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About this job
Become a part of our caring community and help us put health first
Apply your expertise in financial analysis, technical skills, and business intelligence to drive the growth of a $75B business! In this role, you will support the value story for Humana’s risk adjustment and Stars activities overall, as well as end-to-end evaluation and analysis of key activities, including Humana’s rapidly expanding healthcare interoperability efforts. You’ll work closely with leaders in operations, finance, analytics, and actuarial to solve tricky 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.
Location: remote but preference for hybrid in Louisville
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
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Perform analysis and generate insights to inform program investment decisions and facilitate the planning and development of Humana’s interoperability efforts
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Work with a focus on customer service and commitment to achieving goals
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Partner with operations leaders to develop financial analytics that go beyond their basic business needs to delight, inspire, and add value
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Help tell the story of the HQRI team’s full value-add to the enterprise through detailed analysis and by creating engaging content to summarize key insights
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Create reporting to allow customers to more easily gain insights into value generation and opportunities at each stage of operations
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Synthesize complex information and communicate it to a wide variety of audiences on matters of importance
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Drive technical and process excellence to ensure efficient and accurate analysis
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Collaborate with other analytics teams inside and outside HQRI
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Work independently with general guidance from the Director, HQRI Value Story – lead business partnerships, customer interactions, and presentations
Critical traits
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Focused on approaching our work through a customer-service lens
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Analytically minded, research and data oriented
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Passionate about driving forward big, creative ideas and continuous improvement
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Curious and open-minded
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Able to collaborate effectively with a wide variety of cross-functional partners
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Clear, confident, and convincing communicator
Use your skills to make an impact
Required Qualifications
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Bachelor's Degree or equivalent work experience
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7 years of finance, data analysis and/or strategy consulting experience
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2 years of experience managing cross-functional teams
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Experience with SQL and/or PowerBI
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Experience in managing data to support and influence decisions on day-to-day operations, strategic planning, and specific business performance issues
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Experience in compiling, interpreting, and analyzing data to identify, explain, influence variances and trends
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Experience presenting complex concepts to senior leaders
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Experience creating compelling presentations using data and visualizations to provide insights to customers
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Proven experience collaborating across enterprises
Desired Qualifications
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Medicare risk adjustment or stars or experience
Additional Information
Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
you.
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 because he or she is a protected veteran. 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.
At Humana, caring is everything
And when you work here, you feel it. It’s how you grow. It’s how you’re welcomed into the associate community. It’s what guides us in putting health first. And it forms the connection each of us have for the people we serve.
Humana is at the nexus of the innovation taking place within healthcare. Broadly speaking, we are one of the most active participants in the sector. This is an exciting company headquartered in a city with an excellent quality of life!
Director, Corporate Development and Venture Capital
I looked for the opportunity for growth and stability and I found it here.
Director, Associate Experience Product Team
Humana has really helped my sense of belonging because I feel part of the team.
Senior Consumer Experience Professional
I chose to work at Humana because I heard a lot of great things about the company. It’s a very accommodating place and I enjoy working here.
Inbound Contact Representative
The best part of this company is the commitment to associates, which naturally leads to commitment to members.
Medical Director, Mid-South
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