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.
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Develop strategic plans and objectives for the business unit and a fiscally responsible budget that supports its strategy
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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
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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
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Cultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement
Key Competencies
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Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same
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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
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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.
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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
Required Qualifications
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Knowledge of Medicare, Medicare Advantage and participation in the annual bid process
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Bachelor's Degree in Business, Finance, Accounting or a related field
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5 plus year of operations and/or finance experience in the health solutions industry (preferably a CFO role or COO with finance experience)
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Experience building a high performing team to support a growth market
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Familiarity or experience with CMS bid mechanics and bid tools
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Excellent communication and presentation skills
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Ability to collaborate in a positive manner with all levels of the organization
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Progressive management and leadership experience with associates in multiple locations
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Willingness to travel a minimum of 20%
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Must Reside in or be willing to relocate within Pacific Western Region (CA, AZ, CO, NV, NM, HI, WA, WY, UT, ID, AK, MT, OR)
Preferred Qualifications
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Certified Public Accountant
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Master's Degree in Business, Finance, Accounting or a related field
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Knowledge of the Pacific Southwest regional markets, Value-Based Care and key Humana providers
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Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions
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Knowledge and Experience working with delegated value-based relationships in California markets
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Understanding of SQL
Reporting Relationships
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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
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.
$203,400 - $279,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-03-2026
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.
