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The Senior Financial Analytics Professional manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

This position utilizes financial modeling of operational revenues and analytics skills while working in Medicare risk adjustment. Additionally, you will work to build consensus with multiple stakeholders and deliver insights that will help program managers meet operational needs in a dynamic environment.

The MRA finance team within Quality & Cost Strategy (QCS) is responsible for projecting and tracking risk adjustable revenue. Specifically, this role projects and tracks risk adjustable revenue from prospective programs and other strategic initiatives to inform the overall revenue forecast. Claims data as well as data from CMS are utilized to project revenue generated from specific programs. The primary tools used in this position to validate and analyze data are SQL and Excel pivots.

The Senior Financial Analytics Professional collates, models, interprets and analyzes data to identify, explain, and influence variables and trends. Enhances modeling techniques. May possess financial or actuarial background. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components.

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Role Responsibilities

• A servant-leader mindset where we drive to make things better for the next person
• Use data to model, project and track specific sources of risk adjustable revenue
• Evaluate strategic initiatives and programs to inform decisions and planning
• Compile data used by operational leaders to optimize effectiveness of strategic initiatives and inform risk adjustable revenue forecasts
• Enhance modeling techniques to improve accuracy of forecasts
• Independently monitor reporting for emerging trends and insights to inform operational decisions
• Continuously driving for improvement through analysis of program data and program performance, while providing timely communication of results

Required Qualifications

• Bachelor's Degree
• 5+ years of technical experience
• Regularly write, manipulate and develop SQL, SAS, or other software for forecasting and reporting
• Working knowledge of Excel pivots for data summary and analysis
• Must be able to explain variances and trends and enhance modeling techniques
• Experience managing complex datasets for forecasting and reporting
• Must be able to exercise independent judgment and decision making on complex issues regarding job duties
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Experience working with Medical Claims or other healthcare data
• Experience turning data into actionable insights to improve program performance
• Medicare Risk Adjustment Experience
• Financial or actuarial background
• Masters Degree

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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