<h1>Become a part of our caring community and help us put health first  </h1>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 projection 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 Healthcare Quality Reporting and Improvement (HQRI) 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.<h1> Use your skills to make an impact  </h1>Role Responsibilities<ul><li>Use data to project and track specific sources of risk adjustable revenue</li><li>Evaluate strategic initiatives and programs to inform decisions and planning</li><li>Compile data used by operational leaders to optimize effectiveness of strategic initiatives and inform risk adjustable revenue forecasts</li><li>Enhance modeling techniques to improve accuracy of forecasts</li><li>Independently monitor reporting for emerging trends and insights to inform operational decisions</li><li>Continuously driving for improvement through analysis of program data and program performance, while providing timely communication of results</li></ul>Required Qualifications<ul><li>Bachelors Degree</li><li>5+ years of technical experience</li><li>Regularly write, manipulate and develop SQL, SAS, or other software for forecasting and reporting</li><li>Working knowledge of Excel pivots for data summary and analysis</li><li>Must be able to explain variances and trends and enhance modeling techniques</li><li>Experience managing complex datasets for forecasting and reporting</li><li>Must be able to exercise independent judgment and decision making on complex issues regarding job duties</li><li>Must be passionate about contributing to an organization focused on continuously improving consumer experiences</li></ul>Preferred Qualifications<ul><li>Experience working with Medical Claims or other healthcare data</li><li>Medicare Risk Adjustment Experience</li><li>Financial or actuarial background</li><li>Masters Degree</li></ul>Additional InformationTo 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:<ul><li>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.</li><li>Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>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.</li><li>Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>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.Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.Travel: While this is a remote position, occasional travel to Humanas offices for training or meetings may be required.Scheduled Weekly Hours40Pay RangeThe 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.  $89,000 - $121,400 per year  This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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.Application Deadline: 09-16-2025<h1> About us  </h1>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 EmployerIt 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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

Senior Financial Analytics Professional Remote Nationwide

Humana

Similar Remote Jobs