Senior Financial Analytics Professional

Profile

Description

In the business world, the ability to identify and forecast financial situations is indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial security by analyzing and reporting on financial data effectively, serving as a liaison between other business areas and finance, and managing departmental activities.

Responsibilities

Assignment Capsule

Humana is seeking a Senior Financial Analytics Professional that will be primarily responsible for the medical cost trend analysis and initiative development within the Employer Group Segment. The Analytics Professional will work with the both Finance Market Development leadership, and will collaborate with the other Trend Analytics Professionals to analyze medical unit cost and utilization trends and use that analysis to develop initiatives to reduce trends and improve the bottom line. This position will work with local network teams, clinical teams, local sales leaders, corporate business partners, and Market Development leadership to develop and drive the initiatives


Work with Finance and Market Development leadership to develop, maintain, and execute the financial goals
Support Market Development leadership in preparing for and facilitating market meetings, and coordinating offline work with market members or subgroups
Collaborate with multiple areas of the company to develop and implement trend initiatives that will/could include Network, Clinical, Sales, Product, EG Segment Finance, Actuarial, Compliance and Legal
Track and drive completion of trend initiatives once identified and started
Work closely with Market Development group to help implement initiatives
Report and facilitate trend analysis and initiative work to senior leaders both within the Employer Group and globally.


Other Financial Responsibilities:

Business Acumen

Understands how one's role and team add value for customers. Understands how the various parts of Humana work together to turn our strategy into reality and ultimately make Humana competitive in the marketplace. Acts in accordance with Humana's ethics and compliance policies and connects industry and regulatory changes to our strategy. Articulates how Humana's value proposition differentiates us.

Responsibilities and Key Competencies include:


Obtain and analyze data to impact trends for assigned geographical markets.
Present findings and ideas to segment leaders, and follow-up on their feedback and requests.'
Good working knowledge of data base structure (e.g. Enterprise Data Warehouse) and data mining tools (e.g. OBIEE, SAS, SQL, CSTAR etc.)
Comprehensive knowledge of all Microsoft Office applications, Power BI, Access and multi-dimensional databases
Strong data analytic skills, reporting experience, and knowledge of how to take the analytics further to drive financial change.
Exceptional written and oral communication/presentation skills
Strong financial skills and business acumen
Proven meeting/conference leadership and facilitation skills
Familiarity with medical claims and coding (ICD9, CPT)
Bachelor's Degree in Business, Finance, Actuarial Science, Health Informatics, or a related field
Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.
Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first


Required Qualifications


Master's Degree in Business Administration, Health Informatics, or a related field
Prior experience in a fast paced insurance or health care setting
Proven analytical skills; data mining, trending, modeling, and forecasting
Advanced knowledge of ICD9 and CPT coding; familiarity with ICD10 and HCPCS (Strongly desired)
Advanced skill level in SAS coding and/or SQL coding
Strong working knowledge of EDW and SAS medical claims, member, and provider table structures (Strongly desired)
Knowledge of Humana's financial reporting systems, processes, and databases/sources
Knowledge of Humana's internal policies, procedures and systems.


Preferred Qualifications


Master's Degree
Financial or actuarial background
Project Management Certification


Additional Information

Scheduled Weekly Hours

40

Company info

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