Managed Care Finance Director jobs in Virginia

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Director Managed Services
  • ID Technologies, A CACI Company
  • Ashburn, VA FULL_TIME
  • The Director of Managed Services will lead the O&M business and support operations of the Archon customer and lab environments. This role will be instrumental in improving the quality of the Premium Services business and drive the utilization of the ITIL Change Management framework. This person will have historic hands-on experience with technology, systems, customer relations, and have progressed into a strong business manager.


    Active Top Secret Clearance Required


    Location Remote, but required to have the ability to travel to customer site approximately 15-25%


    • Oversee Archon Premium Services and other Archon support offerings to insure world-class customer service for the managed service provider business.
    • Provides strategic leadership, oversight and management for IT professionals.
    • Recruit, mentor, build and maintain an effective team in support of the Premium Services business.
    • Sets strategic and tactical priorities that align with business objectives.
    • Responsible for support of high performance CSfC networks and related services.
    • Ensure that meaningful metrics related to established SLAs, availability, capacity and performance are captured, validated and reported.
    • Develop plans and strategies to improve performance, reliability and operational cost-effectiveness.
    • Administer staff performance management and career development activities.
    • Demonstrates integrity without compromise. Respect, commitment to excellence, collaboration, and agility.
    • Design and implementation of IT service management process (ITIL).
    • Set tactical goals and initiatives for current team
    • Identify technologies that can be used to improve customer service levels
    • Develop and maintain a team through coaching and performance management
    • Must have a Top-Secret Clearance
    • Bachelor’s degree or related field (or equivalent work experience) and 4 years of experience is required; Masters Degree in related field preferred
    • ITIL certification required
    • Minimum 4 years of engineering experience in a mission-to-mission, large/strategic customer segment; or
    • A record of achievement and technical solution expertise
    • Product certification, engineering credential, or equivalent technical credential
    • Strong presentation skills
    • Willingness to travel
    • Must have team leadership and sales capabilities.
    • Excellent problem-solving capabilities with a proven ability to manage and solve complex problems and manage multiple tasks concurrently.
    • Excellent organizational skills and strong attention to details.
    • Strong interpersonal skills and ability to communicate effectively with customers, suppliers, and company personnel.
    • Proficiency in Microsoft Office and related software.
    • Proven experience in working with cross-functional teams.
    • Must possess skills necessary for proper, ethical, and rapid decision making resulting in high levels of customer satisfaction and customer retention.
  • 7 Days Ago

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Director Managed Services
  • ID Technologies
  • Ashburn, VA FULL_TIME
  • Overview The Director of Managed Services will lead the O&M business and support operations of the Archon customer and lab environments. This role will be instrumental in improving the quality of the ...
  • 1 Month Ago

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Managed care coordinator
  • Elevance Health
  • Norfolk, VA FULL_TIME
  • Job Description The Foster Care Managed Case Manager is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and con...
  • 2 Days Ago

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Managed care coordinator
  • Elevance Health
  • Radford, VA FULL_TIME
  • Job Description The Foster Care Managed Case Manager is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and con...
  • 3 Days Ago

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Managed Care Authorization Specialist
  • Richmond Behavioral Health
  • Richmond, VA FULL_TIME
  • The Richmond Behavioral Health Authority is hiring for a Managed Care Authorization Specialist to perform intermediate skilled administrative support work processing pre-authorizations, designing, imp...
  • Just Posted

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Virginia, VA FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 22 Days Ago

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Chief Financial Officer (CFO)/Controller
  • New Reach
  • New Haven, CT
  • Company Overview: As a long-time leader in Connecticut, New Reach hopes to now chart a new path by fundamentally shiftin...
  • 6/8/2024 12:00:00 AM

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CFO/Controller
  • Bonaventure Pro LLC
  • Rayne, LA
  • Job Description CFO / Controller needed for a fast-growing business in Rayne, LA. We are looking for a senior team membe...
  • 6/7/2024 12:00:00 AM

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SVP of Finance / CFO
  • WellSaid Labs
  • Seattle, WA
  • Who We Are: WellSaid Labs WellSaid Labs is the leading AI voice company for enterprise and professional applications. Us...
  • 6/7/2024 12:00:00 AM

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CFO Controller
  • Paragon Systems Integration
  • Miami, FL
  • Job Description Job Description Do you want to work with a company that delivers the largest, most complex, cutting-edge...
  • 6/7/2024 12:00:00 AM

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Senior Director, Card Finance: CFO of Business Cards and Payments
  • Capital One
  • Richmond, VA
  • West Creek 8 (12080), United States of America, Richmond, Virginia Senior Director, Card Finance: CFO of Business Cards ...
  • 6/7/2024 12:00:00 AM

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VP of Finance/CFO
  • Creative Financial Staffing
  • Boston, MA
  • An international Fitness and Sports Event company has exclusively retained Creative Financial Staffing to identify a VP ...
  • 6/6/2024 12:00:00 AM

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CFO / controller
  • FBF
  • Antler, ND
  • Job Description Job Description We are seeking a CFO / Controller to lead our company! You will help develop and execute...
  • 6/6/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 6/6/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$143,686 to $185,667

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020