Top Managed Care Executive jobs in Huntington Beach, CA

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
  • Irvine, CA 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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Managed Care Biller - Centralized Billing Office (CBO)
  • Pursue Health LLC
  • Irvine, CA FULL_TIME
  • Pursue Health, LLC is a rapidly growing company that provides a full spectrum of healthcare consulting and support services to Skilled Nursing Facilities, Hospice Agencies, Out Patient Rehabilitation ...
  • 11 Days Ago

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Managed Care Pharmacist 5 - Population Health - P/T Days
  • University of California - Irvine Health
  • Orange, CA FULL_TIME
  • Updated: Apr 21, 2024 Location: Orange Job Type: Department: Population Health UC Title: PHARMACIST 5Position Number: 41083769Reports to: Admin Director Pop Hlth MgmtWorking Title: Managed Care Pharma...
  • 3 Days Ago

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Account Executive
  • Apex Home Health & Hospice Care
  • Irvine, CA FULL_TIME
  • Full Job Description At Apex Home Health and Hospice, we have an unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real...
  • 2 Months Ago

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Veterinarian $Top
  • Nirvana Health & Wellness
  • Huntington, CA FULL_TIME
  • Veterinarian $OpenPrivate PracticeFull Time or Part TimeSmall Animals and Large Great Hours and Days - All Shifts, FlexiableAmazing Vet and Wonderful Staff!Prioritize traumatic injuries and serious il...
  • 1 Month Ago

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Employment Litigation Associate
  • Top Tier Reps LLC
  • Irvine, CA FULL_TIME
  • We are seeking a motivated attorney with 5-7 years of experience working on the defense of employment litigation matters. If you are looking for great benefits, solid mentorship with the ability to gr...
  • 18 Days Ago

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0 Top Managed Care Executive jobs found in Huntington Beach, CA area

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Chief Operating Engineer
  • JLL
  • Huntington Beach, CA
  • JLL supports the Whole You, personally and professionally. Our people at JLL are shaping the future of real estate for a...
  • 4/26/2024 12:00:00 AM

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Cook
  • Islands Restaurants
  • Newport Beach, CA
  • NOW HIRING! Cooks receive an average of $2.00 more per hour with tips! Who We Are: For over 40 years, Islands has provid...
  • 4/26/2024 12:00:00 AM

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Assistant Deli Manager
  • Sprouts Farmers Market
  • Huntington Beach, CA
  • Job Introduction: Do you enjoy preparing and cooking meals? Does overseeing a specialized team excite you? Do you have a...
  • 4/25/2024 12:00:00 AM

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Caregiver (HCA/PER ID) - Flexible Schedules Available
  • Home Care Assistance
  • Huntington Beach, CA
  • Location: Huntington Beach, Orange County and surrounding communities Now hiring for full-time, part-time and overnight ...
  • 4/24/2024 12:00:00 AM

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Senior Manager, HR Business Partner
  • Hyundai Motor America
  • Fountain Valley, CA
  • At Hyundai, we've rethought our business and created cars that combine performance, quality, design and innovation into ...
  • 4/24/2024 12:00:00 AM

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Crew Member
  • Firehouse Subs
  • Huntington Beach, CA
  • NOW HIRING - Firehouse Subs - Huntington Beach; Surf City, USA! Apply to work at one of the nation's fastest growing res...
  • 4/23/2024 12:00:00 AM

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Global Director of Research and Scientific Strategy
  • Evolus
  • Newport Beach, CA
  • Description Evolus, Inc. is a performance beauty company focused on providing physicians and their patients with expande...
  • 4/23/2024 12:00:00 AM

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Alternative Investments Operations Specialist
  • Corient Private Wealth LLC
  • Newport Beach, CA
  • Join a team that values your ambition and empowers your growth At Corient, we help high- and ultra-high-net-worth indivi...
  • 4/22/2024 12:00:00 AM

Huntington Beach is a seaside city in Orange County in Southern California. The city is named after American businessman Henry E. Huntington. The population was 189,992 during the 2010 census, making it the most populous beach city in Orange County and the seventh most populous city in the Los Angeles-Long Beach-Anaheim, CA Metropolitan Statistical Area.[citation needed] Its estimated 2014 population was 200,809. It is bordered by Bolsa Chica Basin State Marine Conservation Area on the west, the Pacific Ocean on the southwest, by Seal Beach on the northwest, by Westminster on the north, by Fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$233,446 to $414,167
Huntington Beach, California area prices
were up 3.0% from a year ago

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Nearly 200 executives from provider organizations, benefit management organizations, health plans, long-term care organizations, and group purchasing organizations responded to the survey.
December 31, 2019