Financial Analytics Lead - HQRI Finance - Humana
Raleigh, NC
About the Job
Become a part of our caring community and help us put health first
The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
This role will oversee the technical work of our financial accrual process (over $4B in value). Strong technical skills and problem-solving skills will be needed to identify and explain variances and trends as well as enhance modeling techniques. This role will work closely with team members to solve complex problems through collaboration.
The HQRI Finance team supports Humana’s Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and $67B in ’20 revenue, Medicare and Medicaid are Humana’s largest business segments, comprising over 80% of the company’s total revenue and the majority of its earnings. The Finance team develops revenue and risk score projections for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI operations.
Responsibilities
+ Drive technical and process excellence to ensure efficient and accurate analysis
+ Evaluate current modeling techniques and identify opportunities for improvements
+ Lead the development of new modeling techniques
+ Collaborate with upstream and downstream business partners
Critical traits
+ Caring, supportive team member eager to collaborate and to learn
+ Analytically minded; research, data, and detail oriented
+ Passionate about driving forward big, creative ideas and continuous improvement
+ Curious and open-minded
Use your skills to make an impact
Requirements
+ Proven experience developing and maintaining analytical models
+ Proven experience collaborating with others
+ Must be able to exercise independent judgment and decision making on complex issues regarding job duties
+ Ability to work under minimal supervision
Preferred
+ Experience in Medicare Advantage – risk adjustment or Stars
+ Degree in business, finance, analytics, or related field; or equivalent experience
+ 8+ years of technical experience
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.
$95,300 - $131,200 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.
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
This role will oversee the technical work of our financial accrual process (over $4B in value). Strong technical skills and problem-solving skills will be needed to identify and explain variances and trends as well as enhance modeling techniques. This role will work closely with team members to solve complex problems through collaboration.
The HQRI Finance team supports Humana’s Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and $67B in ’20 revenue, Medicare and Medicaid are Humana’s largest business segments, comprising over 80% of the company’s total revenue and the majority of its earnings. The Finance team develops revenue and risk score projections for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and reports on risk adjustment data submissions, and supports HQRI operations.
Responsibilities
+ Drive technical and process excellence to ensure efficient and accurate analysis
+ Evaluate current modeling techniques and identify opportunities for improvements
+ Lead the development of new modeling techniques
+ Collaborate with upstream and downstream business partners
Critical traits
+ Caring, supportive team member eager to collaborate and to learn
+ Analytically minded; research, data, and detail oriented
+ Passionate about driving forward big, creative ideas and continuous improvement
+ Curious and open-minded
Use your skills to make an impact
Requirements
+ Proven experience developing and maintaining analytical models
+ Proven experience collaborating with others
+ Must be able to exercise independent judgment and decision making on complex issues regarding job duties
+ Ability to work under minimal supervision
Preferred
+ Experience in Medicare Advantage – risk adjustment or Stars
+ Degree in business, finance, analytics, or related field; or equivalent experience
+ 8+ years of technical experience
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.
$95,300 - $131,200 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.
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Source : Humana