Regional VP, Operations (CFO)-NE Region

Humana; United States; Remote; USD 203,000 - 280,000; Full time

Job summary

Join a leading health solutions company as the Regional VP, Operations. This position focuses on managing operational and financial aspects in the Northeast region, requiring in-depth knowledge of Medicare. Candidates should possess strong leadership skills and a proven track record in the healthcare industry.

Benefits

Health benefits effective day 1

Paid time off and holidays

401(k) retirement savings plan with employer match

Tuition assistance

Employee charity matching program

Qualifications

• 5+ years of operations and/or finance experience in the health solutions industry.
• Experience with CMS bid mechanics and bid tools.
• Management and leadership experience.

Responsibilities

• Provide leadership and direction in financial and operational planning.
• Develop strategic and operational action plans.
• Establish management and performance controls.

Skills

Leadership

Financial analysis

Operational planning

Communication

Education

Bachelor’s degree in Business, Finance, Accounting or related field

Master's degree in Business, Finance, Accounting or related field

Job description

Become a part of our caring community and help us put health first
The Regional VP, Operations in the Northeast region is a Chief Financial Officer position with Operations elements as well. This person collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Regional Operations requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide to develop strategies to improve outcomes that support the region’s membership, medical expense, admin and margin targets.

The Regional Vice President, Operations, will provide leadership and direction in the areas of financial and operational planning and day to day operations to a team of local and national associates. This individual will provide fiscal and operational oversight of the NE region Medicare products through development and oversight of the annual budget, financial planning and projections, risk management and operational metrics and reporting while working with value-based providers, physicians, IPAs and MSO leadership. The role interfaces regularly with regional, divisional and corporate leaders.

• Develop strategic and operational action plans and objectives for the business unit and a fiscally responsible budget that supports its strategy
• Direct the design and implementation of policies and procedures which result in increased performance, are properly integrated with other units, and comply with federal and state regulatory requirements
• Establish and maintain management and performance controls by identifying, tracking, measuring and analyzing data to highlight problems, prevent losses, contain costs and direct the development of process improvements
• Active engagement in the bid development and creative process to ensure market competitive products designed for growth and profitability
• Cultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement

Use your skills to make an impact

Required Qualifications

• Knowledge of Medicareand expertise in the annual Medicare bid process
• Bachelor’s degree in Business, Finance, Accounting or a related field
• 5 plus years of operations and/or finance experience in the health solutions industry (preferably a CFO role or COO with finance experience)
• Experience building a high performing team to support a growth market
• Experience with CMS bid mechanics and bid tools
• Excellent communication and presentation skills
• Ability to collaborate in a positive manner with all levels of the organization
• Management and leadership experience
• Willingness to travel a minimum of 20%
• Must reside in or be willing to relocate to one of these states within the NE region (NY, NJ, PA, RI, DE, MD, MA, D.C., CT, VT, or ME)

Preferred Qualifications

• Certified Public Accountant
• Master's degree in Business, Finance, Accounting or a related field
• Knowledge of the NE market dynamics and Value Based Care
• Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions

Additional Information

• Ability to relocate or reside in the Northeast (NY, NJ, PA, RI, DE, MD, MA, D.C., CT, VT, or ME)
• Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.
• Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance

Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.$203,400 - $279,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.