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Humana

Director, Market Finance

Humana, Boston, MA, United States

Humana Director, Market Finance Boston, Massachusetts Apply Now

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The Director, Market Finance is a financial leadership position with a significant focus on strategy and operations. The Director, Market Finance requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Highly skilled with broad, advanced technical experience.

The Director, Market Finance will be accountable for and provide direct leadership to a team of associates in the areas of value-based provider contracting, provider network analysis and optimization, and local trend bender opportunities supporting the SouthEast region (GA, SC, NC, VA). This will include managing the valuation of provider risk deals, recommending and valuing impactful changes to provider networks, and working closely with regional leaders to identify and value solutions to help manage cost trends. Will work closely with internal and external associates at various levels, from analyst to VP, and must be able to tailor communications appropriately. Collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness.

This person will work closely with the RVP, Operations, including exposure to Medicare Advantage bid strategy, regional operations staffing, and administrative expense oversight. As their team is established and able to effectively manage the day-to-day tasks, the expectation is the Director, Market Finance will begin to make direct contributions to these areas. This role will also interface regularly with regional and divisional leaders, including regular external interactions with VP+ associates at key providers.

Key Responsibilities:

  1. Leads 2 direct staff.
  2. Creates a culture of high performance through accountability and engagement.
  3. Responsible for provider financial analysis including value-based as well as FFS contracts.
  4. Includes substantial visibility to the regional senior leadership team, exposure to a broad spectrum of corporate business partners and leaders, as well as significant visibility to external provider partners.
  5. Supports Humana’s Medicare Advantage product strategy, budgets, and administrative staffing and expenses.
  6. Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement.
  7. 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.
  8. Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision making on complex issues with minimal supervision.

Required Qualifications:

  1. Bachelor’s degree in Business, Finance, Accounting or a related field.
  2. 7+ years of operations and/or finance experience in the health solutions industry.
  3. 3+ years of leadership experience.
  4. Experience building a high performing team to support a growth market.
  5. Excellent communication and presentation skills.
  6. Experience leveraging data analytics to identify improvement opportunities and influence change.
  7. Experience developing methods and criteria for measuring and summarizing data for complex analyses.
  8. Ability to travel up to 20%

Preferred Qualifications:

  1. Master's Degree in Business, Finance, Accounting or a related field.
  2. Knowledge of the local market dynamics - GA, SC, NC, VA.
  3. Knowledge of both group and individual Medicare products.
  4. Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions.

Additional Information:

This will be EST hours.

Scheduled Weekly Hours: 40

Pay Range: $168,000 - $231,000 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.

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.

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.

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