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Seeking a Financial Analytics Lead with deep healthcare analytics expertise to lead valuation, forecasting, methodology development, and analytical decision support. This role centers on financial model ownership for Medicare Advantage and Risk Adjustment programs and provides insights that inform strategic and operational decision-making.
The ideal candidate combines advanced SQL-based analytics with deep financial modeling capabilities, including the ability to independently develop, build, modify, validate, and analyze financial models used to project risk-score-driven revenue and evaluate program performance. The role requires translating evolving business requirements, methodologies, and data into scalable analytical models and using those models to inform critical business decisions.
This position is an individual contributor role with significant responsibility for leading cross-functional efforts, mentoring team members, reviewing analytical work, and driving alignment across stakeholders. The role requires influence without formal direct reports.
Key Responsibilities
- Lead the 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.
Analytical Leadership & Initiative Ownership
- Lead complex analytical initiatives from problem definition through implementation.
- Define analytical approaches, methodologies, assumptions, and success measures in situations with limited guidance or evolving business requirements.
- Mentor team members, review analytical work products, and promote analytical best practices across the team.
- Drive alignment among stakeholders while balancing competing priorities and business objectives.
- Translate ambiguous business challenges into actionable analytical solutions.
- Own recurring valuation, performance measurement, and reporting processes, ensuring outputs are accurate, scalable, and well documented.
Data Validation & Performance Measurement
- Validate source data, assumptions, calculations, and reporting outputs to ensure analytical accuracy.
- 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.
Financial Modeling, Forecasting & Analytics
- Independently develop, build, modify, validate, and analyze financial models used to project risk-score-driven revenue, estimate program value, and support forecasting and business decision-making.
- Translate Medicare Advantage risk adjustment methodologies, operational assumptions, emerging business requirements, and source data into financial model logic and analytical frameworks.
- Understand model architecture and calculation logic sufficiently to diagnose unexpected results, trace outcomes to underlying assumptions and data, and determine appropriate methodological or technical changes.
- Evaluate and enhance model assumptions, segmentation, aggregation, projection methodologies, and analytical techniques to improve estimation accuracy and decision usefulness.
- Assess the financial implications of changes in risk score performance, operational results, assumptions, methodology, and other relevant business drivers.
- Partner with business leaders, program owners, and analytical teams to align on objectives, assumptions, methodologies, and recommended actions.
Leadership Communication & Cross-Functional Partnership
- Help leaders and stakeholders understand valuation assumptions, risks, limitations, methodology changes, and performance trends.
- Collaborate closely with Finance, Operations, and Analytics teams while maintaining analytical objectivity and rigor.
- Influence decisions through data, business judgment, trusted stakeholder relationships, and effective communication.
Use your skills to make an impact
Required Qualifications
Education & Experience
- 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.
- Demonstrated experience developing financial models, valuation methodologies, or forecasting frameworks.
- Experience leading complex analytical initiatives with significant business impact.
Technical & Analytical Skills
- Advanced SQL proficiency with demonstrated ability to independently write, troubleshoot, and optimize complex queries against large relational datasets.
- Advanced financial modeling proficiency with demonstrated ability to independently build, modify, troubleshoot, validate, and analyze complex forecasting and revenue projection models.
- Ability to translate business rules, financial assumptions, analytical methodologies, and changing requirements into model logic implemented through SQL, Excel, or related analytical tools.
- Advanced Excel proficiency, including Pivot Tables, data validation, reconciliation, trend analysis, and synthesis of large datasets into actionable business recommendations.
- Strong understanding of forecasting, statistical analysis, and valuation concepts with the ability to implement enhancements into SQL and Excel models.
- 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, including the ability to evaluate program performance and interpret key drivers of financial outcomes.
Leadership & Communication
- Strong ownership mindset and 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.
- Demonstrated ability to explain complex analytical concepts to non-technical audiences.
Preferred Qualifications
- Experience developing valuation methodologies used to assess strategic initiatives or operational programs.
- Familiarity with predictive modeling, regression analysis, causal inference, machine learning, or other advanced analytical methodologies.
- Experience evaluating program effectiveness and measuring business impact.
- Experience building scalable analytical processes and governance frameworks.
- Experience supporting enterprise transformation, value realization, or strategic investment initiatives.
Ideal Candidate Profile
A Financial Analytics Lead should be able to independently understand, develop, build, modify, validate, troubleshoot, and improve complex financial models, applying sound analytical judgment to adapt model methodologies and assumptions as data, business requirements, and operating conditions change.
The strongest candidate thrives in ambiguous environments and can independently transform loosely defined business questions into structured analytical approaches. They are equally comfortable writing complex SQL queries, building and enhancing forecasting models, evaluating program performance, and defending analytical conclusions with data-driven evidence. They challenge assumptions, identify opportunities to improve methodologies, and build credibility through analytical rigor, sound judgment, and effective collaboration. They naturally lead analytical initiatives, help align stakeholders around solutions, and influence decisions without relying on formal authority.
Success in This Role
Within the first year, successful candidates will:
- Independently assume ownership of complex financial models used to project risk-score-driven revenue, including understanding existing model architecture, validating assumptions and calculations, implementing enhancements, troubleshooting unexpected results, and adapting models as business requirements evolve.
- Challenge assumptions and navigate ambiguity while simultaneously aligning on solutions based on collaboratively shared insights.
- Become a trusted analytical partner to Risk Adjustment and business leadership teams.
- Independently perform complex SQL-based analyses to evaluate program performance and financial outcomes.
- Improve valuation methodologies and forecasting approaches through thoughtful analysis and business partnership.
- Establish confidence in financial reporting through rigorous validation and documentation practices.
- Influence operational decisions by providing actionable insights supported by quantitative evidence.
- Develop sustainable, scalable analytical and reporting processes that reduce manual effort while improving transparency and consistency.
This role is not eligible for work visa sponsorship.
Work at Home Requirements: To 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: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 11-15-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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 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.
