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Oklahoma Medicaid Market CFO

Oklahoma Medicaid Market CFO

HumanaOklahoma City, OK, United States
2 days ago
Job type
  • Full-time
Job description

Become a part of our caring community and help us put health first

The Oklahoma 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 for Humana’s Oklahoma'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).

Location : Oklahoma City, Oklahoma

Use your skills to make an impact

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 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 Commonwealth regulatory financial reporting and overall Commonwealth contract management
  • Develops and manages meaningful relationships with the Commonwealth 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
  • Build and maintain relationships with Commonwealth Department of Health 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.

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.
  • 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.

    $168,000 - $231,000 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, 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.

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