Humana

Director, Financial Planning & Analysis (CFO) – Medicaid - Michigan HIDE SNP Plan

San Antonio, Texas, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries

Requirements

A Bachelor's degree in business, Finance, or Accounting is required, along with a minimum of 5 years of financial management experience. A strong foundation in healthcare financials, experience in strategic planning, accounting, and financial analysis are essential. Excellent communication, presentation, interpersonal, and organizational skills are necessary, as is experience in data analysis and performance measurement. A Master's degree and CPA credential are preferred, as is prior experience in Medicaid or state partnership finance.

Responsibilities

The Director, Financial Planning & Analysis will analyze and forecast financial data to support strategic and operational decisions, providing market-specific financial leadership for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership. This role includes overseeing the budget, financial reporting, and audit activities, coordinating day-to-day financial operations with the health plan CEO, and managing overall Market profit and loss (P&L). Responsibilities also encompass developing financial analysis, identifying month-end financial drivers, forecasting, headcount planning, performing financial impact analysis for new contracts, developing strategic plans, managing long-term plans and annual budgets, identifying medical cost trends, leading medical cost improvement initiatives, providing leadership in rate and pricing development, supporting value-based program development, and ensuring compliance with regulatory financial reporting and contract management. The Director will also 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, and lead and develop financial staff.

Skills

Financial Planning & Analysis
P&L management
budgets
forecasts
financial analysis
headcount planning
contract financial impact analysis
financial reporting
audits
data analytics
Medicaid
state partnerships
leadership
stakeholder communication

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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