Regional VP, Operations & Finance (Regional CFO)

CenterWell Primary Care$223K — $307K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • In-depth knowledge of Medicare, Medicare Advantage, and Part D coverage along with annual CMS bid process.
  • Bachelor's degree in Business, Finance, Accounting, or a related field.
  • 8+ years of finance experience in the health solutions industry; ideally 3+ years as a CFO or COO with a finance background.
  • Demonstrated leadership skills and experience in building high-performing teams for growth markets.
  • Excellent communication and presentation skills with an ability to collaborate at all organizational levels.

Responsibilities

  • Lead the regional strategy development alongside operational leaders to improve market outcomes.
  • Manage the regional P&L, ensuring margin and administrative budget targets are met.
  • Design and implement policies that enhance performance while complying with regulations.
  • Establish management controls through data analysis to identify issues and drive process improvements.
  • Oversee the annual CMS bid process and collaborate with relevant teams for strategic input.
  • Maintain oversight of the regional administrative budget while supporting provider contracting and health services performance.
  • Cultivate relationships that enhance technical knowledge and drive performance improvements.

Benefits

  • Medical, dental, and vision benefits for associates and their families.
  • 401(k) retirement savings plan to prepare for the future.
  • Generous paid time off, including personal holidays and parental leave.
  • Short-term and long-term disability coverage for financial security during unforeseen circumstances.
  • Life insurance and other wellness-centric benefits to support overall well-being.
Full Job Description
The Regional VP, Operations & Finance is accountable for the regional P&L. This seasoned Health Plan leader collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Regional VP, Operations & Finance requires an in-depth understanding of health plan financials and how health plan operations impact financial performance. The Regional VP, Operations and Finance in the South Central (TX, OK and AR) region is a Chief Financial Officer position with Operations elements as well. The Regional VP, Operations and Finance 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. To be successful, the Regional Vice President, Operations and Finance will provide leadership and direction to the regional Finance team. In addition, this leader will serve as a member of the Regional Leadership team, collaborating with Provider Network, Health Services and Network Performance peers to lead product, network, quality and operational strategy and execution. This individual will lead the annual Medicare Advantage product bid process, working closely with enterprise product, finance and growth teams. As the Regional CFO, this leader will develop and provide fiscal and operational oversight of the regional annual budget, financial planning and projections, risk management and operational metrics and reporting. As a member of the regional leadership team, the RVP Operations & Finance must be comfortable with strategic discussions with physician and hospital leaders, and leading finance associates who identify financial drivers to performance of value-based providers. The role interfaces regularly with regional, divisional and corporate leaders. The RVP reports to the Regional President with 4 direct reports. Total team size of 9. ulLead regional market level strategy development process with operational leaders. ulDirect accountability for regional P&L and achieving margin and administrative budget targets. ulDirect 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 ulEstablish 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 ulLeads the annual CMS bid process ulMaintains administrative budget oversight for regional functions and provides strategic and financial analysis to support provider contracting and performance, health services and trend identification ulCultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement Use your skills to make an impact Required Qualifications ulKnowledge of Medicare, Medicare Advantage and Part D coverage, and participation and/or intimate knowledge of the annual CMS bid process ulBachelor's degree in Business, Finance, Accounting or a related field ul8 plus years of finance experience in the health solutions industry ( preferably with 3 plus years as a CFO role or COO with finance experience) ulDemonstrated leadership skills. Experience building a high performing team to support a growth market ulKnowledge of CMS bid mechanics and bid tools ulExcellent communication and presentation skills ulAbility to collaborate in a positive manner with all levels of the organization ulManagement and leadership experience ulWillingness to travel a minimum of 20% within the region ulMust reside in or be willing to relocate to Texas, Arkansas or Oklahoma (preferably TX) Preferred Qualifications ulCertified Public Accountant ulMaster's Degree in Business, Finance, Accounting or a related field ulKnowledge of the South Central Region market dynamics and Value Based Care ulExperience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions Additional Information ulAbility to relocate or reside in Texas, Oklahoma or Arkansas (preferably TX) Scheduled Weekly Hours 40 Pay 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. $223,700 - $307,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

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Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
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