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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial leadership, strategic planning, and operational oversight within the health solutions industry, with a strong focus on Medicare and value-based care. Proven ability to drive financial performance, manage budgets, and lead high-performing teams in a collaborative environment.
Highest-signal resume keywords
Medicare Advantage KnowledgeFinancial Planning and AnalysisLeadership and Team BuildingCMS Bid Process ExpertiseValue-Based Care Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial AnalysisBudget ManagementOperational MetricsRisk ManagementData Tracking and AnalysisStrategic PlanningMarket Data AnalysisProvider ContractingCost ContainmentPerformance Controls
Soft Skills
Excellent CommunicationCollaborationLeadership SkillsPresentation Skills
Certifications & Qualifications
Certified Public AccountantMaster’s Degree in Business
Industry Keywords
Health Solutions IndustryMedicareCMS Bid MechanicsValue-Based CareSouth Central Region Market DynamicsMedicare Risk AdjustmentStars/Quality Functions
About the role
Key responsibilities & impact- Lead the regional P&L and connect financial outcomes with operational effectiveness
- Collect, analyze and report market data
- Develop strategies to improve membership, medical expense, administrative and margin outcomes
- Provide leadership and direction to the regional Finance team
- Serve on the Regional Leadership team
- Collaborate with Provider Network, Health Services and Network Performance leaders on product, network, quality and operational strategy and execution
- Lead the annual Medicare Advantage/CMS product bid process
- Develop and provide fiscal and operational oversight of the regional annual budget
- Lead financial planning, projections, risk management, operational metrics and reporting
- Lead strategic discussions with physician and hospital leaders
- Lead finance associates analyzing financial drivers for value-based providers
- Interface with regional, divisional and corporate leaders
- Lead regional market-level strategy development with operational leaders
- Achieve margin and administrative budget targets
- Design and implement compliant policies and procedures
- Establish management and performance controls through data tracking, measurement and analysis
- Identify problems, prevent losses, contain costs and direct process improvements
- Maintain administrative budget oversight
- Provide strategic and financial analysis for provider contracting, performance, health services and trend identification
- Cultivate internal and external business relationships
Requirements
What you’ll need- Knowledge of Medicare, Medicare Advantage and Part D coverage
- Participation in and/or intimate knowledge of the 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
- Preferably 3+ years as a CFO or COO with finance experience
- Demonstrated leadership skills
- Experience building a high-performing team to support a growth market
- Knowledge of CMS bid mechanics and bid tools
- Excellent communication and presentation skills
- Ability to collaborate with all levels of the organization
- Management and leadership experience
- Willingness to travel a minimum of 20% within the region
- Must reside in or be willing to relocate to Texas, Arkansas or Oklahoma, preferably Texas
- Certified Public Accountant preferred
- Master’s degree in Business, Finance, Accounting or a related field preferred
- Knowledge of South Central Region market dynamics and Value Based Care preferred
- Experience with physician groups, provider contracting, market operations, Medicare Risk Adjustment and Stars/Quality functions preferred
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Personal wellness support
- Smart healthcare decision support