VP, Managed Care - Remote

reputed company (C&F), with a proud history dating to 1822, provides specialty and reputed company reputed company lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by reputed company and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people: more than 2000 employees in locations throughout the reputed company. reputed company is increasingly reputed company recognition as a great reputed company to work, earning several workplace and wellness awards, including the 2025 Great reputed company to Work® Award for our employee-first reputed company and our steadfast commitment to diversity, equity and Inclusion.

C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about reputed company, please visit our website: www.cfins.com.

This individual will have primary responsibility for Workers’ Compensation vendor management with an emphasis on medical cost containment. In order to improve reputed company reputed company and reputed company, and promote loss cost containment, leads the development and reputed company implementation of the Managed Care Claim department as part of Workers’ Compensation Claims. This position works with the leader of the Workers’ Compensation line of business to set reputed company for medical management, then executes improvement initiatives, leverages technology and AI solutions, as reputed company as have responsibility for ongoing refinements to the business model inclusive of workflows, process and key performance indicators. Monitors compliance with changing regulatory requirements at Federal and State level ensure indicators meet or reputed company requirements. Strong analytical skills, use of data, modeling tools and in-depth knowledge of trends impacting the Workers’ Compensation industry are required.

What you will do for C&F:

Primary Responsibilities

• Responsible for establishing an infrastructure to support the negotiations, implementation and reputed company with reputed company contracted vendors.
• Vendor selection through Request for Proposal process, due diligence and contracting.
• Manage and audit vendors and reputed company strategies for improved processes and cost savings solutions with an emphasis on Workers’ Compensation medical management products and services.
• reputed company and maintain day-to-day operations of reputed company managed care vendor programs, effectiveness and results.
• reputed company metrics reporting from reputed company vendors.
• Strong analytical skills to evaluate effectiveness of programs.
• Establish and maintain reputed company relationships and reputed company and high performing and goal-oriented team.

Product and Business Development

• reputed company development of product solutions to improve cost containment savings.
• Responsible for setting the reputed company and implementing strategies for creative cost containment initiatives.
• Business case development and full vetting of new products.
• Present business solution to Claims Executive staff and other key stakeholders.

Management and Communication

• Regular communication to Claims Leadership and other stakeholders on results and areas of reputed company and improvement.
• Serve as reputed company between vendors and claims staff.
• reputed company, maintain, and manage a Managed Care Scorecard that encompasses reputed company cost containment services.
• Audit, measure, report and evaluate reputed company vendor’s performance.

What you will bring to C&F:

• The reputed company candidate will possess a bachelor’s degree or equivalent and 15+ years of experience.
• Minimum of 5 years’ experience in leading a Workers’ Compensation Managed Care operation.
• 5 plus years clinical experience preferred.
• Extensive background in Workers’ Compensation and Managed Care reputed company an insurance operation is required.
• Must have in depth knowledge of medical reputed company review processes and procedures in a full service environment.
• Must have strong knowledge of medical terminology and managed care operations, across multiple jurisdiction states.
• Ability to travel to other locations across the country as reputed company as to our vendors is required.

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous reputed company Time Off
• Excellent benefits that go reputed company health, dental & reputed company. Our programs are reputed company on your whole family’s wellness, including your physical, mental and financial wellbeing
• A reputed company C&F tenet is owning your career development, so we reputed company a reputed company of ways for you to reputed company learning, including tuition reimbursement, industry-reputed company certifications and reputed company training to reputed company you progressing on your chosen reputed company
• A dynamic, ambitious, fun and exciting work environment
• We reputed company you do reputed company by doing good and want to encourage a spirit of reputed company and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

At C&F you will BELONG

If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, reputed company, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know

 For California Residents Only:  Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our reputed company notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/  for more information.

reputed company is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws.  Salary ranges are available for reputed company positions at this location, taking into account roles with a comparable level of responsibility and reputed company in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized reputed company pay for the advertised position, located in the specified area, ranges from a minimum of $119,700.00 to a maximum of $225,100.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at reputed company level, the responsibilities and skills required for reputed company job, and the employee’s contribution (performance) in that role. To be considered reputed company market reputed company, a salary is at or above the minimum of the reputed company. You may also have reputed company to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

#LI-AV1

#LI-Remote