Oklahoma Medicaid Market CFO at Humana

Oklahoma City, Oklahoma, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medicaid, InsuranceIndustries

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

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

Skills

Key technologies and capabilities for this role

Financial Planning & AnalysisP&L ManagementBudgetingForecastingFinancial ReportingAuditingFinancial AnalysisData AnalyticsStrategic PlanningHeadcount PlanningContract Negotiation

Questions & Answers

Common questions about this position

What is the location for the Oklahoma Medicaid Market CFO role?

The position is located in Oklahoma City, Oklahoma.

What are the key responsibilities of this CFO role?

The role involves providing market-specific financial leadership, managing profit and loss including budgets and forecasts, overseeing financial reporting and audits, coordinating with the health plan CEO, and ensuring compliance with state regulatory requirements.

What skills or experience are required for this position?

Candidates need an in-depth understanding of financial planning and analysis, expertise in Medicaid strategy and state partnerships, strong financial analysis skills including P&L management, forecasting, budgeting, and regulatory compliance knowledge.

Is there any information on salary or compensation for this role?

This information is not specified in the job description.

What does the company culture or team leadership look like in this role?

The role emphasizes leadership development of staff through recruitment, training, and advancement, cultivating internal and external relationships, and working collaboratively with the health plan CEO and state partners in a caring community focused on health.

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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