This individual is responsible for the strategic management and oversight of financial operations for Indiana's Pathway's 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).
Location: Indianapolis, Indiana
Key Responsibilities
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 Commonwealth regulatory financial reporting and overall Commonwealth contract management
Develops and manages meaningful relationships with the Commonwealth 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
Build and maintain relationships with Commonwealth Department of Health 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.
Requirements
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.
Preferred Qualifications
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.
Scheduled Weekly Hours
40Pay Range
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 higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.