Managed Care Finance Director jobs in Hawaii

Managed Care Finance 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. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Honolulu, HI 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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Managed care coordinator
  • Adventist Health NW
  • Kailua, HI FULL_TIME
  • Adventist Health Castle is the only organization in Hawaii to have received the Baldrige National Quality Award. This award is the highest level of national recognition for performance excellence that...
  • 16 Days Ago

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Managed Care Contracts Analyst
  • The Queen's Health System
  • Honolulu, HI FULL_TIME
  • We are, and always will be, dedicated to improving the health of Native Hawaiians and all of the people of Hawai‘i. The Queen’s Health System began with a single hospital in 1859 founded by Queen Emma...
  • 1 Month Ago

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Managed Care Coordinator, FT, Days
  • Adventist Health
  • Kailua, HI FULL_TIME
  • Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent...
  • 15 Days Ago

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Director of Finance
  • Mauna Lani
  • Waimea, HI FULL_TIME
  • Company Description Situated on sacred land marked by royal fish ponds, natural lava plains, lush tropical gardens and alluring beaches, Mauna Lani – meaning “mountain reaching heaven,” is an inspirin...
  • 24 Days Ago

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Director of Finance
  • Ala Moana Hotel by Mantra
  • Honolulu, HI FULL_TIME
  • **Hawai'i residents preferred - Relocation assistance not available **JOB DESCRIPTIONReports To: General ManagerPOSITION PURPOSESupport the General Manager to lead the strategic direction of the busin...
  • 3 Days Ago

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 3/28/2024 12:00:00 AM

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CFO/Controller
  • GRIP - Training Institute
  • Berkeley, CA
  • CFO/Controller Organization: GRIP Training Institute: https://grip-traininginstitute.org Location, Hybrid: Berkeley, CA ...
  • 3/28/2024 12:00:00 AM

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Finance Director
  • CFO
  • Park Ridge, IL
  • Job Description Job Description Finance Director – Park Ridge, IL (Hybrid) Compensation: $150,000-$180,000 + Bonus and F...
  • 3/28/2024 12:00:00 AM

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CFO Controller
  • Distributor
  • Monroe, LA
  • Job Description Job Description Position: CFO / Financial Controller Location: Monroe, LA Benefits: Dental insurance Hea...
  • 3/26/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 3/26/2024 12:00:00 AM

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Fractional CFO / Controller
  • W.W. Nash & Sons, Inc.
  • Richmond, VA
  • Company Description W.W. Nash & Sons, and W.W. Nash Construction Company are two dynamic companies working under the sam...
  • 3/25/2024 12:00:00 AM

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Senior Finance Director (Division CFO)
  • Korn Ferry
  • Houston, TX
  • Korn Ferry Professional Search has partnered with our client on their search for a Divisional CFO. This position will be...
  • 3/25/2024 12:00:00 AM

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CFO/Controller
  • GRIP - Training Institute
  • Berkeley, CA
  • CFO/Controller Organization: GRIP Training Institute: https://grip-traininginstitute.org Location, Hybrid: Berkeley, CA ...
  • 3/24/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$149,243 to $192,853

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020