R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO)
Humana
Become a part of our caring community and help us put health first
The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) requires an in-depth understanding of how organization capabilities interrelate across the function or segment.This individual is responsible for the strategic management and oversight of financial operations for Humana’s Florida's Medicaid Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit activities. The individual in this role coordinates day-to-day financial operations directly with the health plan Chief Executive Officer (CEO).
Key Responsibilities
- Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana’s Medicaid strategy, capabilities, business drivers, data analytics infrastructure, operational processes, metrics, and best practices
- Provides overall Market profit and loss (P&L) management and leadership with budgets, forecasts, financial analysis, trends, projections, and analytics
- Participates in all state required meetings
- Provides Market leader support reporting out on financial results, long-term planning and drive the understanding of financial performance and key drivers
- Responsible for financial analysis, identification of month-end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements
- Performs financial impact analysis for new contracts and support negotiations
- Develops Market specific strategic plans and objectives, manage against a five-year long-term plan and coordinate annual budget targets that meet the short- and long-term plan objectives
- Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives
- Responsible for the business unit’s contribution to corporate
- Provides leadership regarding rate and pricing development
- Provides leadership and support regarding value-based program development and administration
- Ensures compliance with all regulatory financial reporting and overall contract management
- Build and maintain relationships with state agency partners.
- Stay informed on Medicaid regulatory and competitive environments.
- Cultivate internal and external relationships for performance improvement.
- Lead and develop financial staff through recruitment, training, and career growth.
Use your skills to make an impact
Requirements
- Bachelor’s degree in business, Finance, Accounting, or related field.
- Minimum 5 years of financial management experience.
- Strong foundation in healthcare financials.
- Experience in strategic planning, accounting, and financial analysis.
- Excellent communication, presentation, and interpersonal skills.
- Strong organizational skills and attention to detail.
- Experience in data analysis and performance measurement.
- Passion for improving consumer experience.
Preferred Qualifications
- Master’s degree in Business, Finance, or related field.
- Certified Public Accountant (CPA) credential.
- Prior experience in Medicaid or state partnership financial operations.
- Experience with value-based program development
Additional Information
Remote/WAH requirements:
- WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
- Satellite and Wireless Internet service is NOT allowed for this role.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel
Role may travel within the state of Florida up to 10%
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.
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.