Job Description
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. This person collects, analyzes and reports on various market data and trends to connect financial outcomes with operational effectiveness. 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.
The Regional Vice President, Operations and finance 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 South Central region senior 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
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
Required Qualifications
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
At least 5 years of 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
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)
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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.
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.
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