Top Managed Care Executive jobs in Albuquerque, NM

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Albuquerque, NM 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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Airport Rental Car Cleaner ($12.00 per hour)
  • Managed Labor Solutions
  • Albuquerque, NM FULL_TIME
  • Do you enjoy late model cars and have a good attention to detail? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, ...
  • 1 Month Ago

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Staff Accountant - Managed Accounting Services
  • Pulakos CPAs
  • Albuquerque, NM FULL_TIME
  • Pulakos CPAs, a local, independent CPA firm, is seeking a Staff Accountant to join our team and provide professional full-charge, bookkeeping and accounting services for our clients in New Mexico, wor...
  • 1 Month Ago

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Chief Executive Officer, Rehoboth McKinley Christian Health Care, Gallup, NM
  • Community Hospital Corporation
  • Gallup, NM FULL_TIME
  • Rehoboth McKinley Christian Healthcare Hospital in Gallup, NM, is looking for a Chief Executive Officer (CEO) who will provide leadership, strategic guidance and management direction to all aspects of...
  • 16 Days Ago

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Immigration Judge
  • US Executive Office for Immigration Review
  • Albuquerque, NM FULL_TIME
  • Duties This position is in the Executive Office for Immigration Review (EOIR), Office of the Chief Immigration Judge. EOIR seeks highly-qualified individuals to join our team of expert professionals w...
  • Just Posted

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Legal Assistant (Office Automation)
  • US Executive Office for U.S. Attorneys and the...
  • Albuquerque, NM FULL_TIME
  • Duties At the full performance level, you will support Assistant United States Attorneys (AUSA) by providing a variety of legal assistance and office support services. If selected, you will receive fo...
  • 4 Days Ago

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0 Top Managed Care Executive jobs found in Albuquerque, NM area

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Part Time Remote Licensed Psychologist
  • Hiring Now!
  • Albuquerque, NM
  • About RulaRula is a comprehensive behavioral health solution that makes it easy for individuals, couples, and families t...
  • 4/28/2024 12:00:00 AM

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Licensed Psychologist Part-Time Remote
  • Hiring Now!
  • Albuquerque, NM
  • About RulaRula is a comprehensive behavioral health solution that makes it easy for individuals, couples, and families t...
  • 4/28/2024 12:00:00 AM

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System Administrator III
  • Abacus Solutions Group
  • Albuquerque, NM
  • Job Type Full-time Description Abacus Solutions Group: We're built on our shared core values! We are difference-makers, ...
  • 4/27/2024 12:00:00 AM

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Systems Engineer V
  • Abacus Solutions Group
  • Albuquerque, NM
  • Job Type Full-time Description Abacus Solutions Group: We're built on our shared core values! We are difference-makers, ...
  • 4/27/2024 12:00:00 AM

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Branch Manager
  • WaFd Bank
  • Albuquerque, NM
  • Min: USD $60,000.00/Yr. Max: USD $79,400.00/Yr. Job Summary: This key officer-level position is responsible for the mana...
  • 4/27/2024 12:00:00 AM

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Assistant Area Operations Director
  • Dialysis Clinic, Inc.
  • Albuquerque, NM
  • Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize ind...
  • 4/27/2024 12:00:00 AM

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Executive Chef
  • The Downs Racetrack & Casino
  • Albuquerque, NM
  • Description Essential Duties and Responsibilities •Performs all functions in accordance with applicable State, Federal a...
  • 4/27/2024 12:00:00 AM

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Project Manager
  • Lovelace Health System
  • Albuquerque, NM
  • Overview: Lovelace Health System (LHS) has been committed to meeting the growing healthcare needs of the Albuquerque com...
  • 4/26/2024 12:00:00 AM

According to the United States Census Bureau, Albuquerque has a total area of 189.5 square miles (490.9 km2), of which 187.7 square miles (486.2 km2) is land and 1.8 square miles (4.7 km2), or 0.96%, is water. Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau semi-desert, Arizona-New Mexico Mountains, and Southwest plateaus and plains ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$198,408 to $352,005
Albuquerque, New Mexico area prices
were up 2.5% from a year ago

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