Job Description
Become a part of our caring community
The Senior Financial Analytics Professional, Medicare Risk Adjustment (MRA) Finance, will be responsible for analyzing results, and translating complex financial and operational drivers into clear, actionable insights. This role partners closely with stakeholders across Corporate Finance, Risk Adjustment Operations and Compliance, and Risk Adjustment and Stars Analytics (RASA) to ensure accurate, well-documented, and well-controlled processes that support financial reporting, variance analysis, and business decision-making. The ideal candidate is highly analytical, technically strong, detail-oriented, collaborative, and a great team player.The MRA Finance team supports Humana’s Risk Adjustment business area, part of the Medicare business. Medicare Advantage remains Humana’s largest business, serving millions of members nationwide and contributing the majority of Humana’s consolidated revenue. The Finance team develops revenue and risk score projections for bids, budgets, forecasts, and strategic planning; evaluates the financial impact of CMS regulatory changes and Medicare Advantage payment model updates; monitors and reports on risk adjustment data submissions; and supports risk adjustment operations and other initiatives that strengthen compliance, revenue accuracy, and overall business performance.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree
- Minimum 3 years technical experience working with financial modeling using SQL and Excel (i.e. pivot tables, analytical trends)
- Experience writing SQL processes
- Proven experience developing and maintaining analytical models
- Must be able to explain variances and trends and enhanced modeling techniques
- Experience working with moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Proven experience collaborating with others
Preferred Qualifications
- Master's Degree
- Financial or actuarial background
- Databricks experience
- Experience in Medicare Advantage – risk adjustment or Stars
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
40Pay 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.$89,000 - $121,400 per yearThis 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: 08-09-2026
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.
Originally posted on Himalayas
