Financial Analytics Lead
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Job Description
Financial Analytics Lead owning SQL-driven forecasting and valuation models for Medicare Advantage and Risk Adjustment programs at Humana. Influencing healthcare strategy through rigorous financial analytics.
Responsibilities:
- Lead development, enhancement, validation, and ongoing performance of forecasting and valuation models
- Translate Medicare Advantage, Risk Adjustment, operational, and financial requirements into model logic and analytical methodologies
- Independently write complex SQL to manipulate and analyze data
- Build and enhance forecasting model assumptions and methodologies
- Evaluate Medicare Advantage and Risk Adjustment program performance
- Lead analytical initiatives across multiple stakeholders
- Influence business decisions without formal authority
- Lead complex analytical initiatives from problem definition through implementation
- Define analytical approaches, methodologies, assumptions, and success measures amid limited guidance or evolving requirements
- Mentor team members and review analytical work products
- Drive stakeholder alignment while balancing competing priorities and business objectives
- Translate ambiguous business challenges into actionable analytical solutions
- Own recurring valuation, performance measurement, and reporting processes
- Validate source data, assumptions, calculations, and reporting outputs
- Investigate unexpected trends and analyze root causes
- Reconcile findings across multiple data sources and methodologies
- Establish quality control procedures for recurring financial and operational reporting
- Develop, build, modify, validate, troubleshoot, and analyze financial models projecting risk-score-driven revenue and estimating program value
- Assess financial implications of changes in risk score performance, operational results, assumptions, and methodology
- Partner with business leaders, program owners, Finance, Operations, and Analytics teams
- Communicate valuation assumptions, risks, limitations, methodology changes, and performance trends to leaders and stakeholders
- Provide actionable, quantitatively supported insights for operational and strategic decisions
- Develop sustainable, scalable analytical and reporting processes
Requirements:
- Bachelor's degree in Finance, Economics, Statistics, Mathematics, Business Analytics, Computer Science, or a related field
- 7+ years of progressive experience in healthcare analytics, financial analytics, consulting, strategy, or related analytical disciplines
- Experience developing financial models, valuation methodologies, or forecasting frameworks
- Experience leading complex analytical initiatives with significant business impact
- Advanced SQL proficiency, including independently writing, troubleshooting, and optimizing complex queries against large relational datasets
- Advanced financial modeling proficiency, including independently building, modifying, troubleshooting, validating, and analyzing complex forecasting and revenue projection models
- Ability to translate business rules, financial assumptions, analytical methodologies, and changing requirements into model logic using SQL, Excel, or related analytical tools
- Advanced Excel proficiency, including Pivot Tables, data validation, reconciliation, trend analysis, and synthesis of large datasets
- Strong understanding of forecasting, statistical analysis, and valuation concepts
- Ability to work across disparate data sources and varying levels of analytical granularity
- Strong attention to detail and ability to validate assumptions, methodologies, and results
- Working knowledge of Medicare Advantage and Risk Adjustment methodology
- Ability to work independently in ambiguous environments
- Ability to influence cross-functional stakeholders without direct authority
- Experience presenting results and recommendations to senior leaders
- Excellent written and verbal communication skills
- Ability to explain complex analytical concepts to non-technical audiences
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information
- This role is not eligible for work visa sponsorship
Benefits:
- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Dedicated home workspace supporting protection of member PHI/HIPAA information
- Remote work arrangement with occasional travel to Humana offices for training or meetings
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