Managed Care Supervisor jobs in New Mexico

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
  • Albuquerque, NM 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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Clinical Supervisor - Edgewood - Duke City Primary Care
  • Duke City Urgent Care
  • Edgewood, NM FULL_TIME
  • Salary: $40,000 - 60,000 annually Duke City Primary Care is looking to add an exceptional Clinical Supervisor to join our team in Albuquerque, New Mexico! At Duke City, we pride ourselves on offering ...
  • 2 Days Ago

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Airport Rental Car Driver ($14.03 per hour)
  • Managed Labor Solutions
  • Santa Fe, NM FULL_TIME
  • Do you enjoy working outside an office and are passionate about driving late-model cars? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental ca...
  • 9 Days Ago

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Airport Rental Car Cleaner
  • Managed Labor Solutions
  • Santa Fe, NM FULL_TIME
  • Do you enjoy late model cars, have a good attention to detail, and need a flexible schedule? Managed Labor Solutions (MLS) , a leading nationwide rental car outsourcing company, is looking for high en...
  • 1 Month Ago

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Airport Rental Car Cleaner ($15.00 per hour)
  • Managed Labor Solutions
  • Santa Fe, NM FULL_TIME
  • Do you enjoy late model cars, have a good attention to detail, and need a flexible schedule? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, is looking for high ene...
  • 1 Month Ago

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Airport Rental Car Cleaner ($12.00 per hour)
  • Managed Labor Solutions
  • Albuquerque, NM FULL_TIME
  • Do you enjoy late model cars and have a good attention to detail? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, ...
  • 1 Month Ago

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Care Supervisor
  • Help At Home
  • Natchez, MS
  • Help at Home is hiring a Care Supervisor! Offering weekly pay! Help at Home, LLC is the nations leading provider of high...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help At Home
  • Starkville, MS
  • Help at Home is hiring a Care Supervisor! Now offering weekly pay! Help at Home, LLC is the nations leading provider of ...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help At Home
  • Warren, PA
  • Help at Home is hiring a Care Supervisor (Customer Service Representative)! Help at Home is the nations leading provider...
  • 4/26/2024 12:00:00 AM

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Customer Care Supervisor
  • PLS Financial Services, Inc.
  • Oak Brook, IL
  • Overview: PLS: People. Location. Service PLSwhich stands for People Location - Serviceis a leading retail provider of al...
  • 4/26/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Dayville, CT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Natchez, MS
  • Help at Home is hiring a Care Supervisor! Offering weekly pay! Help at Home, LLC is the nation’s leading provider of hig...
  • 4/23/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Starkville, MS
  • Help at Home is hiring a Care Supervisor! Now offering weekly pay! Help at Home, LLC is the nation’s leading provider of...
  • 4/23/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Warren, PA
  • Help at Home is hiring a Care Supervisor (Customer Service Representative)! Help at Home is the nation’s leading provide...
  • 4/23/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$70,207 to $96,894

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