Managed Care Finance Director jobs in Bakersfield, 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
  • Bakersfield, 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, Finance and Grants (COF)
  • Kern Community College District
  • Bakersfield, CA FULL_TIME
  • Director, Finance and Grants (COF)Kern Community College DistrictSalary: $108,959.09 - $142,963.77 AnnuallyJob Type: Full TimeJob Number: FY22-2300591Location: Bakersfield, CADepartment: Basic Functio...
  • 20 Days Ago

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Director of Rehab
  • Sweetwater Care
  • Porterville, CA FULL_TIME
  • Director of Rehab Benefits and Perks for our full-time employees: Competitive pay commensurate with your experience and location Paid time off Health and life insurance benefits 401K available Therapy...
  • 9 Days Ago

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Director of Rehabilitation
  • Sweetwater Care
  • Delano, CA FULL_TIME
  • POSITION DESCRIPTION Responsible for the following rehabilitation services: Rehabilitation, Acute Therapy including Physical Therapy, Occupational Therapy and Speech Therapy. With the direction from t...
  • 1 Month Ago

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Marketing Director
  • Sequoia Transitional Care
  • Porterville, CA FULL_TIME
  • Sequoia Transitional Care is looking to expand its team with a Marketing Director! If you want to be part of an amazing culture while making a genuine difference, then look no further than Sequoia Tra...
  • 1 Day Ago

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Director of Rehabilitation
  • Sequoia Transitional Care
  • Porterville, CA FULL_TIME
  • If you are a Physical Therapist (PT) or Occupational Therapist (OT) who wants to be a Director of Rehab (DOR) and be part of an amazing culture while making a genuine difference, then look no further!...
  • 16 Days Ago

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

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/26/2024 12:00:00 AM

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Corporate Controller (Remote)
  • Artemis Professionals, LLC
  • Bakersfield, CA
  • Job Description Job Description The role involves managing the organization's accounting activities, financial planning,...
  • 4/26/2024 12:00:00 AM

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Manager of Finance and Accounting
  • Boyden
  • Bakersfield, CA
  • The manager will work closely with the business owners quarterbacking all things financial. Ag-MD serves the farming com...
  • 4/26/2024 12:00:00 AM

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Clinic Director- Nurse Practitioner or Physician Assistant
  • Gameday Men's Health
  • Bakersfield, CA
  • Gameday Men's Health is the Man Cave for Men's Health. Founded in Southern California, we are the fastest growing networ...
  • 4/26/2024 12:00:00 AM

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Service Manager
  • Talentzok
  • Bakersfield, CA
  • Service Manager (Construction Equipment) - TalentZok OVERVIEW Are you looking for a new career opportunity with an excit...
  • 4/26/2024 12:00:00 AM

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Internal Revenue Agent- Senior Revenue Agent (Examiner), 12-month Roster
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at:...
  • 4/24/2024 12:00:00 AM

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Personal Banker Bakersfield
  • Wells Fargo
  • Bakersfield, CA
  • Why Wells Fargo:Are you ready for the next step in your career? This is where it begins at a company known for our Well ...
  • 4/24/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$151,339 to $195,550
Bakersfield, California area prices
were up 2.5% from a year ago

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