Managed Care Finance Director jobs in Colorado Springs, CO

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
  • Colorado, CO 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
  • Every Home For Christ
  • Colorado, CO FULL_TIME
  • The Director of Finance will oversee the planning, development, implementation, and maintenance of the financial services of the ministry in alignment with ministry strategic goals and vision. The dir...
  • 1 Month Ago

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Director of Finance
  • Hotel Polaris at US Airforce Academy
  • Colorado, CO FULL_TIME
  • Overview Are you ready to help shape the future of travel and hospitality at the new Hotel Polaris at the U.S. Air Force Academy? CoralTree is seeking an exceptional Director of Finance to join our te...
  • 1 Month Ago

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Senior Director of Finance
  • USA Triathlon
  • Colorado, CO FULL_TIME
  • Company Summary Unlimited Vacation, Mental Health Days, 100% paid medical benefits for employee and so much more! At USA Triathlon, we believe that life is better when you swim, bike and run. USA Tria...
  • 3 Days Ago

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Managing Director of Finance
  • Atlas Preparatory School
  • Colorado, CO FULL_TIME
  • Who We Are A tuition-free, open enrollment, K-12 charter school in the southeast community of Colorado Springs Preparing and empowering all of our students for success on their post-graduate paths thr...
  • 10 Days Ago

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Director of Finance - Full Time
  • Montrose Memorial Hospital
  • Montrose, CO FULL_TIME
  • About Montrose Regional Health: As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partne...
  • 1 Month Ago

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0 Managed Care Finance Director jobs found in Colorado Springs, CO area

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Counter Threat Finance Analyst
  • Cambridge International Systems Inc.
  • Colorado Springs, CO
  • When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of cor...
  • 4/26/2024 12:00:00 AM

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Counter Threat Finance Analyst
  • Cambridge International Systems Inc
  • Colorado Springs, CO
  • When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of cor...
  • 4/26/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Colorado Springs, CO
  • 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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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Colorado Springs, CO
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/25/2024 12:00:00 AM

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Controller
  • AIR FORCE ACADEMY ATHLETICS CORPORATION
  • Colorado Springs, CO
  • Job Description Job Description “This job is a civilian position and does not require military service (including commis...
  • 4/24/2024 12:00:00 AM

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Counter Threat Finance Analyst
  • Cambridge International Systems, Inc.
  • Colorado Springs, CO
  • When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of cor...
  • 4/22/2024 12:00:00 AM

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Financial Analyst
  • Carter Mackenzie International
  • Castle Rock, CO
  • Job Description Job Description Partnering with a telecommunications company in Castle Rock, CO with their search for a ...
  • 4/22/2024 12:00:00 AM

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

Colorado Springs is a home rule municipality that is the largest city by area in Colorado as well as the county seat and the most populous municipality of El Paso County, Colorado, United States. Colorado Springs is located in the east central portion of the state. It is situated on Fountain Creek and is located 60 miles (97 km) south of the Colorado State Capitol in Denver. At 6,035 feet (1,839 m) the city stands over 1 mile (1.6 km) above sea level, though some areas of the city are significantly higher and lower. Colorado Springs is situated near the base of Pikes Peak, which rises 14,115 f...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$141,924 to $183,385
Colorado Springs, Colorado area prices
were up 2.3% from a year ago

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Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
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