Top Managed Care Executive jobs in Chula Vista, CA

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (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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Executive Caregiver
  • Cheer Home Care
  • Oceanside, CA PART_TIME
  • Are you looking to make a POSITIVE IMPACT in your community? Do you LOVE spending time with older adults? Do you have a PASSION for giving back to those in need? Do you want to “Be the Reason Someone ...
  • Just Posted

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0 Top Managed Care Executive jobs found in Chula Vista, CA area

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Front Desk Coordinator - Chula Vista, CA
  • The Joint Chiropractic
  • Chula Vista, CA
  • The Opportunity: At The Joint, our mission is to improve the quality of life through routine and affordable Chiropractic...
  • 3/28/2024 12:00:00 AM

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Electrician
  • Department of Defense
  • Coronado, CA
  • Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be...
  • 3/28/2024 12:00:00 AM

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Research Physician II - Infectious Disease
  • The Henry M. Jackson Foundation for the Advancement of Military Medicine
  • San Diego, CA
  • Join the HJF Team! HJF is seeking a Research Physician II to provide scientific, technical, and programmatic support ser...
  • 3/28/2024 12:00:00 AM

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Customer Service & Sales Associate
  • Riverside Payments
  • Chula Vista, CA
  • Job Description Job Description Who we are: What are you working for? Sure, most people work for money, but beyond that....
  • 3/28/2024 12:00:00 AM

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Building Engineer- Plumber
  • JLL
  • San Diego, CA
  • JLL supports the Whole You, personally and professionally. Our people at JLL are shaping the future of real estate for a...
  • 3/28/2024 12:00:00 AM

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Police Officer
  • Department of Defense
  • Coronado, CA
  • Summary You will serve as a Police Officer for the DEPARTMENT OF THE NAVY. Learn more about this agency Help Overview * ...
  • 3/26/2024 12:00:00 AM

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Assistant General Manager (AGM)
  • Round One Entertainment Inc.
  • National City, CA
  • Job Description Job Description Are you into video games, bowling, and karaoke? Are you friendly and outgoing? Do you en...
  • 3/24/2024 12:00:00 AM

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General Manager (Entertainment Center)
  • Round One Entertainment Inc.
  • National City, CA
  • Job Description Job Description Are you into video games, bowling, and karaoke? Are you friendly and outgoing? Do you en...
  • 3/24/2024 12:00:00 AM

Chula Vista (/ˌtʃuːlə ˈvɪstə/; English: beautiful view ) is the second largest city in the San Diego metropolitan area, the seventh largest city in Southern California, the fourteenth largest city in the state of California, and the 74th-largest city in the United States. The population was 243,916 as of the 2010 census. Located just 7.5 miles (12.1 km) from downtown San Diego and 7.5 miles (12.1 km) from the Mexican border in the South Bay region of the metropolitan area, the city is at the center of one of the richest economic and culturally diverse zones in the United States. Chula Vista is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$227,279 to $403,226
Chula Vista, California area prices
were up 2.6% from a year ago

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