Senior Financial Analytics Professional

Profile

Job Information

Humana

Senior Financial Analytics Professional

in

Portland

Maine

Description

The Senior Financial Analytics Professional will be responsible for assisting in the review, development, and enhancement of Medicare Risk Adjustment revenue models, controls, and risk mitigation strategies. The specific focus will include, but is not be limited to, testing existing financial modeling and controls, reviewing and enhancing existing process documentation, and recommending enhancements to modeling techniques.

Responsibilities

This individual will work closely with the model owners to develop a strategy to implement enhancements to models and documentation, as well as facilitate the production of monthly projections and variance analyses. The successful candidate will: demonstrate the ability to work independently to develop recommendations; have extensive knowledge of SQL (Microsoft SQL Server Management Studio); possess excellent communication skills. This individual will have the ability to think creatively to develop new solutions that improve model efficiency, accuracy, and minimize risk.

Assist in development and maintenance of internal control documentation

Ensure consistent application of controls and develop metrics to track progress

Recommend and implement enhancements to existing models and procedural documents

Assist in the development of monthly forecasts and variance explanations

Develop and maintain an understanding of the Medicare Risk Adjustment payment model

Create and review financial valuations for special projects as needed

Required Qualifications

Bachelor's Degree

5 years relevant work experience

Strong analytical, organizational, and time management skills

Ability to solve problems and develop recommendations independently

Experience with Microsoft SQL Server Management Studio

Preferred Qualifications

Medicare Risk Adjustment Experience

Experience with Medicare or other healthcare data

Financial or actuarial background

Additional Information

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation ​

Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com