Regional VP, Operations - Chief Financial Officer

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The Regional VP, Operations in the Pacific Southwest Region is a Chief Financial Officer position with Operations elements as well. This person collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Regional VP, Operations requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide to develop strategies to improve outcomes that support the region’s membership, medical expense, admin and margin targets.

The Regional Vice President, Operations, will provide leadership and direction in the areas of financial planning and operations to a team of regional and national associates. This individual will provide fiscal and operational oversight of the Pacific Southwest region senior products through development and oversight of the annual budget, financial planning and projections, risk management and operational metrics and reporting while working with value-based providers, physicians, IPAs and MSO leadership.

The role interfaces regularly with regional, divisional and corporate leaders.

• Develop strategic plans and objectives for the business unit and a fiscally responsible budget that supports its strategy.
• Direct the design and implementation of policies and procedures which result in increased performance, are properly integrated with other units, and comply with federal and state regulatory requirements.
• Establish and maintain management and performance controls by identifying, tracking, measuring and analyzing data to highlight problems, prevent losses, contain costs and direct the development of process improvements.
• Cultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement.

• Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
• Acts Strategically: Makes decisions and sets strategy based on the long-term vision, uses an enterprise-wide perspective to translate strategies into actions, inspires others to embrace and advance the strategy, and creates a clear view of the future state.
• Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.
• Leads Positively: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talent.

• Knowledge of Medicare, Medicare Advantage and participation in the annual bid process.
• Bachelor’s Degree in Business, Finance, Accounting or a related field.
• 5 plus year of operations and/or finance experience in the health solutions industry (preferably a CFO role or COO with finance experience).
• Experience building a high performing team to support a growth market.
• Familiarity or experience with CMS bid mechanics and bid tools.
• Excellent communication and presentation skills.
• Ability to collaborate in a positive manner with all levels of the organization.
• Progressive management and leadership experience with associates in multiple locations.
• Willingness to travel a minimum of 20%.
• Must Reside in or be willing to relocate within Pacific Southwest Region (CA, AZ, CO, NV, NM, HI)

• Certified Public Accountant.
• Master’s Degree in Business, Finance, Accounting or a related field.
• Knowledge of the Pacific Southwest regional markets, Value-Based Care and key Humana providers.
• Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions.
• Knowledge and Experience working with delegated value-based relationships in California markets.
• Understanding of SQL.

• You will have direct/indirect reports, and you will report to the Regional President.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.