Job Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Finance Consultant Medical Trend analysis
Assignment: Commercial Sales
Location: Cincinnati, OH

Are you a fit?
Do you have a passion for being able to impact and influence the direction of people's thinking through the creation and delivery of forecasts and models to increase operational efficiency and financial performance? If so, this is the role for you.


Assignment Capsule
The Market Finance team provides guidance to Market leaders through financial planning (development of annual strategic plans, budgets and monthly projections), performance analysis (budget variance and trend analysis), evaluating the impact of issues to strategies and budget, developing profit improvement action plans to achieve budget, assessing the competitive environment, influencing the selling, pricing, and cost management processes, and evaluating expansion opportunities.

The Market Finance Consultant is responsible for supporting the Market Finance Director to drive these activities to ensure profitable growth and execution of the Market's strategic plan and budget. The Market Finance A Consultant's function will include and are limited to:

• Prepare accurate and timely annual Underwriting Margin budget, in conjunction with Corporate Finance.
  
• Monitor administrative expenses with focus on Full Time Employees, Travel &Entertainment, and Outside Services & Contractors categories. Report on variances (per Corporate Guidelines) on an accurate and timely basis. Prepare high Medical Expense Ratio (loss ratio) account analysis on an accurate and timely basis.
  
• Prepare high Medical Expense Ratio account analysis on an accurate and timely basis
  
• Prepare accurate and timely financial projections (FINGAP), monthly from January-November.
  
• Create spreadsheet forecasting models and develop database tools to assist senior management in provider/customer negotiations, to measure growth and monitor profitability.
  
• Act as market's primary analytical resource to examine trends in medical costs (actual vs. budget vs. expected for market vs. benchmarks) using tools provided or through the creation of new tools, as needed. Responsible for proposing corrective action plans.
  
• Support the development and monitoring of Network and Clinical cost management initiatives by actively participating in the Local Market Trend Committee to achieve the Market's financial plan. Actively participate in Market Clinical Operations meetings.
  
• Establish and demonstrate deep understanding of our cost of care, especially unit costs.
  
• Prepare ad hoc provider analyses as requested by the Network and Clinical teams.
  
• Assist in preparation for Local Market Trend Committee presentation to the Corporate Medical Cost Trend Committee.
  
• Prepare financial projections (current year and next year) in conjunction with annual strategic plan.

• Builds Trust: You honor your word by doing what you say you are going to do.
  
• Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
  
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

• Bachelor's Degree
  
• Relevant work experience in a fast paced Payor or Provider setting
  
• Computer literate (MS Word, Power Point, Excel). Proven analytical skills, spreadsheet modeling and database development.
  
• Excellent communication skills, both oral and written
  
• Strong relationsh
  
  Expected Travel Time: None