Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Market Finance Lead is a 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 partner with regional leadership and various internal and external stakeholders to translate complex data into actionable recommendations.

Responsibilities

Work directly with value-based providers to review financial performance, membership, cost and use 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.
Evaluate provider and contract financials to identify cost-of-care opportunities, performance gaps, and areas for operational improvement.
Serve as a strategic finance partner to regional and market leadership, providing insights that support operational, financial, and value-based care performance.
Develop and deliver financial reporting dashboards and executive-level summaries that highlight performance trends, risks, and opportunities.
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 performance matters of significance.
Address complex financial and operational issues.
Build relationships with internal stakeholders and external provider partners to support collaboration, accountability, and performance improvement.
Monitor company initiatives and assess financial and operational impacts across the market.

Requirements

Bachelor's degree or higher
2 or more years of working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
Experience developing methods and criteria for measuring and summarizing data for complex analyses
Experience advising senior leadership on financial strategies
2 or more years of project leadership experience
1 or more years of SQL or other data related tools
Knowledge of complex accounting and financial transactions for internal and external reporting
1 or more years experience leading and managing special projects that may necessitate cross-functional partnerships

Skills

SQL
Financial analysis
Strategic planning
Data analysis
Project management
Financial reporting
Budgeting
Forecasting
Value-based care
Healthcare economics
Medicare Advantage bid process
Service Fund reporting

Location

Remote
Hybrid Home/Office

Work Type

Full-time
Remote
Hybrid

Experience Level

2+ years experience with VBC/VBP
2+ years project leadership
1+ years SQL
1+ years leading special projects
3+ years healthcare economics or value based performance analytics experience (preferred)
3+ years experience in Service Fund reporting (preferred)
Experience managing a team (preferred)

Education Level

Bachelor's degree
Master's Degree in Business Administration or a related field (preferred)
Project Management Professional (PMP) (preferred)
Certified Public Accountant (preferred)

Salary/Compensations

$104,000 - $143,000 per year

Benefits

Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
Short-term disability
Long-term disability
Life insurance
Bonus incentive plan
Telephone equipment provided for remote/hybrid work
Internet expense reimbursement for employees in California, Illinois, Montana, or South Dakota

About the Company

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
Through its Humana insurance services and its CenterWell healthcare services, Humana makes it easier for millions of people 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.

Equal Opportunity

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.