Managed Care Coordinator jobs in Seattle, WA

Managed Care 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. Being a Managed Care Coordinator 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. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (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.
  • 7 Days Ago

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Warehouse Worker
  • Managed Staffing
  • Bothell, WA FULL_TIME
  • Job Title: Warehouse PersonLocation: Bothell, WA 98021Experience Requirement: Minimum 3 years of warehouse experience; High-tech industry preferredSummary: We are seeking a Warehouse Person to join ou...
  • 2 Days Ago

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Patient Care Coordinator
  • Vision Care Bellevue
  • Bellevue, WA FULL_TIME
  • Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Duties and Responsibilities Acknow...
  • Just Posted

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Patient Care Coordinator I
  • Seattle Cancer Care Alliance
  • Seattle, WA OTHER
  • Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattl...
  • 10 Days Ago

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Scheduling Coordinator
  • Serengeti Care
  • Renton, WA FULL_TIME
  • Discover the Perfect Harmony: Join Our Team as a Home Care Scheduling Coordinator!Are you ready to make a real difference in people's lives while showcasing your organizational prowess? Look no furthe...
  • 3 Days Ago

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Unit Care Coordinator (Registered Nurse/RN)
  • Life Care Center of Kirkland
  • Kirkland, WA FULL_TIME
  • Our team of champions at Life Care Center of Kirkland, Washington, is proud to have been named Best Nursing Home not just once but twice! Newsweek Magazine named us a Best Nursing Home for 2021, and U...
  • 20 Days Ago

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0 Managed Care Coordinator jobs found in Seattle, WA area

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Field Care Coordinator
  • One Medical
  • Seattle, WA
  • About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordab...
  • 3/27/2024 12:00:00 AM

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Field Care Coordinator
  • One Medical
  • Medina, WA
  • About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordab...
  • 3/27/2024 12:00:00 AM

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Patient Care Coordinator
  • Optum
  • Seattle, WA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 3/26/2024 12:00:00 AM

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Patient Care Coordinator
  • Optum
  • Southworth, WA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 3/26/2024 12:00:00 AM

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Patient Care Coordinator
  • Optum
  • Medina, WA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 3/25/2024 12:00:00 AM

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Patient Care Coordinator
  • Optum
  • Manchester, WA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 3/25/2024 12:00:00 AM

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Patient Care Coordinator
  • Optum
  • South Colby, WA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 3/25/2024 12:00:00 AM

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Client Care Coordinator
  • Mindful Support Services
  • Mountlake Terrace, WA
  • Job Type: Full-time; In-Office; hiring multiple candidates for this position as our company grows! Salary: $21.00 per ho...
  • 3/24/2024 12:00:00 AM

Seattle (/siˈætəl/ (listen) see-AT-əl) is a seaport city on the West Coast of the United States. It is the seat of King County, Washington. With an estimated 730,000 residents as of 2018[update], Seattle is the largest city in both the state of Washington and the Pacific Northwest region of North America. According to U.S. Census data released in 2018, the Seattle metropolitan area’s population stands at 3.87 million, and ranks as the 15th largest in the United States. In July 2013, it was the fastest-growing major city in the United States and remained in the Top 5 in May 2015 with an annual...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$54,743 to $93,950
Seattle, Washington area prices
were up 2.8% from a year ago

Managed Care Coordinator in San Francisco, CA
Care managers also sometimes provide case management--for example, information about transportation assistance, food programs, and other social services.
December 12, 2019
Managed Care Coordinator in Santa Barbara, CA
Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes.
February 02, 2020
Managed Care Coordinator in Orange, CA
Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020