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Alternate job titles: Chief Managed Care Officer | Vice President - Managed Care

Plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Requires a bachelor's degree. Typically reports to a top management. 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. Typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. more...



Alternate job titles: Managed Care Finance Operations 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. Implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function a more...


Alternate job titles: Top Managed Care Executive | Vice President - Managed Care

The Chief Managed Care Officer is responsible for directing and implementing managed care systems for healthcare facilities. Plans and directs all aspects of an organization's managed care function. Being a Chief Managed Care Officer typically reports to top management. Requires a bachelor's degree. The Chief Managed Care Officer 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. Comprehensive knowledge of the overall departmental function. Wo more...


Alternate job titles: Top Managed Care Executive | Chief Managed Care Officer

The Vice President - Managed Care is responsible for directing and implementing managed care systems for healthcare facilities. Plans and directs all aspects of an organization's managed care function. Being a Vice President - Managed Care typically reports to top management. Requires a bachelor's degree. The Vice President - Managed Care 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. Comprehensive knowledge of the overall departmental fun more...



Alternate job titles: Chief Primary Care Services | Vice President - Patient Care

Directs, plans, develops, and implements patient care programs and services. Creates and implements policies and procedures for care delivery. Manages all clinical patient care functions including nursing services, and ancillary services such as radiology, laboratory, pharmacy, rehabilitation and social services. Monitors the performance of patient care services, benchmarks the performance against government agency standards, and implements changes as necessary. Assists top management in resolving operational issues and developing strategic plans for improved patient care. Typically requires a more...


Alternate job titles: Managed Care Finance Director

The Managed Care Finance Operations Director manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Being a Managed Care Finance Operations Director requires a bachelor's degree. Implements processes that encourage and inform the organization how to increase levels of reimbursements. In addition, Managed Care Finance Operations Director typically reports to top management. The more...



Alternate job titles: E-commerce Customer Care Executive | Head of E-commerce Customer Support Operations | Vice President of E-commerce Customer Service Operations

Leads and oversees all aspects of Web customer service operations. Investigates and leverages technology to enhance Web customer service experience. Requires a bachelor's degree. Typically reports to top management. 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. Comprehensive knowledge of the overall departmental function. Typically requires 8+ years of managerial experience. more...


Alternate job titles: Clinical/Hospital Pharmacist | Registered Pharmacist | RPh

There is currently no job description for Managed Care Pharmacist. Be the first to submit the job responsibilities for a Managed Care Pharmacist.


Alternate job titles: Care and Utilization Review Nurse Coordinator

Coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). Has gained full p more...



Alternate job titles: Care and Utilization Review Nurse Manager

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. Experienced in utilization review techniques and protocols. Requires a bachelor's degree. 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. Supervises a group of primarily para-professional level staffs. more...


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