Managed Care Supervisor jobs in Bakersfield, CA

Managed Care Supervisor 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. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor 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. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Bakersfield, 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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Weekend RN Supervisor Porterville
  • Sweetwater Care
  • Porterville, CA FULL_TIME
  • FullShift Staffing is here to serve the Central Valley!! We have RN opportunities in Various Roles! Need Something Per-Diem or Part Time??? Come work with us! Position Description Responsible for supp...
  • 9 Days Ago

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RN Supervisor-Weekend
  • River Walk Care Center
  • Porterville, CA FULL_TIME
  • RN Supervisor Weekend position at Porterville Comvalescent. Excellent pay ($40-$45) per hour based on your total years as an RN. Responsibilities of the RN Supervisor Weekend position include but are ...
  • 25 Days Ago

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RN IV NURSE / Registered Nurse / Weekend Supervisor
  • Sweetwater Care
  • Delano, CA PART_TIME
  • $45-$50/HR (RN) Job Summary If you are compassionate and love to take care of people, then we invite you to consider us as your new employer. We are needing RNS and LVNS for all hours full and part-ti...
  • 2 Days Ago

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RN IV NURSE / Registered Nurse / Weekend Supervisor
  • Valley View Care Center
  • Delano, CA FULL_TIME
  • $45-$50/HR (RN) Job Summary If you are compassionate and love to take care of people, then we invite you to consider us as your new employer. We are seeking a RN suervisor for weekend coverage. We are...
  • Just Posted

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Camp Lakota Health Care Supervisor
  • Girl Scouts Of Greater Los Angeles
  • Frazier Park, CA TEMPORARY
  • Position InformationPay: $180/dayLength of Work Assignment: June 2024-August 2024 Location: *** Frazier Park, CA *** Position SummaryThe Health Supervisor, under the supervision of the Camp Director a...
  • 13 Days Ago

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0 Managed Care Supervisor jobs found in Bakersfield, CA area

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/26/2024 12:00:00 AM

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RN Clinical Supervisor
  • Maxim Healthcare
  • Bakersfield, CA
  • Maxim Healthcare Services is hiring for a RN/Clinical Supervisor in our Bakersfield, CA office Plus, a $5,000 Sign on Bo...
  • 4/26/2024 12:00:00 AM

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Personal Care Attendant Manager
  • Bakersfield Pace By Innovative Integrated Health
  • Bakersfield, CA
  • Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
  • 4/26/2024 12:00:00 AM

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Supervisory Legal Admin Specialist (Estate & Gift Tax) 12 month register Direct Hire Amended
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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Behavioral Health Therapist (ASW/MSW/AMFT)- Wilson Children's
  • Clinica Sierra Vista
  • Bakersfield, CA
  • Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored...
  • 4/25/2024 12:00:00 AM

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Internal Revenue Agent- Senior Revenue Agent (Examiner), 12-month Roster
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at:...
  • 4/24/2024 12:00:00 AM

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Psychiatric Technician (safety)
  • State of California
  • Bakersfield, CA
  • Job Description and Duties IRONWOOD STATE PRISON IS LOCATED IN BLYTHE, CA, WHICH IS ON THE BORDER OF ARIZONA AND CALIFOR...
  • 4/24/2024 12:00:00 AM

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$80,792 to $111,502
Bakersfield, California area prices
were up 2.5% from a year ago

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The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
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Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
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The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
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