Managed Care Supervisor jobs in Oceanside, 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
  • San Diego, 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.
  • 7 Days Ago

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Data Management Specialist
  • Southern California Physicians Managed Care...
  • San Diego, CA FULL_TIME
  • Department: Information Technology Level: Non-Supervisory Reports To: Directory of Information Technology and Security Private Health Information (PHI): Position has complete access to electronic PHI....
  • 1 Day Ago

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Provider/Benefit Data Support Specialist
  • Southern California Physicians Managed Care...
  • San Diego, CA FULL_TIME
  • Department: Finance Level: Non-supervisory Reports To: Manager Revenue Recovery & Reimbursement Private Health Information (PHI): Position requires read/write access to providers and fee schedules. Re...
  • 1 Month Ago

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Data Management Specialist
  • Southern California Physicians Managed Care Services
  • San Diego, CA FULL_TIME
  • Position Title: Data Management Specialist Department: Information Technology Level: Exempt, Non-Supervisory Reports To: Directory of Information Technology and Security Position's Access to Private H...
  • 2 Months Ago

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Sr Managed Care Biller/Collector - Patient Accounting
  • Paradise Valley Hospital
  • National, CA FULL_TIME
  • Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredi...
  • 23 Days Ago

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Mobile Diesel Technician - Advanced
  • Managed Mobile
  • San Diego, 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...
  • 22 Days Ago

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0 Managed Care Supervisor jobs found in Oceanside, CA area

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Activities Assistant
  • Sunrise Senior Living
  • Oceanside, CA
  • Overview "It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing...
  • 3/28/2024 12:00:00 AM

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Food & Beverage Supervisor
  • GRAND PACIFIC RESORTS INC
  • Carlsbad, CA
  • Job Details Job Location Grand Pacific Hotel Services LP - Carlsbad, CA Position Type Full Time Salary Range $20.50 - $2...
  • 3/28/2024 12:00:00 AM

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Lead, Home Care Supervisor - $25/hour
  • Vacasa LLC
  • San Diego, CA
  • **Lead, Home Care Supervisor - $25/hour** at Vacasa San Diego, CA ***TurnKey is now part of the Vacasa family!*** **Lead...
  • 3/27/2024 12:00:00 AM

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Code Compliance Inspector
  • North County Transit District
  • Oceanside, CA
  • Salary : $44,456.89 - $66,674.11 Annually Location : Oceanside Transit Center, CA Job Type: Full-time Job Number: FY2024...
  • 3/27/2024 12:00:00 AM

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ENVIRONMENTAL SERVICE AIDE
  • Tri City Healthcare District
  • Oceanside, CA
  • Job Locations: US-CA-Oceanside Overview: Tri-City Medical Center has served San Diego Countys coastal communities of Car...
  • 3/27/2024 12:00:00 AM

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Clinic LVN (Licensed Vocational Nurse)
  • Vivo HealthStaff
  • Escondido, CA
  • Vivo HealthStaff is recruiting for Clinic LVNs in San Marcos, California for a large geriatric healthcare organization. ...
  • 3/25/2024 12:00:00 AM

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Business Development Representative
  • Comfort Keepers
  • San Diego, CA
  • WORK WITH THE Premier Home Care Agency in San Diego! This Business Development Representative is for an energetic, aggre...
  • 3/24/2024 12:00:00 AM

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Activities Assistant
  • Sunrise Senior Living
  • Oceanside, CA
  • Overview "It makes me feel good knowing that we make the residents’ lives better. We laugh with them, cry with them, sin...
  • 3/18/2024 12:00:00 AM

Oceanside is a coastal city located on California's South Coast. It is the third-largest city in San Diego County, California. The city had a population of 167,086 at the 2010 census. Together with Carlsbad and Vista, it forms a tri-city area. Oceanside is located just south of Marine Corps Base Camp Pendleton. Oceanside is at 33°12′42″N 117°19′33″W / 33.21167°N 117.32583°W / 33.21167; -117.32583 (33.211566, -117.325701). According to the United States Census Bureau, the city has a total area of 42.2 square miles (109 km2), of which 41.2 square miles (107 km2) is land and 0.9 square miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$82,689 to $114,124
Oceanside, California area prices
were up 2.6% 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