Managed Care Finance Director jobs in Anaheim, CA

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (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.
  • 1 Month Ago

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Director of Finance
  • ADC Aerospace
  • Buena, CA FULL_TIME
  • ADC Aerospace is a well-known turnkey manufacturer with a focus on high-complexity casting, machining, and value-added solutions for the aerospace, defense, medical, automotive, and industrial markets...
  • 13 Days Ago

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Director of Finance
  • Hotel Viv Anaheim
  • Anaheim, CA FULL_TIME
  • Looking to work at a magical place? Located just a short drive from Disneyland, at the Hotel Viv Anaheim we create moments of unexpected wonder for our guests and our associates. We have an immediate ...
  • 25 Days Ago

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Director of Finance
  • Crescent Hotels & Resorts
  • Anaheim, CA FULL_TIME
  • Looking to work at a magical place? Located just a short drive from Disneyland, at the Hotel Viv Anaheim we create moments of unexpected wonder for our guests and our associates. We have an immediate ...
  • 25 Days Ago

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Director of Finance
  • The Viv Hotel, Anaheim, a Tribute Portfolio Hotel
  • Anaheim, CA FULL_TIME
  • Description Looking to work at a magical place? Located just a short drive from Disneyland, at the Hotel Viv Anaheim we create moments of unexpected wonder for our guests and our associates. We have a...
  • 25 Days Ago

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Director of Finance (FT)
  • Planned Parenthood
  • Anaheim, CA FULL_TIME
  • Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for an Director of Finance in Anaheim, CA The Director of Finance will lead and direct activities within the Financ...
  • 16 Days Ago

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0 Managed Care Finance Director jobs found in Anaheim, CA area

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Regional Hotel Finance Director
  • Hospitality Spotlight
  • Sunset Beach, CA
  • Job Description Hospitality Spotlight is working with a luxury client in Southern California and we are looking for a ho...
  • 4/26/2024 12:00:00 AM

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CFO/FUND RAISER
  • Guaranty Investment Company Inc
  • Riverside, CA
  • Our Real Estate Flipping startup is seeking a highly motivated and experienced Chief Financial Officer/Fundraising Manag...
  • 4/26/2024 12:00:00 AM

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Controller / Senior Accountant / CFO
  • International Staffing Consultants, Inc.
  • Pasadena, CA
  • Chief Financial Officer A market leading company in the food and beverage industry is looking to hire a CFO. This role i...
  • 4/26/2024 12:00:00 AM

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Controller / Senior Accountant / CFO
  • Management Business Solutions
  • Pasadena, CA
  • Chief Financial Officer A market leading company in the food and beverage industry is looking to hire a CFO. This role i...
  • 4/26/2024 12:00:00 AM

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Executive Assistant, CFO
  • MRC
  • West Hollywood, CA
  • MRC is a diversified global entertainment company with divisions including Film and Television. Role Description: The Ex...
  • 4/25/2024 12:00:00 AM

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CFO
  • GHJ
  • Los Angeles, CA
  • GHJ Search and Staffing serves as the recruitment division of GHJ, a prominent national accounting and advisory firm. Ou...
  • 4/25/2024 12:00:00 AM

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CFO/FUND RAISER
  • Guaranty Investment Company, Inc
  • Riverside, CA
  • Our Real Estate Flipping startup is seeking a highly motivated and experienced Chief Financial Officer/Fundraising Manag...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer CFO
  • Founder Centered
  • Irvine, CA
  • Job Description Job DescriptionWe are in search of an accomplished and strategic Chief Financial Officer (CFO) to join o...
  • 4/24/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$158,185 to $204,396
Anaheim, California area prices
were up 3.2% from a year ago

Managed Care Finance Director in Portsmouth, NH
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Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys.
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Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020