[Remote] Wisconsin Medicaid Market CFO at Humana

Wisconsin, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s 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

Responsibilities

Provide market-specific financial leadership, developing a deep understanding of Humana’s Medicaid strategy, operational processes, and performance metrics
Oversee market profit and loss (P&L) management, including budgets, forecasts, financial analysis
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

Skills

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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