Managed Care Supervisor jobs in Garden Grove, 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
  • Anaheim, 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.
  • 8 Days Ago

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Apprentice Diesel Technician
  • Managed Mobile
  • Anaheim, CA FULL_TIME
  • Managed Mobile, Inc. is the market leader for commercial fleet maintenance in California and Nevada. We have an excellent entry level opportunity for new Technicians with little to no experience. Our ...
  • 22 Days Ago

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Mobile Diesel Technician - Advanced
  • Managed Mobile
  • Chino, CA FULL_TIME
  • Managed Mobile is looking for an advanced level Journeyman Technician with a wide breadth of experience who can diagnose and repair medium/heavy duty trucks. The selected candidate will work independe...
  • 23 Days Ago

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Mobile Diesel Technician - Advanced
  • Managed Mobile
  • Anaheim, CA FULL_TIME
  • Managed Mobile is looking for an advanced level Journeyman Technician with a wide breadth of experience who can diagnose and repair medium/heavy duty trucks. The selected candidate will work independe...
  • 23 Days Ago

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Accounting Assistant
  • Managed Mobile
  • Anaheim, CA FULL_TIME
  • The Accounting Assistant a multi-faceted role that is highly interactive within the accounting department. The Accounting Assistant will perform a core role of responsibility but will be cross trained...
  • 2 Days Ago

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Client Account Manager
  • Managed Mobile
  • Placentia, CA FULL_TIME
  • The Client Account Manager will learn the details of the sales process as well as develop the skills necessary to execute client acquisition and retention. The Client Account Manager will eventually d...
  • 8 Days Ago

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0 Managed Care Supervisor jobs found in Garden Grove, CA area

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Mobile Sales
  • Spectrum
  • Garden Grove, CA
  • Job Description Connect people and communities by offering best-in-class telecommunication services through door-to-door...
  • 3/28/2024 12:00:00 AM

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Sales Representative
  • Spectrum
  • Garden Grove, CA
  • Job Description Connect people and communities by offering best-in-class telecommunication services through door-to-door...
  • 3/28/2024 12:00:00 AM

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Territory Sales
  • Spectrum
  • Garden Grove, CA
  • Job Description Connect people and communities by offering best-in-class telecommunication services through door-to-door...
  • 3/28/2024 12:00:00 AM

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Outside Sales Representative
  • Spectrum
  • Garden Grove, CA
  • Job Description Connect people and communities by offering best-in-class telecommunication services through door-to-door...
  • 3/28/2024 12:00:00 AM

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Front Desk Coordinator - Westminster, CA
  • The Joint Chiropractic
  • Westminster, CA
  • Bilingual preferred (English/Vietnamese) Are you looking for a company you can grow your career with and advance in? Are...
  • 3/28/2024 12:00:00 AM

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Dispatch & Customer Relationship Manager
  • Monkey Wrench Plumbing Co.
  • Monterey Park, CA
  • * Monterey Park, CA, USA * $58,000-$65,000 * Salary * Full Time *Paid sick time, paid holidays, paid vacation, health in...
  • 3/27/2024 12:00:00 AM

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Shift Supervisor
  • WORKING ALTERNATIVES INC
  • Garden Grove, CA
  • Signing & Retention Bonus offered upon first pay period and six months thereafter if continuous employment is maintained...
  • 3/27/2024 12:00:00 AM

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LPHA (Clinical Care) Supervisor
  • Health Right 360
  • Pasadena, CA
  • Job Description Job Description HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by provi...
  • 3/25/2024 12:00:00 AM

Garden Grove is a city in northern Orange County, California, United States, located 34 miles (55 km) southeast of the city of Los Angeles in the Los Angeles metropolitan area. The population was 170,883 at the 2010 United States Census. State Route 22, also known as the Garden Grove Freeway, passes through the city in an east-west direction. The western portion of the city is known as West Garden Grove. According to the United States Census Bureau, the city has a total area of 46.5 km2 (18.0 sq mi) 0.10% of which is water. West Garden Grove is west of Beach Boulevard....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$85,504 to $118,009
Garden Grove, California area prices
were up 3.2% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
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
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020