Regional VP, Operations

3 weeks ago


Phoenix, United States Humana Full time

Regional VP, OperationsThe 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. Key competencies include:Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the sameActs 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 stateCollaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success firstLeads Positively: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talentRequired qualifications include:Knowledge of Medicare, Medicare Advantage and participation in the annual bid processBachelor's Degree in Business, Finance, Accounting or a related field5 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 marketFamiliarity or experience with CMS bid mechanics and bid toolsExcellent communication and presentation skillsAbility to collaborate in a positive manner with all levels of the organizationProgressive management and leadership experience with associates in multiple locationsWillingness to travel a minimum of 20%Must reside in or be willing to relocate within Pacific Southwest Region (CA, AZ, CO, NV, NM, HI)Preferred qualifications include:Certified Public AccountantMaster's Degree in Business, Finance, Accounting or a related fieldKnowledge of the Pacific Southwest regional markets, Value-Based Care and key Humana providersExperience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functionsKnowledge and Experience working with delegated value-based relationships in California marketsUnderstanding of SQLReporting Relationships: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. Scheduled Weekly Hours: 40Pay Range: $203,400 - $279,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Application Deadline: 12-18-2025About Us:Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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.



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