Director Finance, Florida Comprehensive Medicaid; Florida Medicaid Market CFO

Become a part of our caring community and help us put health first

Candidate must be located in the State of Florida**

Role may be remote or hybrid Tampa/South Florida location.

The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

This individual is responsible for the strategic management and oversight of financial operations for Humana's Florida's Medicaid Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit activities. The individual in this role coordinates day-to-day financial operations directly with the health plan Chief Executive Officer (CEO).

• 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
• 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 state 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 regulatory financial reporting and overall contract management
• Build and maintain relationships with state agency 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.

• 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.

• 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
• Managed Care experience

Remote/WAH requirements:

• WAH requirements:
  Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Role may travel within the state of Florida up to 10%.

While this is a remote position, occasional travel to Humana’s…