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Wisconsin Medicaid Market CFO

Wisconsin Medicaid Market CFO

HumanaWinston Salem, NC, US
2 days ago
Job type
  • Full-time
Job description

Become a Part of Our Caring Community and Help Us Put Health First

The Wisconsin Medicaid Market CFO provides strategic financial leadership for Humanas Medicaid operations in Wisconsin, overseeing multiple product lines including BadgerCare, SSI, Family Care, and Family Care Partnership contracts. This role is responsible for managing financial performance for a market generating over $1 billion in annual revenue, ensuring compliance with state requirements, and serving as the primary financial liaison to the Wisconsin Medicaid agency.

Key Responsibilities

  • Provide market-specific financial leadership, developing a deep understanding of Humanas Medicaid strategy, operational processes, and performance metrics.
  • Oversee market profit and loss (P&L) management, including budgets, forecasts, financial analysis.
  • Oversight of local WI market trend initiatives for all products within WI Medicaid.
  • Lead financial analytics, scenario planning, and medical cost improvement initiatives.
  • Attend state-required meetings and represent Humana in financial discussions with the Wisconsin Medicaid agency.
  • Manage financial filings, audits, and responses to annual RFPs for Medicaid business.
  • Create comprehensive annual financial budget for WI DHS, that includes 3 year forecast for Medicaid.
  • Perform financial impact analysis for new contracts and support negotiations.
  • Develop and execute market-specific strategic plans aligned with short- and long-term objectives.
  • Ensure compliance with all Wisconsin regulatory financial reporting and contract management requirements.
  • Build and maintain strong relationships with state partners and internal stakeholders.
  • Lead and develop a team of 20+ financial professionals, fostering growth and performance excellence.

Use Your Skills to Make an Impact

Required Qualifications

  • Bachelors degree in Finance, Accounting, Business, or related field.
  • 10+ years of progressive financial management experience, including leadership roles.
  • Strong foundation in healthcare financials and Medicaid operations.
  • Experience in strategic planning, budgeting, and financial analysis.
  • Excellent communication and interpersonal skills.
  • Ability to travel within Wisconsin as needed.
  • Preferred Qualifications

  • Masters degree in Business, Finance, or related field.
  • CPA or MBA credential.
  • Prior experience in Medicaid or state partnership financial operations.
  • Experience with value-based program development and administration.
  • Location

    Remote (Work from Home) in Wisconsin, with travel for leadership and state meetings. Relocation support may be available for top talent. Travel : While this is a remote position, occasional travel to Humanas offices for training or meetings may be required.

    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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