Financial Analytics Lead

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the development, enhancement, validation, and sustained performance of forecasting and valuation models.

• Convert Medicare Advantage, Risk Adjustment, operational, and financial requirements into model logic and analytical methodologies.

• Independently construct complex SQL queries to manipulate and analyze data.

• Develop and refine assumptions and methodologies for forecasting models.

• Assess the performance of Medicare Advantage and Risk Adjustment programs.

• Spearhead analytical initiatives involving multiple stakeholders.

• Impact business decisions without having formal authority.

• Manage complex analytical projects from initial problem definition to implementation.

• Define analytical strategies, methodologies, assumptions, and success metrics amidst limited guidance or shifting requirements.

• Mentor team members and review their analytical outputs.

• Foster stakeholder alignment while managing competing priorities and business goals.

• Convert vague business challenges into actionable analytical solutions.

• Take ownership of recurring valuation, performance measurement, and reporting processes.

• Validate source data, assumptions, calculations, and reporting results.

• Investigate unexpected trends and analyze their root causes.

• Reconcile findings across diverse data sources and methodologies.

• Establish quality control protocols for routine financial and operational reporting.

• Develop, build, modify, validate, troubleshoot, and analyze financial models that project risk-score-driven revenue and estimate program value.

• Evaluate the financial implications of shifts in risk score performance, operational outcomes, assumptions, and methodology.

• Collaborate with business leaders, program owners, Finance, Operations, and Analytics teams.

• Communicate valuation assumptions, risks, limitations, methodology changes, and performance trends to leadership and stakeholders.

• Provide actionable, quantitatively supported insights for both operational and strategic decision-making.

• Create sustainable and scalable analytical and reporting processes.

⛳️ Requirements

• Bachelor's degree in Finance, Economics, Statistics, Mathematics, Business Analytics, Computer Science, or a related discipline.

• 7+ years of progressive experience in healthcare analytics, financial analytics, consulting, strategy, or similar analytical fields.

• Proven experience in developing financial models, valuation methodologies, or forecasting frameworks.

• Demonstrated ability to lead complex analytical initiatives that have a significant business impact.

• Advanced proficiency in SQL, including the ability to independently write, troubleshoot, and optimize complex queries against large relational datasets.

• High-level financial modeling skills, with experience in independently building, modifying, troubleshooting, validating, and analyzing complex forecasting and revenue projection models.

• Capability to translate business rules, financial assumptions, analytical methodologies, and evolving requirements into model logic using SQL, Excel, or similar analytical tools.

• Advanced knowledge of Excel, including Pivot Tables, data validation, reconciliation, trend analysis, and synthesis of extensive datasets.

• Strong understanding of forecasting, statistical analysis, and valuation principles.

• Ability to work across diverse data sources and varying levels of analytical detail.

• Exceptional attention to detail with the ability to validate assumptions, methodologies, and outcomes.

• Familiarity with Medicare Advantage and Risk Adjustment methodologies.

• Ability to work independently in ambiguous settings.

• Skill in influencing cross-functional stakeholders without direct authority.

• Experience in presenting findings and recommendations to senior leadership.

• Excellent written and verbal communication abilities.

• Proficiency in conveying complex analytical concepts to non-technical audiences.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• Dedicated workspace free from ongoing interruptions to safeguard member PHI/HIPAA information.

• This position 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 that supports the protection of member PHI/HIPAA information.

• Remote work arrangement with occasional travel to Humana offices for training or meetings.