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[Remote] Risk Adjustment Financial Analytics Lead

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company, and they are seeking a Risk Adjustment Financial Analytics Lead. The role involves managing data to influence operational decisions and strategic planning while analyzing financial data to deliver insights that support leadership and business performance.

Responsibilities

  • Manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
  • Collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends
  • Delivers insights that answer questions from leadership, informs decision-making and supports strategic planning initiatives
  • Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision
  • Uses independent judgment requiring analysis of variable factors and determining the best course of action

Skills

  • Bachelor's Degree
  • 6+ years finance, analytics, and/or healthcare
  • Experience in integrating and analyzing data from multiple sources (e.g., MMR, MOR, claims), discovering new insights to support and influence decisions on strategic planning and specific business performance issues
  • Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
  • Work independently and able to exercise independent judgment and decision making on complex issues regarding job duties
  • Experience working with medical claims or other healthcare data
  • Medicare risk adjustment experience
  • Financial or actuarial background

Benefits

  • Bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • 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

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.
  • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 149 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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