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.
Key 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
Use your skills to make an impact
Required Qualifications:
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.
Preferred Qualifications:
Experience with healthcare insurance, Medicaid, or claims data analytics
Prior exposure to financial analysis or interest in transitioning to actuarial or advanced finance roles.
Additional Information
You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role.
Why Humana?
You'll experience the following perks as a full-time Humana employee:
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
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
Interview Format:
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
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.
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.
LI-Remote
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Social Security Task
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.
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.
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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.
