Managed Care Finance Director jobs in Bellevue, NE

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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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Omaha, NE 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 medication utilization, formulary management, and ensuring cost-effective pharmacy services. The ideal candidate will bring a deep understanding of managed care principles, a proactive approach to problem-solving, and a commitment to optimizing pharmacy outcomes within a managed care environment.

    Preferred Qualifications:
    PharmD degree from an accredited pharmacy program
    Previous experience in Pharmacy Benefit Management (PBM) or Managed Care
    Knowledge of formulary development and management
    State pharmacy license in good standing
    Strong analytical and data interpretation skills
    Excellent communication and negotiation abilities
    Familiarity with healthcare regulations and compliance standards
    Collaboration experience with healthcare providers, payers, and pharmaceutical manufacturers
    Proficiency in utilizing pharmacy management software and tools
    Active participation in relevant professional organizations
    Dedication to staying informed about industry trends and innovations

    Responsibilities:
    Collaborate with healthcare stakeholders to implement and optimize pharmacy benefit programs
    Conduct formulary reviews and assessments to ensure cost-effective and evidence-based medication choices
    Monitor and analyze pharmacy utilization trends, identifying opportunities for cost savings and improved patient outcomes
    Provide expertise in drug utilization management and prior authorization processes
    Stay informed about industry regulations, guidelines, and emerging trends in managed care pharmacy
    If you are a passionate and experienced pharmacist with a background in PBM or Managed Care, we invite you to join our dynamic team dedicated to advancing healthcare through innovative and cost-effective pharmacy solutions. Apply now to contribute to the future of managed care pharmacy.
  • 1 Month Ago

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Finance Director
  • Kids Can Community Center
  • Omaha, NE FULL_TIME
  • Position Summary: Kids Can Community Center is a non-profit organization founded in 1908. Our mission is to educate, engage, and inspire children through early childhood care and out-of-school experie...
  • 14 Days Ago

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Director of Finance
  • Legal Aid of Nebraska
  • Omaha, NE FULL_TIME
  • DescriptionMission Driven – Great Fit for an Experienced Accounting Professional Seeking PurposeLooking for an experienced accounting and finance professional or accounting leader who is mission drive...
  • 30 Days Ago

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Director of Finance
  • HABITAT FOR HUMANITY OF OMAHA
  • Omaha, NE FULL_TIME
  • DescriptionPosition Overview:The Director of Finance will be a strategic and business partner to the Chief Financial Officer (CFO), and play a crucial role in overseeing and managing various financial...
  • 1 Month Ago

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Director of Finance and Administration
  • Institute for Priestly Formation
  • Omaha, NE FULL_TIME
  • Institute for Priestly Formation Position: Director of Finance and Administration Organization: Founded in 1995 to assist catholic seminaries and bishops in the spiritual formation of seminarians, pri...
  • 1 Month Ago

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Director of Finance and Administration
  • Fontenelle Forest
  • Bellevue, NE FULL_TIME
  • Director of Finance and Administration Position Type: Full Time, Exempt Salary: $80,000 annualized salary Benefits: Health, dental, vision, life & long-term disability insurance, paid time off (vacati...
  • 1 Month Ago

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0 Managed Care Finance Director jobs found in Bellevue, NE area

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Director of Finance And Accounting
  • Cfo Systems Recruiting & Staffing
  • Omaha, NE
  • Director of Accounting FinanceOutstanding Non-Profit OrganizationOmaha, NE On-Site w/ 1 Remote Day$95K - $115K Salary + ...
  • 4/28/2024 12:00:00 AM

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Director, Internal Audit
  • Metropolitan Util Dist
  • Omaha, NE
  • METROPOLITAN UTIL DIST Director, Internal Audit Omaha , Nebraska Apply Now Position Summary Under the general direction ...
  • 4/28/2024 12:00:00 AM

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Administrative Manager
  • Cfo Systems Recruiting & Staffing
  • Omaha, NE
  • Our valued client is searching for an Administrative Manager. They are a family-owned, steadily expanding company within...
  • 4/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - Direct Hire - Incentive eligible-AMENDED
  • Department Of The Treasury
  • Omaha, NE
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 4/27/2024 12:00:00 AM

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Senior Internal Revenue Agent-Senior Program Analyst (12 month roster) AMENDED
  • Department Of The Treasury
  • Omaha, NE
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION? A description of the business units can be found at: https:...
  • 4/27/2024 12:00:00 AM

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Financial Advisor
  • CFO Systems Recruiting & Staffing
  • Omaha, NE
  • Financial Advisor Omaha, NE – Hybrid Competitive Base + Incentive Bonus + Unlimited Upside Potential Do you excel when c...
  • 4/26/2024 12:00:00 AM

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Accounting Manager - Succession plan to Corporate Controller
  • Elevate Search Partners LLC
  • Omaha, NE
  • Omaha-based mid-sized company inching toward "large company status" is searching for an Accounting Manager to help them ...
  • 4/26/2024 12:00:00 AM

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Custom Product Consultant/Buyer
  • Fiserv
  • Omaha, NE
  • Custom Product Consultant/Buyer page is loaded **Custom Product Consultant/Buyer** **Custom Product Consultant/Buyer** l...
  • 4/24/2024 12:00:00 AM

Bellevue (French for "beautiful view") is a city in Sarpy County, Nebraska, United States and a southern suburb of Omaha. The population was 50,137 at the 2010 census. Bellevue is part of the Omaha-Council Bluffs metropolitan area. Originally settled in the 1830s, Bellevue was incorporated in 1855 and is the oldest continuous town in Nebraska. The Nebraska State Legislature has credited the town as being the second oldest settlement in Nebraska. It was once the seat of government in Nebraska. Bellevue is located at an elevation of 1159  ft (353 m). According to the United States Census Bureau...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$135,648 to $175,276
Bellevue, Nebraska area prices
were up 0.8% from a year ago

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