Regional VP, Operations & Finance (Regional CFO)

Humana; Oklahoma; On-site; USD 224,000 - 308,000; Full time

Job summary

Humana seeks a Regional VP, Operations & Finance to own the regional P&L and connect financial outcomes with operational performance. This senior leader will guide budgeting, forecasting, risk management, and performance reporting for the South Central region (TX, OK, AR), collaborating with regional teams to drive value-based care initiatives.

The role requires deep knowledge of Medicare/Medicare Advantage, 8+ years finance leadership in health solutions, and ability to lead a high-performing

Qualifications

• Bachelor's degree in Business, Finance, Accounting or related field.
• 8+ years of finance experience in the health solutions industry; CFO/COO with finance experience preferred.
• Knowledge of CMS bid mechanics and bid tools.
• Willingness to travel 20% within the region.

Responsibilities

• Lead regional market level strategy development with operational leaders.
• Direct accountability for regional P&L and achieving margin & budget targets.
• Direct the design and implementation of policies and procedures aligning with regulators.
• Establish and maintain management controls by tracking and analyzing data to drive improvements.
• Oversee the CMS bid process annually and liaise with enterprise teams.
• Manage regional budget oversight and provide strategic financial analysis.
• Foster internal and external relationships for knowledge sharing and performance improvement.

Skills

Strategic leadership

P&L management

Policy implementation

Data analysis

CMS bid process

Budget oversight

Stakeholder management

Travel willingness

Education

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

Certified Public Accountant (CPA)

Master's degree in Business, Finance, or Accounting

Job description

Become a part of our caring community The Regional VP, Operations & Finance is accountable for the regional P&L. This seasoned Health Plan leader collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Regional VP, Operations & Finance requires an in-depth understanding of health plan financials and how health plan operations impact financial performance.

Become a part of our caring community The Regional VP, Operations & Finance is accountable for the regional P&L. This seasoned Health Plan leader collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Regional VP, Operations & Finance requires an in-depth understanding of health plan financials and how health plan operations impact financial performance. The Regional VP, Operations and Finance in the South Central (TX, OK and AR) region is a Chief Financial Officer position with Operations elements as well. The Regional VP, Operations and Finance 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. To be successful, the Regional Vice President, Operations and Finance will provide leadership and direction to the regional Finance team. In addition, this leader will serve as a member of the Regional Leadership team, collaborating with Provider Network, Health Services and Network Performance peers to lead product, network, quality and operational strategy and execution. This individual will lead the annual Medicare Advantage product bid process, working closely with enterprise product, finance and growth teams. As the Regional CFO, this leader will develop and provide fiscal and operational oversight of the regional annual budget, financial planning and projections, risk management and operational metrics and reporting. As a member of the regional leadership team, the RVP Operations & Finance must be comfortable with strategic discussions with physician and hospital leaders, and leading finance associates who identify financial drivers to performance of value-based providers. The role interfaces regularly with regional, divisional and corporate leaders. The RVP reports to the Regional President with 4 direct reports. Total team size of 9.

Required Qualifications

• Lead regional market level strategy development process with operational leaders.
• Direct accountability for regional P&L and achieving margin and administrative budget targets.
• 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
• Leads the annual CMS bid process
• Maintains administrative budget oversight for regional functions and provides strategic and financial analysis to support provider contracting and performance, health services and trend identification
• Cultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement

Use your skills to make an impact

• Knowledge of Medicare, Medicare Advantage and Part D coverage, and participation and/or intimate knowledge of the annual CMS bid process
• Bachelor’s degree in Business, Finance, Accounting or a related field
• 8 plus years of finance experience in the health solutions industry ( preferably with 3 plus years as a CFO role or COO with finance experience)
• Demonstrated leadership skills. Experience building a high performing team to support a growth market
• Knowledge of 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% within the region
• Must reside in or be willing to relocate to Texas, Arkansas or Oklahoma (preferably TX)

Preferred Qualifications

• Certified Public Accountant
• Master's Degree in Business, Finance, Accounting or a related field
• Knowledge of the South Central Region 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 Texas, Oklahoma or Arkansas (preferably TX)

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.

$223,700 - $307,800 per year

This 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.