analysis to assess provider performance, financial outcomes, and clinical and quality metrics in support of provider financial performance and value-based care initiatives. This role helps translate financial data into actionable insights that guide provider engagement, contract management, and value-based strategies. The Senior Market Finance Professional works closely with corporate finance, provider engagement, clinical, risk adjustment and quality teams to ensure providers are supported in delivering high-quality, cost-effective care.
Key Responsibilities
Analyze provider performance under value-based contracts, including cost, utilization, quality, and risk adjustment outcomes.
Develop reports and dashboards to track provider performance and identify opportunities for improvement.
Support contract negotiations by modeling financial impact and forecasting performance.
Partner with provider engagement teams to align financial and quality incentives with organizational goals.
Conduct provider-level analytics to identify high performers, outliers, and opportunities for intervention.
Provide insights on care patterns, gaps in care, and drivers of cost to inform provider engagement strategies.
Collaborate with internal stakeholders across finance, actuarial, and operations to ensure alignment on value-based care initiatives.
Communicate findings and recommendations clearly to both technical and non-technical audiences.
Reconcile monthly, quarterly and annual settlement statements.
Use your skills to make an impact
Required Qualifications
Bachelor's degree and/or equivalent experience
5 years or more of technical experience
Experience with Value-Based Care and/or payor and/or provider experience
Strong attention to detail
Ability to work independently and collaborate with teammates
Comprehensive working knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint
Knowledge of SQL
Knowledge of pivot tables and look-up functions (Excel)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Master's of Business Administration (MBA)
Stars, Clinical or MRA experience
Preference for applicants to live in ID, MT, OR, UT, or WA
Additional Information
Occasional flexibility to accommodate a work schedule following Pacific Time Zone hours
Work At Home / Internet Information:
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.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN Information:
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
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.
$78,400 - $107,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 09-19-2025
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.
?
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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
