Managed Care Supervisor jobs in Colorado

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
  • Denver, CO 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.
  • 2 Months Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Colorado, CO 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 medicatio...
  • 2 Months Ago

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Integrated Care Supervisor
  • Summit Community Care Clinic
  • Frisco, CO FULL_TIME
  • Apply Here: https://secure.onehcm.com/ta/SCCCI.jobs?ShowJob=553797315&TrackId=really The Integrated Care Supervisor is responsible for the implementation, management, and daily operations of the integ...
  • Just Posted

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Vans Part-Time Retail Supervisor/Manager
  • Vans Retail Supervisor (Park Meadows, Lone Tree CO)
  • Littleton, CO PART_TIME
  • Job Description Summary Job Ad SupervisorAs a passionate, fun and dedicated Floor Supervisor, you are an important part of the store leadership team, ensuring the highest level of customer engagement ...
  • Just Posted

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Operation supervisor
  • Columbia Care
  • Fort Collins, CO FULL_TIME
  • Reports to : General Manager; Manager, Retail Operations Position Overview : The Supervisor, Retail Operations is responsible for assisting the Managers with interfacing, consulting with qualified pat...
  • 15 Days Ago

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Operation supervisor
  • Columbia Care
  • Northglenn, CO FULL_TIME
  • Reports to : General Manager; Manager, Retail Operations Position Overview : The Supervisor, Retail Operations is responsible for assisting the Managers with interfacing, consulting with qualified pat...
  • 15 Days Ago

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Animal Care Supervisor
  • Petco
  • Encino, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/9/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Fort Myers, FL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/9/2024 12:00:00 AM

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 5/8/2024 12:00:00 AM

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Client Care Supervisor
  • Family Resource Home Care
  • Corvallis, OR
  • Family Resource Home Care is a leading home care agency dedicated to providing high-quality, compassionate care to our c...
  • 5/8/2024 12:00:00 AM

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Child Care Supervisor
  • Stratton Mountain
  • Stratton Mountain, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 5/6/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Wellington, FL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/6/2024 12:00:00 AM

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Customer Care Supervisor
  • Guardian Alarm Company of Michigan
  • Southfield, MI
  • General Purpose and Essential Duties: The Customer Care Supervisor is responsible for the coaching and development of a ...
  • 5/6/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Waterford, CT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/6/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$77,839 to $107,422

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020