Financial Analytics Lead - HQRI Finance

  • Share :

Become a part of our caring community and help us put health first

The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

This role will oversee the technical work of our financial accrual process (over $4B in value). Strong technical skills and problem-solving skills will be needed to identify and explain variances and trends as well as enhance modeling techniques. This role will work closely with team members to solve complex 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.

Responsibilities

  • Drive technical and process excellence to ensure efficient and accurate analysis

  • Evaluate current modeling techniques and identify opportunities for improvements

  • Lead the development of new modeling techniques

  • Collaborate with upstream and downstream business partners

Critical traits

  • Caring, supportive team member eager to collaborate and to learn

  • Analytically minded; research, data, and detail oriented

  • Passionate about driving forward big, creative ideas and continuous improvement

  • Curious and open-minded

Use your skills to make an impact

Requirements

  • Proven experience developing and maintaining analytical models

  • Proven experience collaborating with others

  • Must be able to exercise independent judgment and decision making on complex issues regarding job duties

  • Ability to work under minimal supervision

Preferred

  • Experience in Medicare Advantage - risk adjustment or Stars

  • Degree in business, finance, analytics, or related field; or equivalent experience

  • 8+ years of technical experience

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.

$106,900 - $147,000 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.

Application Deadline: 01-29-2025

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 veteran status. 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***/legal/accessibility-resources?source=Humana_Website.

Read the full job description and apply online on the recuiter's web-site

Find Jobs Hiring Now Near You!

Get Jobilize Mobile App

Get Jobilize Job Search Mobile App Now

Receive real-time job alerts and never miss the right job again

Get it on Google Play Download on the App Store
Travel Ultrasound 1,976 to $2,381 per week

Fusion Medical Staffing


Facility Details Facility: • Please Contact for facility info Job Details Starts: • ASAP Assignment Length: • 13 Shift: • Nights Call Off Policy: • Please Contact for Info Job Quantity: • 1 Type: • Travel Interested in making a positive impact? You've come to the right place. • At Fusion Medical...


LPN/Licensed Practical Nurse , Rehab Unit

Care New England Health System

  • US - RI - RI - Warwick

  • January 12, 2025


24 hours week, 3pm - 1130pm • Primary Function: • The Licensed Practical Nurse (LPN) functions as a member of the inpatient healthcare team while delivering excellent care and exemplary customer service. • Under the direction of a Registered Nurse (RN) the LPN provides routine nursing care, observes...


Residential Lending Loan Officer Entertainment

City National Bank


RESIDENTIAL LENDING LOAN OFFICER ENTERTAINMENT WHAT IS THE OPPORTUNITY? This position is responsible for referral-based sales of first mortgage and concurrent second loan products to existing and potential private banking and high net worth clients. By partnering with CNB's Relationship Managers,...


Travel Rad Tech 1,898 per week

Prime HealthCare Staffing


Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced Rad Tech/X-Ray Tech for our customer in Providence, Rhode Island. • Prime`s team of experienced health care travel recruiters are here to guide you through the process...


Financial Analytics Lead - HQRI Finance

Humana


Become a part of our caring community and help us put health first The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse scope and...


Travel Echo Tech 2,066 per week

OneStaff Medical

  • US - RI - RI - Warwick

  • January 10, 2025


We. • Are. • OneStaff. • Medical. • An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. • We want the same...


PeopleSoft Analyst

CBRE


PeopleSoft Analyst Job ID 195815 Posted 10-Jan-2025 Service line Corporate Segment Role type Full-time Areas of Interest People/Human Resources Location(s) Remote - US - Remote - US - United States of America About the Role: The Process Analyst within the Mid Life Cycle process tower will work on...


Sleep Tech, Per Diem - Pulmonary

University Medicine


Brown Medicine is a large non-profit, academic, multi-specialty medical group in Rhode Island with many advanced practice providers. We provide primary care, and specialty outpatient and inpatient services in multiple practices throughout the diverse state of Rhode Island, including specialized...


Preschool Teacher Assistant

Cadence Education

  • US - RI - RI - Lincoln

  • January 11, 2025


Preschool Teacher Assistant Lincoln , Rhode Island Exciting opportunity alert! Join our team at Cadence Academy Preschool , a proud member of the Cadence Education family. We are actively looking for a passionate Preschool Teacher Assistant who can bring their love for children and experience in...


Assistant Director, Financial Aid

Rhode Island School of Design


JOB SUMMARY: • Responsible for processing Student Financial Aid Awards and for directing various loan, grant, and state scholarship programs, including, but not limited to Federal Direct, PLUS, Pell. Consults/Advises applicants, students & families on financial aid program details, availability,...


Travel Nurse RN - ED - Emergency Department 2,392 per week

LanceSoft


LanceSoft is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in North Providence, Rhode Island. & Requirements • Specialty: ED - Emergency Department • Discipline: RN • Start Date: 02/03/2025 • Duration: 11 weeks • 36 hours per week • Shift: 12 hours, nights • Employment...


Travel Nuclear Medicine Tech 2,606 per week

Coast Medical Service

  • US - RI - RI - Westerly

  • January 10, 2025


Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. • Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm &...


Multi-Unit Team Leader

H and R Block

  • US - RI - RI - Warwick

  • January 10, 2025


530511BR Title: Multi-Unit Team Leader Our Company: At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a connected culture, valuing diversity and...


Upper School Bilingual Spanish Assistant to the Principal

Paul Cuffee School


Paul Cuffee School, a K-12 public charter school of choice, educates a diverse community of students from the City of Providence, Rhode Island. We respect each individual and the world we share. This quality of our community is central to our mission. In the spirit of Paul Cuffee's life, we teach...


Licensed Practical Nurse - Home Health

Maxim Healthcare Service

  • US - RI - RI - Bristol

  • January 9, 2025


Maxim Healthcare is looking for a Licensed Practical Nurse (LPN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care, under the supervision of a Registered Nurse (RN). The Licensed Practical Nurse (LPN) will consistently perform...


Manager of Accounting Netex

Lumen Inc


About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building a culture and company from the people up - committed to teamwork, trust and transparency. People power progress. Lumen's...


Software Developer, Neurodiverse Solutions

CAI


Job ID Number R4487 Employment Type Full time Worksite Flexibility Remote Job Summary We are looking for a motivated Software Developer ready to take us to the next level! If you have prior experience with object-oriented programming languages, Oracle DB, and SQL Server and are looking for your next...


Travel Ultrasound Imaging Specialist

Focus


Company Overview • Focus Staff is a renowned travel healthcare staffing agency, dedicated to placing talented professionals in exciting opportunities across the United States and its territories. Our commitment to transparency, honesty, and professionalism has earned us recognition as a top-notch...


Team Leader

H and R Block

  • US - RI - RI - Westerly

  • January 9, 2025


528817BR Title: Team Leader Our Company: At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a connected culture, valuing diversity and inclusion and...


Infection Preventionist - RN/Registered Nurse

Genesis Healthcare Services


Overview At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every...


Travel CT Tech in Providence, RI

Aya Healthcare

  • US - RI - RI - Cranston

  • January 11, 2025


Aya Healthcare has an immediate opening for the following position: • CT Tech in Providence, RI. • We'll work with you to build the healthcare career of your dreams. • Whether you want a job close to home or across the country, we've got you. • Requirements: • Required Certifications: • BLS, ARRT...


Site Reliability Engineer

Evolent


Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same...


Travel Ultrasound 2,548 per week in Providence, RI

trustaff

  • US - RI - RI - Cranston

  • January 10, 2025


About this job As an Ultrasound Technician, you'll be the primary resource for all technical aspects of ultrasound procedures. • Ultrasound Techs, also sometimes called Sonographers, must be able to provide clear images, take measurements, note abnormalities, and evaluate the ultrasound results in...


Staffing Coordinator, Homecare Services

Community Based Care of Central Florida

  • US - RI - RI - Cranston

  • January 12, 2025


Overview • *Must be bilingual- English and Spanish preferred**Must have a minimum of 1-2 years of Home Care Agency experience**Shift will be from 8:00 AM to 4:30 PM, with a weekend rotation on call and a holiday rotation on call as needed* • Coordinates placement of services between clients and the...


Data Engineer

CVS Health


Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its...


Travel Contract - Registered Nurse - Supervisor

Healthcare Staffing Plus

  • US - RI - RI - Newport

  • January 10, 2025


Client Job Ref ID : 141191 • Shift Description : Day shifts - 36 hours • Travel Contract - Registered Nurse - SupervisorNewport, Rhode Island, United States - 02840Job Title: Travel Contract - Registered Nurse - Nurse Supervisor • Number of positions: 1 • Shift: Day shifts- 36 hours • Duration: 13...


JT510 - MANUFACTURING PROCESS TECHNICIAN

Quality Consulting Group Inc


QUALITY CONSULTING GROUP, a leader in the pharmaceutical, biotech, medical devices, and manufacturing industry, is looking for a talented, highly motivated and enthusiastic to join our team. In this role, you'll work with a highly enthusiastic team, contributing in a world-class manufacturing...