Ohio Medicaid Market CFO

Overview

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. The Indiana Medicaid Market CFO analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Director, Financial Planning & Analysis 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 supporting Ohio's Medicaid Managed Care for Humana Healthy Horizons® in Ohio.

Key activities include developing a relationship with key financial stakeholders, budget and forecasting, 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 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 regulatory financial reporting and overall contract management
• Develops and manages meaningful relationships with the 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
• 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.

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

40

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be…