[Remote] Wisconsin Medicaid Market CFO at Humana

Wisconsin, 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 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
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

Skills

Key technologies and capabilities for this role

Financial LeadershipP&L ManagementBudgetingForecastingFinancial AnalysisScenario PlanningMedical Cost ManagementRegulatory ComplianceFinancial ReportingAuditsRFP ManagementStrategic PlanningTeam LeadershipStakeholder ManagementMedicaid Contracts

Questions & Answers

Common questions about this position

What is the pay range for the Wisconsin Medicaid Market CFO position?

The compensation range reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting, and it may be higher or lower based on geographic location.

Is this a remote position, and what are the travel requirements?

This is a remote (Work from Home) position in Wisconsin, with occasional travel to Humana's offices for training or meetings and travel within Wisconsin as needed.

What are the required qualifications for this role?

Candidates need a 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, and ability to travel within Wisconsin as needed.

What team will the CFO lead in this role?

The role involves leading and developing a team of 20+ financial professionals, fostering growth and performance excellence.

What makes a strong candidate for this CFO position?

Top candidates will have a Master’s degree, CPA or MBA, prior experience in Medicaid or state partnership financial operations, and experience with value-based program development, in addition to meeting all required qualifications.

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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