Director of Finance

Washington, DCusvia direct

// Job Type

Full Time

// Salary

USD 160,000 - 170,000/year

// Salary Range

160,000–170,000 USD / year

// Posted

3 months ago

About the Role

Director of Finance – Managed Care Salary Range: $160,000–$170,000 Washington, DC - Hybrid Director of Finance – Managed Care Lead Financial Strategy for a Complex, Risk-Based Managed Care Portfolio We are seeking a hands-on, experienced Director of Finance – Managed Care to join a high-impact healthcare finance leadership team. This role is designed for a finance leader with deep, direct experience in managed care, HMO, and/or Medicaid environments who can immediately assume financial ownership of a $180M managed care portfolio. The Director of Finance will partner closely with the VP of Finance to drive both day-to-day financial operations and long-term managed care strategy, with clear visibility and preparation for future promotion to VP of Finance. This is not a general healthcare finance role—it requires demonstrated expertise navigating the unique economics, regulatory requirements, and risk structures of managed care. Key Responsibilities Managed Care Financial Leadership (Primary Focus) <ul> <li>Serve as the finance leader for managed care operations, with accountability for financial performance across HMO and/or Medicaid lines of business</li> <li>Lead financial oversight of risk-based and capitated reimbursement models, including PMPM analysis, medical cost trends, and margin optimization</li> <li>Own financial modeling for rate-setting, contract performance, and payor negotiations</li> <li>Analyze utilization, medical expense drivers, and administrative cost structures to inform pricing and strategic decisions</li> <li>Ensure financial compliance with managed care and Medicaid regulatory requirements</li> </ul> Strategic & Operational Finance <ul> <li>Partner closely with the VP of Finance on all financial matters impacting managed care operations and growth initiatives</li> <li>Lead annual budgeting, forecasting, and long-range financial planning for the managed care portfolio</li> <li>Deliver insight-driven financial analysis to support executive decision-making and strategic planning</li> <li>Translate complex financial data into clear, actionable insights for senior leadership</li> </ul> Leadership & Team Development <ul> <li>Manage and mentor a lean, high-performing two-person finance leadership team</li> <li>Foster a collaborative, accountable, and execution-oriented team culture</li> <li>Operate as a trusted thought partner within a small, senior leadership group</li> </ul> Required Experience & Qualifications Managed Care Experience (Required) <ul> <li>10+ years of progressive finance or accounting experience, with a significant portion spent in managed care, health plan, HMO, and/or Medicaid environments</li> <li>Demonstrated, hands-on experience with: <ul> <li>Capitation and risk-based reimbursement models</li> <li>Medical cost trend analysis</li> <li>Managed care contract and rate modeling</li> <li>Financial performance of Medicaid and/or HMO products</li> </ul> </li> <li>Applications without direct managed care finance experience will not be considered</li> </ul> Leadership & Technical Skills <ul> <li>5+ years of people leadership experience</li> <li>Strong background in healthcare finance within regulated environments</li> <li>Advanced Excel modeling and financial analytics expertise</li> <li>Proven ability to operate independently, exercise sound judgment, and influence senior stakeholders</li> </ul> Preferred Background <ul> <li>Public accounting and/or corporate healthcare finance experience</li> <li>Experience supporting growth, scale, or increased financial complexity in managed care organizations</li> </ul> Education & Credentials <ul> <li>Bachelor’s degree in Finance, Accounting, or related field (required)</li> <li>CPA and/or Master’s degree (MBA, MHA, MS Finance) strongly preferred</li> </ul> <div> IND123</div>

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