Managed Care Supervisor jobs in Washington

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Seattle, WA 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.
  • 2 Months Ago

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RN - Managed Care Program Manager
  • Yakima Valley Farm Workers Clinic
  • Presson Place, WA FULL_TIME
  • As the RN Managed Care Program Manager, you will lead and implement chronic care case management programs within our organization, specifically targeting patients at the highest risk. Your expertise w...
  • 2 Days Ago

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RN - Managed Care Program Manager
  • Yakima Valley Farm Workers Clinic
  • Yakima, WA FULL_TIME
  • Job Brief RN - Managed Care Program ManagerYakima, WA Employment duration: Full time Exempt Status: Exempt Offer Relocation?: Yes ID: 12373 We are looking for an experienced RN manager with successful...
  • 19 Days Ago

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Front Office Services Supervisor Person
  • Front Office Services Supervisor Person
  • Seattle, WA FULL_TIME
  • As an Office Service Person, you’ll be in charge of supporting copy/print duties, take incoming mail to the right office/department, scheduling conference rooms/guest office space, answering phones, r...
  • 2 Months Ago

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Consulting Professional - Value-Based and Managed Care Regulatory and Policy
  • Cyfle
  • Washington, WA FULL_TIME
  • We have partnered with a large law firm in the Washington, D.C. area to provide them with a Consulting Professional - Value-Based and Managed Care Regulatory and Policy. Please review the below descri...
  • Just Posted

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Client Care Supervisor
  • Family Resource Home Care
  • Tacoma, WA FULL_TIME
  • Family Resource Home Care is a leading home care agency dedicated to providing high-quality, compassionate care to our clients in their homes. We specialize in personalized in-home care to help our cl...
  • 1 Month Ago

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 5/13/2024 12:00:00 AM

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Client Care Supervisor
  • Family Resource Home Care
  • Portland, OR
  • Family Resource Home Care is a leading home care agency dedicated to providing high-quality, compassionate care to our c...
  • 5/13/2024 12:00:00 AM

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Client Care Supervisor
  • Family Resource Home Care
  • Spokane, WA
  • Family Resource Home Care is a leading home care agency dedicated to providing high-quality, compassionate care to our c...
  • 5/13/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Lutherville Timonium, MD
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/13/2024 12:00:00 AM

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Child Care Supervisor
  • Stratton Mountain
  • Manchester, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 5/13/2024 12:00:00 AM

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Child Care Supervisor
  • Stratton Mountain
  • South Londonderry, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 5/13/2024 12:00:00 AM

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Foster Care Supervisor
  • Lydia Home Association
  • National Stock Yards, IL
  • Job Type Full-time Description Function Supervises case managers toward achieving the following outcomes: Children in tr...
  • 5/13/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Health and Wellness Company, Inc.
  • Columbus, IN
  • The Operations Leader Animal Care promotes and ensures the efficient and effective operations of the Companion Animal De...
  • 5/12/2024 12:00:00 AM

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$82,265 to $113,530

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020