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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial modeling and analysis, particularly using SQL and Excel, to support business decisions and enhance revenue accuracy. Proven ability to evaluate regulatory impacts and drive process improvements within the Medicare Advantage sector.
Highest-signal resume keywords
Financial ModelingSQL Process DevelopmentRevenue Accrual AnalysisRisk Adjustment OperationsSOX Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial ModelingSQLExcelAnalytical TrendsPivot TablesRevenue AccrualsData Submission MonitoringVariance ExplanationProcess EnhancementsRegulatory Evaluation
Soft Skills
CollaborationCommunicationProblem-SolvingAnalytical ThinkingAttention to Detail
Industry Keywords
Medicare AdvantageRisk AdjustmentCMS Regulatory ChangesBusiness PerformanceCorporate Finance
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Develop and analyze accrual deliverables to support and influence business decisions
- Build revenue accruals exceeding $5B in value
- Explain revenue variances and trends
- Ensure process integrity, including validations necessary for SOX compliance
- Drive process enhancements to increase reliability and simplicity
- Support Humana’s Medicare Advantage Risk Adjustment business area
- Develop revenue and risk score projections for bids, budgets, forecasts, and strategic planning
- Evaluate the financial impact of CMS regulatory changes and Medicare Advantage payment model updates
- Monitor and report on risk adjustment data submissions
- Support risk adjustment operations and other initiatives strengthening compliance, revenue accuracy, and business performance
- Partner across multiple levels within the corporate finance organization
Requirements
What you’ll need- Bachelor's degree
- Minimum 1 year technical experience working with financial modeling using SQL and Excel, including pivot tables and analytical trends
- Experience writing SQL processes
- Proven experience developing and maintaining analytical models
- Ability to explain variances and trends and enhance modeling techniques
- Experience working with moderately complex to complex issues requiring in-depth evaluation of variable factors
- Proven experience partnering across multiple levels within a corporate finance organization
- Must be able to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
- Self-provided internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps
- This role is not eligible for work visa sponsorship
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Home-based work arrangement
- Occasional travel to Humana offices for training or meetings
