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Finance Vice President jobs at UnitedHealth Group - 51 jobs

  • Director of Finance - Lincoln, NE

    Unitedhealth Group Inc. 4.6company rating

    Finance vice president job at UnitedHealth Group

    Explore opportunities at Proceed Finance, part of the Optum family of businesses. We're a Nebraska-based financial technology company that is an established leader in the markets we serve. As patient financing experts, we create affordability for life-changing treatment so patients can restore their health and happiness. Come be a part of our innovative culture and make an impact with our rewarding career opportunities. Join us and discover the meaning behind Caring. Connecting. Growing together. The Director of Finance will be responsible for overseeing financial activities and ensuring the financial health of the organization, working with the Proceed Finance team. This position's focus includes budgeting/forecasting, reporting, analytics, liquidity management, capital allocation, investment tracking, productivity savings planning, strategic initiatives modeling, and other ad hoc financial support. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Develop and implement financial strategies to support the company's growth and profitability goals * Oversee the preparation and presentation of accurate and timely financial reports, including monthly, quarterly, and annual statements * Partner with executive leadership to drive business performance and long-term profitability * Assist with the budgeting and forecasting processes, ensuring alignment with strategic objectives * Conduct in-depth financial analysis to support decision-making, including variance analysis, profitability analysis, and scenario planning * Monitor and manage cash flow to ensure the company's financial stability and liquidity * Coordinate internal and external audits, ensuring timely and accurate completion and addressing any findings * Manage liquidity, funding strategies, and capital allocation * Provide sound guidance to executive leadership team regarding spending and budgets decisions * Files quarterly and annual reports with the Securities and Exchange Commission * Ensures compliance with local, state, and federal government requirements * Performs other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in accounting, finance or related business field * 7+ years of banking experience or financial regulations and compliance * 5+ years of managing financial reporting and analysis * 5+ years of experience analyzing and evaluating budgets and financial models * 5+ years of experience in financial, consumer, and/or treasury management * Local to or willing to relocate to Lincoln, NE Preferred Qualifications: * MBA and/or CPA * Experience in consumer lending, credit risk, and regulatory compliance * Experience in the healthcare or patient financing industry * Experience with financial technology and digital payment solutions * Proficiency in financial systems and data analytics tools (e.g., SQL, Tableau, Excel) * Solid knowledge of GAAP, financial modeling, and capital markets * Proven excellent analytical and problem-solving skills * Proven exceptional organizational skills and attention to detail The ideal applicant also has the following skills: * Ability to thrive in a fast-paced, dynamic setting with evolving priorities * Solid communication and interpersonal skills * Proficient with Microsoft Office Suite or related software * Thorough understanding of project management * Effective supervisory and leadership skills * Excellent strategic decision-making, analytic, influencing skills * Familiarity with lending and loan servicing systems * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 42d ago
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  • Vice President, Control Assurance and AI Risk Governance

    Unitedhealth Group 4.6company rating

    Finance vice president job at UnitedHealth Group

    UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. The person in this role will ensure that controls are effective, deficiencies remediated, and AI ethics embedded. You will be accountable for organizational adherence to regulatory frameworks-including NYDFS, HIPAA, HITRUST, and SOX-while embedding NIST-aligned, risk-informed decision-making into business and security operations. The role is pivotal in providing an assurance ecosystem delivering rea-time control effectiveness and proactive governance and continuous readiness. By ensuring controls are effective, deficiencies remediated, and regulatory alignment maintained, this role enables resilience, trust, and sustainable business growth in a complex regulatory landscape. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. **Primary Responsibilities:** + Establish and lead a Testing Center of Excellence (CoE). Define testing standards, methodologies, and tooling to ensure consistent execution of preventive, detective, and corrective control testing across the enterprise + Design, implement, and validate controls. Drive enterprise-wide control design and testing programs-covering IT, business, and AI/ML controls-to ensure effectiveness and alignment with regulatory and risk appetite expectations + Manage the full lifecycle of control deficiencies. Govern deficiency identification, risk rating, remediation planning, and closure tracking with transparency and accountability. Provide CoE-driven reporting on remediation progress + Oversee audit readiness and evidence collection. Standardize evidence collection processes, ensuring traceability, completeness, and reliability across the three lines of defense. Drive CoE-enabled automation to improve efficiency and reduce audit fatigue + Expand traditional CoE testing protocols to cover AI models and governance, embedding ethical and regulatory considerations into testing frameworks + Trigger and govern escalation workflows for AI/IT control failures. Ensure timely issue escalation and structured governance workflows for failed control tests or detected model drift, driving accountability and sustainable remediation + Provide insights and Board-level reporting from CoE analytics. Deliver enterprise dashboards and trend analysis on control testing outcomes, deficiency root causes, and remediation performance to inform executive decision-making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Qualifications:** + Bachelor's degree in Business, Information Security, Risk Management, Computer Science, or a related field (advanced degree preferred) + Professional certifications such as: CRISC, CISA, CISSP, CISM, CPA and/or CIA highly preferred + Proven knowledge of NIST CSF, NIST AI RMF, HITRUST, ISO 27001, NYDFS Cybersecurity Regulation, SOX, HIPAA, and PCI-DSS + 12+ years of progressive experience in Governance, Risk, and Compliance (GRC), audit or cybersecurity + 5+ years in a leadership role, leading through other leaders and cross-functional teams in complex, regulated industries (financial services, insurance, healthcare, or technology) + Proven track record implementing enterprise GRC platforms (e.g., Archer, ServiceNow GRC, OneTrust, MetricStream) + Experience leading control lifecycle management (design, testing, deficiency remediation) + Demonstrated oversight of AI/ML risk governance, cloud adoption, and digital transformation initiatives + Successful history of managing Board- and regulator-facing reporting, metrics, and remediation outcomes + Deep knowledge of enterprise risk frameworks and alignment to NIST functions (Identify, Protect, Detect, Respond, Recover) + Ability to govern both traditional IT/business controls and emerging AI/ML model governance, including bias, fairness, and explainability + Solid leadership, communication, and stakeholder engagement skills, with ability to influence executive leadership and Boards + Analytical mindset with expertise in metrics, dashboards, and risk appetite reporting + Skilled in leading cross-functional governance forums (policy councils, issue management boards, risk committees) + High adaptability, with proven ability to integrate new regulatory requirements into enterprise governance structures *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $200.4k-343.5k yearly 11d ago
  • Remote Finance Data Platform Leader

    Humana Inc. 4.8company rating

    Boston, MA jobs

    A leading healthcare organization seeks an Associate Director for Finance Data Management to oversee data configuration and implement policies. This role requires a Bachelor's degree, at least 6 years of finance-related experience, and management expertise. Candidates should be proficient in SQL and familiar with Oracle Fusion Cloud and cloud platforms like Databricks. The position offers a pay range of $129,300 to $177,800 annually and is eligible for a bonus based on performance. #J-18808-Ljbffr
    $129.3k-177.8k yearly 4d ago
  • Plan Chief Financial Officer

    Centene 4.5company rating

    Remote

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Provide leadership and oversight of all aspects of finance for the Business Unit Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating Plan. Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements. Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives. Perform financial impact analysis for new contracts and support negotiations. Review monthly performance and financial results of the business unit and provide recommendations to senior management. Responsible for the business unit's contribution to corporate. Perform duties as Chief liaison between Corporate Finance and the Business Unit. Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan. Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement. Direct health plan analytical needs and coordinate reporting strategy. Act as a lead for internal and external audits. Lead rate setting activity and coordinate corporate and state actuaries. Education/Experience: Bachelor's Degree in Finance, Accounting, Economics, Business Administration required. Master's Degree preferred. 10+ years in a high level finance role in the healthcare or insurance industry required. For Carolina Complete Health plan: Individual responsible for accounting and finance operations, including all audit activities ; must reside in North Carolina. For Illinois plan only: Must reside in Illinois. CPA preferred.Pay Range: $202,900.00 - $384,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $202.9k-384.4k yearly Auto-Apply 60d+ ago
  • Wisconsin Medicaid Market CFO

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Wisconsin Medicaid Market CFO provides strategic financial leadership for Humana's Medicaid operations in Wisconsin, overseeing multiple product lines including BadgerCare, SSI, Family Care, and Family Care Partnership contracts. This role is responsible for managing financial performance for a market generating over $1 billion in annual revenue, ensuring compliance with state requirements, and serving as the primary financial liaison to the Wisconsin Medicaid agency. Key Responsibilities Provide market-specific financial leadership, developing a deep understanding of Humana's Medicaid strategy, operational processes, and performance metrics. Oversee market profit and loss (P&L) management, including budgets, forecasts, financial analysis. Oversight of local WI market trend initiatives for all products within WI Medicaid Lead financial analytics, scenario planning, and medical cost improvement initiatives. Attend state-required meetings and represent Humana in financial discussions with the Wisconsin Medicaid agency. Manage financial filings, audits, and responses to annual RFPs for Medicaid business. Create comprehensive annual financial budget for WI DHS, that includes 3 year forecast for Medicaid. Perform financial impact analysis for new contracts and support negotiations. Develop and execute market-specific strategic plans aligned with short- and long-term objectives. Ensure compliance with all Wisconsin regulatory financial reporting and contract management requirements. Build and maintain strong relationships with state partners and internal stakeholders. Lead and develop a team of 20+ financial professionals, fostering growth and performance excellence. Use your skills to make an impact Required Qualifications Bachelor's degree in Finance, Accounting, Business, or related field. 10+ years of progressive financial management experience, including leadership roles. Strong foundation in healthcare financials and Medicaid operations. Experience in strategic planning, budgeting, and financial analysis. Excellent communication and interpersonal skills. Ability to travel within Wisconsin as needed. Preferred Qualifications Master's degree in Business, Finance, or related field. CPA or MBA credential. Prior experience in Medicaid or state partnership financial operations. Experience with value-based program development and administration. Location Remote (Work from Home) in Wisconsin, with travel for leadership and state meetings. Relocation support may be available for top talent. 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. $168,000 - $231,000 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. About 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.
    $168k-231k yearly Auto-Apply 60d+ ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    The Cigna Group 4.6company rating

    Independence, OH jobs

    **Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $100k-139k yearly est. 60d+ ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    The Cigna Group 4.6company rating

    Cleveland, OH jobs

    **Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $100k-139k yearly est. 60d+ ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    Cigna 4.6company rating

    Cleveland, OH jobs

    Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES * Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. * Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. * Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Leads cross market and cross functional initiatives as needed. * Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Identify and manages initiatives that improve total medical cost and quality. * Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. * Manages key provider relationships and is accountable for interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS * Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. * 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. * Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. * Experience in developing and managing key provider relationships including senior executives. * Knowledge of complex reimbursement methodologies, including incentive models. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. * Demonstrates managerial courage and change leadership in a dynamic environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. * Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $100k-139k yearly est. Auto-Apply 47d ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    The Cigna Group 4.6company rating

    Toledo, OH jobs

    **Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $101k-141k yearly est. 60d+ ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    Cigna 4.6company rating

    Toledo, OH jobs

    Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES * Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. * Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. * Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Leads cross market and cross functional initiatives as needed. * Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Identify and manages initiatives that improve total medical cost and quality. * Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. * Manages key provider relationships and is accountable for interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS * Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. * 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. * Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. * Experience in developing and managing key provider relationships including senior executives. * Knowledge of complex reimbursement methodologies, including incentive models. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. * Demonstrates managerial courage and change leadership in a dynamic environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. * Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $101k-141k yearly est. Auto-Apply 47d ago
  • Vice President, Specialty Pharmacy Services- Evernorth

    Cigna Group 4.6company rating

    Remote

    As a strategic leader in Specialty Pharmacy, you will shape high-performing Specialty Pharmacy Management Services programs by driving operational excellence, strengthening financial outcomes, and elevating clinical quality for partners nationwide. This role blends deep specialty pharmacy expertise, collaborative leadership, and a passion for transforming patient access and experience in a rapidly evolving healthcare environment. Responsibilities Serve as the organization's expert on specialty pharmacy, accreditation standards, and compliance best practices. Strengthen internal and client-facing teams through education on workflows including benefits verification, prior authorization, patient counseling, and clinical support. Drive financial performance by optimizing revenue cycle processes, reducing leakage, and improving reimbursement outcomes. Provide strategic guidance on 340B capture models, payer engagement, and manufacturer collaboration. Support development of innovative service offerings and go-to-market strategies in partnership with product and commercial teams. Participate in client presentations and solution design efforts, ensuring offerings align with clinical, operational, and financial goals. Required Qualifications Minimum 8+ years of progressive leadership experience in infusion operations. Expertise in accreditation standards, patient access workflows, and revenue cycle management. Strong understanding of 340B program requirements and optimization strategies. Exceptional communication skills with proven ability to influence leaders and clients. Preferred Qualifications Bachelor's degree. Advanced degree (MBA, MHA, PharmD) preferred. Experience supporting payer or provider-based specialty pharmacy programs and scaling operational models. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 117,800 - 196,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $138k-200k yearly est. Auto-Apply 28d ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    The Cigna Group 4.6company rating

    Akron, OH jobs

    **Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $100k-139k yearly est. 60d+ ago
  • AVP, Provider Contracting- Cleveland and North Ohio Markets - Hybrid - Cigna Healthcare

    Cigna 4.6company rating

    Akron, OH jobs

    Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES * Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. * Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. * Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Leads cross market and cross functional initiatives as needed. * Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Identify and manages initiatives that improve total medical cost and quality. * Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. * Manages key provider relationships and is accountable for interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS * Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. * 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. * Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. * Experience in developing and managing key provider relationships including senior executives. * Knowledge of complex reimbursement methodologies, including incentive models. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. * Demonstrates managerial courage and change leadership in a dynamic environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. * Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $100k-139k yearly est. Auto-Apply 47d ago
  • Regional VP, Operations - Chief Financial Officer

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first 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. Develop strategic plans and objectives for the business unit and a fiscally responsible budget that supports its strategy 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 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 Cultivate internal and external business relationships which will serve as resources for technical knowledge and performance improvement Key Competencies Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same 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 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. 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 Use your skills to make an impact Required Qualifications Knowledge of Medicare, Medicare Advantage and participation in the annual bid process Bachelor's Degree in Business, Finance, Accounting or a related field 5 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 market Familiarity or experience with CMS bid mechanics and bid tools Excellent communication and presentation skills Ability to collaborate in a positive manner with all levels of the organization Progressive management and leadership experience with associates in multiple locations Willingness 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 Certified Public Accountant Master's Degree in Business, Finance, Accounting or a related field Knowledge of the Pacific Southwest regional markets, Value-Based Care and key Humana providers Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions Knowledge and Experience working with delegated value-based relationships in California markets Understanding of SQL Reporting 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 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: 01-29-2026 About 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.
    $203.4k-279.8k yearly Auto-Apply 6d ago
  • Loss Control - Assistant Vice President, Loss Control Director of Field Services

    Cincinnati Financial Corporation 4.4company rating

    Fairfield, OH jobs

    Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges, and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Build your future with us The Loss Control Field department is currently seeking an Assistant Vice President, Loss Control Director of Field Services. This position will be responsible for leading all aspects of the loss control field operations (Middle Markets and Key Accounts) to include field service delivery, service quality, customer service, field associate development/engagement and field strategy. This is a headquarters-based position and will require regular travel in the field. Salary: The pay range for this position is $150,000 - $171,667 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance. Be ready to: * provide leadership to the field loss control teams by aligning resources across the commercial business segments * lead customer experience for Loss Control * lead the field management team in respect to strategy, goals and leadership growth * support the field associate development strategy in conjunction with broader Department strategy to align with competency and growth objectives * lead relationship management and strategy with National Agencies * work closely with Department Vice President to align field goals and strategy to Department strategic vision * build strong relationships across leadership ranks within Commercial Lines, Sales and supporting business units * work closely with Director of Technical Services, Director of Operations, Quality Manager, and Products/Services to align goals and strategies * special projects as assigned Be equipped with: * demonstrated performance in leading teams and building leadership capabilities of team * mastery knowledge of the independent agency system * ability to work independently and have flexibility to travel * knowledge of commercial lines insurance products and coverages * strong business acumen * strong interpersonal, consultative and organizational skills * strong analytical skills * strategic thinking abilities * change management acumen * proficiencies in Microsoft Office tools and related software Bring education and experience from: * minimum of ten years with a multi-line property & casualty insurance organization with a focus on field staff leadership * professional designations such as CPCU, CSP, ARM * undergraduate degree in engineering or applicable science Enhance your talents Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. Enjoy benefits and amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Embrace a diverse team As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
    $150k-171.7k yearly 13d ago
  • Actuarial Principal - Financial Planning and Analysis

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuarial Analytics/Forecasting Principal analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. The Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Actuarial Analytics/Forecasting Principal ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree, in some instances a Master's or Doctorate's degree + 10 or more years of technical experience + 2-5 years of project/people leadership + FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations + MAAA + Strong communication skills + Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working with aggregate financials across insurance products or enterprise-level financial planning + Demonstrated ability to challenge existing assumptions and propose creative solutions **Additional Information** Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers (******************************* . 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. $156,600 - $215,400 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: 01-30-2026 **About 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $156.6k-215.4k yearly 35d ago
  • Actuarial Principal - Financial Planning and Analysis

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility. We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate. The Actuarial Analytics/Forecasting Principal analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. The Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Actuarial Analytics/Forecasting Principal ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost-effective resolutions for data anomalies. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. Use your skills to make an impact Required Qualifications Bachelor's degree, in some instances a Master's or Doctorate's degree 10 or more years of technical experience 2-5 years of project/people leadership FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations MAAA Strong communication skills Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Medicare Advantage pricing and forecasting experience Experience working with aggregate financials across insurance products or enterprise-level financial planning Demonstrated ability to challenge existing assumptions and propose creative solutions Additional Information Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status. For more information on Humana careers, please visit Humana Careers. 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. $156,600 - $215,400 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: 01-30-2026 About 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.
    $156.6k-215.4k yearly Auto-Apply 37d ago
  • Vice President, Control Assurance and AI Risk Governance

    Unitedhealth Group Inc. 4.6company rating

    Finance vice president job at UnitedHealth Group

    UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. The person in this role will ensure that controls are effective, deficiencies remediated, and AI ethics embedded. You will be accountable for organizational adherence to regulatory frameworks-including NYDFS, HIPAA, HITRUST, and SOX-while embedding NIST-aligned, risk-informed decision-making into business and security operations. The role is pivotal in providing an assurance ecosystem delivering rea-time control effectiveness and proactive governance and continuous readiness. By ensuring controls are effective, deficiencies remediated, and regulatory alignment maintained, this role enables resilience, trust, and sustainable business growth in a complex regulatory landscape. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. Primary Responsibilities: * Establish and lead a Testing Center of Excellence (CoE). Define testing standards, methodologies, and tooling to ensure consistent execution of preventive, detective, and corrective control testing across the enterprise * Design, implement, and validate controls. Drive enterprise-wide control design and testing programs-covering IT, business, and AI/ML controls-to ensure effectiveness and alignment with regulatory and risk appetite expectations * Manage the full lifecycle of control deficiencies. Govern deficiency identification, risk rating, remediation planning, and closure tracking with transparency and accountability. Provide CoE-driven reporting on remediation progress * Oversee audit readiness and evidence collection. Standardize evidence collection processes, ensuring traceability, completeness, and reliability across the three lines of defense. Drive CoE-enabled automation to improve efficiency and reduce audit fatigue * Expand traditional CoE testing protocols to cover AI models and governance, embedding ethical and regulatory considerations into testing frameworks * Trigger and govern escalation workflows for AI/IT control failures. Ensure timely issue escalation and structured governance workflows for failed control tests or detected model drift, driving accountability and sustainable remediation * Provide insights and Board-level reporting from CoE analytics. Deliver enterprise dashboards and trend analysis on control testing outcomes, deficiency root causes, and remediation performance to inform executive decision-making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications: * Bachelor's degree in Business, Information Security, Risk Management, Computer Science, or a related field (advanced degree preferred) * Professional certifications such as: CRISC, CISA, CISSP, CISM, CPA and/or CIA highly preferred * Proven knowledge of NIST CSF, NIST AI RMF, HITRUST, ISO 27001, NYDFS Cybersecurity Regulation, SOX, HIPAA, and PCI-DSS * 12+ years of progressive experience in Governance, Risk, and Compliance (GRC), audit or cybersecurity * 5+ years in a leadership role, leading through other leaders and cross-functional teams in complex, regulated industries (financial services, insurance, healthcare, or technology) * Proven track record implementing enterprise GRC platforms (e.g., Archer, ServiceNow GRC, OneTrust, MetricStream) * Experience leading control lifecycle management (design, testing, deficiency remediation) * Demonstrated oversight of AI/ML risk governance, cloud adoption, and digital transformation initiatives * Successful history of managing Board- and regulator-facing reporting, metrics, and remediation outcomes * Deep knowledge of enterprise risk frameworks and alignment to NIST functions (Identify, Protect, Detect, Respond, Recover) * Ability to govern both traditional IT/business controls and emerging AI/ML model governance, including bias, fairness, and explainability * Solid leadership, communication, and stakeholder engagement skills, with ability to influence executive leadership and Boards * Analytical mindset with expertise in metrics, dashboards, and risk appetite reporting * Skilled in leading cross-functional governance forums (policy councils, issue management boards, risk committees) * High adaptability, with proven ability to integrate new regulatory requirements into enterprise governance structures * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $200.4k-343.5k yearly 11d ago
  • Senior Finance Manager, EPM Data Design Product Owner

    Johnson & Johnson 4.7company rating

    Brunswick, OH jobs

    At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* Job Function: Data Analytics & Computational Sciences Job Sub Function: Data Engineering Job Category: People Leader All Job Posting Locations: Florida (Any City), Georgia (Any City), Guaynabo, Puerto Rico, United States of America, Gurabo, Puerto Rico, United States of America, Indiana (Any City), Massachusetts (Any City), New Brunswick, New Jersey, United States of America, New Jersey (Any City), Ohio (Any City), Pennsylvania (Any City) Job Description: Johnson & Johnson is recruiting for a Senior Finance Manager, EPM Data Design Product Owner. The primary location for this role is New Brunswick, NJ. The role may also be based in other J&J site locations within the US or Puerto Rico. We will also consider candidates to work out of our offices in Beerse, Belgium; Ireland; Wokingham, UK; Toronto, Ontario, Canada; or Zug, Switzerland. Please note that this role is available across multiple countries and may be posted under different requisition numbers to comply with local requirements. While you are welcome to apply to any or all of the postings, we recommend focusing on the specific country(s) that align with your preferred location(s): US & Puerto Rico - Requisition Number: R-047065 Canada - Requisition Number: R-048077 Beerse, Belgium & Ireland - Requisition Number: R-048136 Wokingham, UK - Requisition Number: R-048137 Zug, Switzerland- Requisition Number: R-048141 Remember, whether you apply to one or all of these requisition numbers, your applications will be considered as a single submission. Overview As a Senior Finance Manager EPM Data Design Product Owner, you will play a pivotal role in shaping the strategic direction of finance data architecture across Johnson & Johnson's global enterprise. This position demands a visionary leader who can align talent and resources to deliver innovative, scalable, and sustainable data solutions that empower financial planning, management reporting, and analytics. You will be responsible for translating complex business processes into robust data models, ensuring that every detail supports both immediate project needs and long-term organizational goals. Strategic Responsibilities Drive Enterprise Strategy: Lead the finance data design team with a clear focus on strategic objectives, ensuring that data models and solutions are not only technically sound but also aligned with the broader business vision and future growth. Provide guidance across all SigniFi workstreams to foster cohesive, scalable, and sustainable solution designs. Align Senior leaders on solutioning by making complex concepts simple and identify risks and communicate impacts and mitigations in a timely manner. Talent Alignment: Cultivate and develop a high-performing team of business data architects, engineers, and analysts. Prioritize talent development and alignment, ensuring that the team's skills and capabilities are leveraged to support Johnson & Johnson's finance digitalization journey and enterprise transformation. Cross-Functional Leadership: Build strong relationships with senior stakeholders and cross-functional partners, across all SigniFi workstreams (Including Global Process Owners, Business Product Owners & Technical Product Owners) and leaders of connected systems to ensure that solutioning works End to End through our architecture. Through this ensure that there is alignment between actual and plan data to support high quality BVA reporting. Champion the adoption of next-generation technology solutions that address evolving business needs. Data Design Excellence Detail-Oriented Assessment: Oversee the creation and maintenance of business data models for all Anaplan models covering Commercial, IBP, Supply Chain and Enterprise Planning & Analytics. Lead data fit-gap evaluations for each deployment, working closely with technical partners to ensure data sources and profiles meet process requirements. Ensure that all documentation is complete and accurate. Quality and Governance: Develop and memorialize Data Design Documents (DDD) to capture key decisions and provide reference for ongoing operations. Collaborate with Data Governance teams to enforce best practices and maintain high standards of data quality throughout all project phases. Run State Support: Oversea the transition of deployed models to the run state organisations with full knowledge transfers and documentation in place. Act as a consultant to the run teams to helps support development of continuous improvement (CI) initiatives to enhance data validation, process efficiency, and deliver stable, high-quality outcomes Major Responsibilities: Lead a team of 10 business data architects, engineers, and analysts, including consultants to design and maintain business data models for Commercial, IBP, and Supply Chain Planning & Analytics within a multi-year enterprise transformation program. Conduct data fit-gap evaluations for each deployment, collaborating with technical partners to identify and profile data sources in line with process requirements. Provide strategic guidance across all SigniFi workstreams (including Global Process Owners, Business Product Owners, and Technical Product Owners) to ensure cohesive, sustainable, and scalable solution designs, leveraging the CIM foundation. Develop and maintain Data Design Documents (DDD) to memorialize key decisions and serve as reference materials for run state teams. Coordinate with the Data Validation team to drive data quality and analysis throughout project phases, including data dry runs, business simulations, integrated testing, and production validation. Collaborate with the Finance Data Governance team to oversee SigniFi CIM design in the Finance Data Hub Platform for all fit-for-purpose use cases. Ensure smooth transition of new data processes to run state owners, providing knowledge transfer and ongoing support post-deployment Qualifications: A minimum of a Bachelor's Degree is required, Major in Finance or IT are preferred 8+ years experience with min 5 years in relational database management/data model/data warehouse experience is preferred SQL experience is required with strong technical systems background (e.g. Tableau, Alteryx, SAP Finance, BW, MDM) Experience crafting sophisticated technology solutions to support a large, complex business landscape is required Must have experience supervising direct reports in order to continue the development of talent pipeline of data, system combined with business process. Extensive experience with Financial Planning tools and technology is required The ability to effectively communicate complex technical ideas to individuals outside of the FS&T Program and Finance organization is required Experience working in a matrixed, multi-team delivery model is required Deep knowledge of organizational systems, models, and interdependencies needed to align the organization to the FS&T agenda is required Must be excellent at building positive relationships with peers and other senior-level stakeholders to support adoption of technology solutions and effective integration throughout the business Must be flexible and adaptable with the ability to thrive in ambiguous situations Must have a team-oriented demeanour and the ability to work collaboratively with and through others Experience detailing best practices and enforcing strong governance in a team is required A dedication and passion for continuous integration, improvement, and using automation to ensure stable deliverables is required Strong Project Management Skills or experience leading implementations is preferred This role can be in any J&J geographic location, but presence in New Brunswick, NJ, will be required on an ad hoc basis The role may require up to 25% domestic and/or international travel, based on employee's home location Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via *******************/contact-us/careers . Internal employees contact AskGS to be directed to your accommodation resource. Required Skills: Preferred Skills: The anticipated base pay range for this position is : $122,000.00 - $212,750.00 Additional Description for Pay Transparency: $122,000-$212,750 Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado -48 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Bereavement Leave - 240 hours for an immediate family member: 40 hours for an extended family member per calendar year Caregiver Leave - 80 hours in a 52-week rolling period10 days Volunteer Leave - 32 hours per calendar year Military Spouse Time-Off - 80 hours per calendar year For additional general information on Company benefits, please go to: - *********************************************
    $122k-212.8k yearly Auto-Apply 45d ago
  • Director Corporate Accounting and External Reporting

    Progressive 4.4company rating

    Mayfield, OH jobs

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As the director of corporate accounting and external reporting, you'll maintain the financial integrity of the business's external Generally Accepted Accounting Principles (GAAP)/Securities and Exchange Commission (SEC) financial reporting. In this role, you'll establish the overall corporate accounting strategy and vision. You'll provide expertise related to GAAP reporting and serve as a liaison to the Statutory, Reinsurance, and Investment Reporting groups, and as well as to our Legal, Tax, Business Unit control groups, and other areas of the business. Additionally, you'll lead a team of managers and accountants responsible for companywide general accounting and reporting, and work collaboratively with other key financial reporting leaders. This position will be a working manager and will have a significant impact on shaping the financial reporting for Progressive. Must-have qualifications * Bachelor's degree or higher in Accounting or related field of study (e.g., Finance) and a minimum of 10 years specialized accounting (e.g., reinsurance, investments), financial reporting, or public accounting experience, with at least five years leadership experience (e.g., management) Preferred skills * Demonstrated experience preparing accurate and timely reporting to the Securities Exchange Commission (SEC) within a large-scale environment, with a strong track record of ownership and responsibility for results. * Certified Public Accountant (CPA) certification with deep knowledge of GAAP and technical accounting * Strong leadership skills with demonstrated experience managing high-performing teams and complex financial reporting processes * Prior experience with the accounting and reporting for, and integration efforts associated with, acquired entities * Strong attention to detail matched with strategy development skills, with the ability to establish the corporate accounting strategy and vision Compensation * $160,000 - $205,000/year * Gainshare bonus up to 50% of your eligible earnings based on company performance * Participation in our restricted stock units plan Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off, including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance * Onsite gym & healthcare at large locations Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** Sponsorship for work authorization for foreign national candidates is not available for this position Share: Email X Facebook LinkedIn Apply Now
    $160k-205k yearly 21d ago

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