Ohio Medicaid Market CFO

Humana

10d • Remote

About The Position

Become a part of our caring community and help us put health first The Indiana Medicaid Market CFO analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Director, Financial Planning & Analysis 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 supporting Ohio's Medicaid Managed Care for Humana Healthy Horizons® in Ohio. Key activities include developing a relationship with key financial stakeholders, budget and forecasting, 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). Location Requirements: This role requires the selected candidate to reside in the state of Ohio or be willing to relocate to Ohio. The position also requires being within a reasonable driving distance to Columbus, OH, to support regular market leadership meetings and in‑person business needs. 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.

Nice To Haves

• 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.

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 including the CFO Quarterly Meeting
• 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 Commonwealth 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
• Develops and manages meaningful relationships with the Department of Health partners.
• Applies keen insight regarding the current Medicaid healthcare regulatory environment and competitive environment, and how the components of Humana's business model interrelate to make Humana competitive in the marketplace
• Cultivates internal and external business relationships which will serve as resources of technical knowledge and performance improvement
• Leads and develops staff through all phases from recruitment to training and advancement opportunities
• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director