Top Managed Care Executive jobs in El Cajon, 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.
  • 8 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....
  • 2 Days 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...
  • Just Posted

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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...
  • 24 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 ...
  • 1 Day Ago

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0 Top Managed Care Executive jobs found in El Cajon, CA area

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Human Resources Business Partner (Las Vegas or Atlanta, GA 3 days in office)
  • IPS- Integrated Practice Solutions
  • San Diego, CA
  • Our Company: With a legacy spanning over 20 years, Integrated Practice Solutions is the market leader in practice manage...
  • 3/29/2024 12:00:00 AM

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Flex Ambassador
  • Blackstone Consulting
  • San Diego, CA
  • Description/Job Summary Position:Customer Service Ambassador, Healthcare FSLA Status: Non- Exempt Shift: Mon, Weds & Thu...
  • 3/29/2024 12:00:00 AM

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Line Cook - El Torito
  • Xperience XRG
  • La Mesa, CA
  • XRG FIELD HOURLY POSITIONS: Join the XRG Team: Where Passion for Hospitality Meets Limitless Opportunities! At Xperience...
  • 3/28/2024 12:00:00 AM

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Certified Home Health Aide - Hospice - Night Shift - Full-time
  • Sharp Healthplan
  • La Mesa, CA
  • Hours Shift Start Time: 7 PM Shift End Time: 7:30 AM Additional Shift Information: Weekend Requirements: As Needed On-Ca...
  • 3/28/2024 12:00:00 AM

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Senior Principal RFIC Design Engineer
  • Kyocera
  • San Diego, CA
  • Kyocera International, Inc. has an opening for an experienced Senior Principal RFIC Design engineer to lead Synthesizer/...
  • 3/28/2024 12:00:00 AM

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Enterprise Account Executive
  • AbacusNext
  • San Diego, CA
  • CARET brings the latest in technology and automation to over 10,000 legal and accounting firms, empowering highly skille...
  • 3/28/2024 12:00:00 AM

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Business Development Representative
  • Actalent
  • San Diego, CA
  • Overview: Actalent connects passion with purpose and our vision is to impact millions of lives through engineering and s...
  • 3/27/2024 12:00:00 AM

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Store Assets Protection Executive Intern (Store AP Leadership Intern)- Greater San Diego Area, California (Starting Summer 2024)
  • Target
  • La Mesa, CA
  • Pay Range / Rango salarial: $16.92 USD - $28.75 USD per hour ALL ABOUT TARGET As a Fortune 50 company with more than 400...
  • 1/19/2024 12:00:00 AM

El Cajon (/ɛlkəˈhoʊn/; Spanish: [elkaˈxon]) is a city in San Diego County, California, United States, 17 mi (27 km) east of Downtown San Diego. The city, located in a valley surrounded by mountains, has acquired the nickname of "The Box." Its name originated similarly, from the Spanish phrase "el cajón," which means "the box" or "the drawer."...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$226,606 to $402,031
El Cajon, California area prices
were up 2.6% from a year ago

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