Managed Care Supervisor jobs in Weirton, WV

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)

P
PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Pittsburgh, PA 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

N
Patient Account Representative (Managed Care Medicaid Claims)
  • NovaCare Rehabilitation
  • Canonsburg, PA FULL_TIME
  • Overview Patient Account Representative (Managed Care Medicaid Claims) Starting at $16.50 per hour Commensurate with experience Monday – Friday, Daylight Hours! Hybrid or Remote Work Structure potenti...
  • 9 Days Ago

M
Assembler
  • Managed Staffing
  • Monaca, PA CONTRACTOR
  • 2nd shift 3Pm -11.30PmDuties:- Proficiency in using hand tools, power tools, and machinery- Read and interpret blueprints, diagrams, and assembly instructions- Assemble components accurately according...
  • Just Posted

W
Wound Care Nurse / Nurse Supervisor
  • We Care HCC
  • Pittsburgh, PA FULL_TIME
  • Come join the team at WeCare at Penn! WeCare is actively seeking a motivated Wound Care Nurse / Nurse Supervisor for our community in Pittsburgh, PA! Our Wound Care Nurse is an integral part of the ca...
  • 14 Days Ago

M
Airport Rental Car Fleet Driver ($15.00 per hour)
  • Managed Labor Solutions
  • Pittsburgh, PA FULL_TIME
  • Do you love driving cars? Need a flexible schedule? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, is looking to hire committed and efficient people to work as a R...
  • 15 Days Ago

W
Housekeeping Supervisor
  • We Care HCC
  • Pittsburgh, PA FULL_TIME
  • Come join the team at WeCare at Pennl! WeCare at Penn is actively seeking a motivated Housekeeping Director for our community in Pittsburgh, PA. Job Description: · Overseeing housekeeping and laundry ...
  • 5 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Managed Care Supervisor jobs found in Weirton, WV area

H
Private Duty Nurse LPN
  • Hiring Now!
  • Georgetown, PA
  • Increased Pay Rate Opportunities Available: Aveanna Healthcare is seeking nurses (LPNs and RNs) in Beaver, Beaver Falls,...
  • 4/29/2024 12:00:00 AM

H
Night Shift Nursing Opportunity | Trach and Vent
  • Hiring Now!
  • Georgetown, PA
  • Great Cases. Great Rates! We are seeking overnight, private duty nurses to provide trach and vent care to a wonderful cl...
  • 4/29/2024 12:00:00 AM

W
Ambulatory Care Asst - MA
  • WVU Medicine
  • Weirton, WV
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
  • 4/29/2024 12:00:00 AM

R
Ag Equipment Sales Professional
  • Richman Property Services
  • Chester, WV
  • Richman Property Services, Inc . is currently seeking a community inspired, passion-driven full time Maintenance Technic...
  • 4/29/2024 12:00:00 AM

H
Caregiver
  • Hiring Now!
  • New Cumberland, WV
  • REM Community Services, a part of theSevita family, provides community-based services for individuals with intellectual ...
  • 4/27/2024 12:00:00 AM

H
Caregiver
  • Hiring Now!
  • Toronto, OH
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 4/27/2024 12:00:00 AM

H
Caregiver
  • Hiring Now!
  • Weirton, WV
  • Schedule an Interview First--Apply After! Click APPLY to see map links of worksites throughout: Weirton $13.50 hourly wi...
  • 4/27/2024 12:00:00 AM

H
Caregiver
  • Hiring Now!
  • Chester, WV
  • REM Community Services, a part of theSevita family, provides community-based services for individuals with intellectual ...
  • 4/27/2024 12:00:00 AM

The city of Weirton is located at 40°25′N 80°35′W / 40.417°N 80.583°W / 40.417; -80.583 (40.41, −80.58). It extends from the Ohio border on the west to the Pennsylvania border on the east at a point where the northern extension of West Virginia is five miles across. Therefore, it is one of only three cities in the United States that borders two other states on two sides, and its own state on the other two sides, the others being Hancock, Maryland and Pittsburg, New Hampshire. Weirton is across the Ohio River from Steubenville, Ohio, and about 35 miles west of Pittsburgh, Pennsylvania, along...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,167 to $102,359
Weirton, West Virginia area prices
were up 1.9% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020