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Humana · 1 month ago

Senior Technical Finance Analyst- Medicaid

United States

Full-time

Remote

Mid, Senior Level

$78K/yr - $108K/yr

5+ years exp

Humana Inc. is committed to putting health first and is seeking a Senior Technical Finance Analyst to support its Medicaid business. This role involves providing technical financial analysis and data-driven insights to enhance market growth and operational effectiveness, collaborating with various teams to manage Medicaid claims and premium analytics.

Health CareHealth InsuranceInsuranceVenture Capital

No H1B

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

Qualification

Advanced SQLPower BIFinancial analysisHealthcare insurance experienceExcel proficiencyContinuous improvement mindsetCross-functional collaborationAttention to detailRelationship-building skills