Managed Care Finance Director jobs in Columbus, OH

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
  • Columbus, OH 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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Managed Care Biller - Atrium Centers
  • Atrium Centers
  • Columbus, OH FULL_TIME
  • Atrium Centers…Be a light…to all residents, their families and team members “Our mission is to serve as a bright light in the lives of our residents and families by delivering compassionate, quality c...
  • 12 Days Ago

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Director Finance
  • Supply Chain
  • Westerville, OH FULL_TIME
  • Director Finance Can you see yourself in a role where you are responsible for influencing business leaders and decision-making in rapidly changing environments? Are you the type of person who can lead...
  • Just Posted

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Director - Finance
  • ODW Logistics Inc
  • Columbus, OH FULL_TIME
  • ODW Logistics is a people-focused and customer-driven third-party logistics (3PL) provider striving for collective growth and reaching our highest potential. Pillared on our four values of respect, tr...
  • 1 Month Ago

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US E-Consulting-Finance Managed Services Manager - EP/EOaaS - FY24
  • Deloitte US
  • Columbus, OH FULL_TIME
  • Finance Managed Services Manager - EP/EOaaSDo you like to challenge the status quo? Does curiosity feed your soul? Are you addicted to the thrill of creating? Do you want to be your authentic self at ...
  • 27 Days Ago

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Director of Finance and Accounting
  • Marriott International
  • Columbus, OH FULL_TIME
  • Additional Information Dir. finance & Accounting, relo available, hotel experience requiredJob Number 24046818Job Category Finance & AccountingLocation Renaissance Columbus Downtown Hotel, 50 North Th...
  • 1 Day Ago

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0 Managed Care Finance Director jobs found in Columbus, OH area

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Administrative Assistant
  • Northstar Realty
  • Columbus, OH
  • Job Description Job Description The Administrative Assistant’s main function is to assist the CEO & CFO with assigned ta...
  • 4/26/2024 12:00:00 AM

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VP of Taxation | $1B+ Pre-IPO tech (UP-C & TRA exp required) - 100% Remote
  • Alliance Resource Group
  • Columbus, OH
  • ARG is partnered with a high growth (20% YoY) $1B+ pre-IPO tech/SaaS company in search of a VP of Taxation. This positio...
  • 4/26/2024 12:00:00 AM

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Assistant Corporate Controller--remote (West Coast)
  • Mason & Blair Llc
  • Columbus, OH
  • HARD REQUREMENTS: BIG 4 CPA WITH ACCOUNTING LEADERSHIP EXPERIENCE IN PUBLICLY-TRADED COMPANY Remote role with SF bay are...
  • 4/25/2024 12:00:00 AM

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Accountant - *Remote* Full Time and Part Time
  • Beanstalk CFO Group
  • Columbus, OH
  • Job Description Job Description Manage client accounting records, post journal entries, close books, reconcile accounts,...
  • 4/25/2024 12:00:00 AM

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Chief Financial Officer - B2B EXIT & B2B CFO
  • B2b Cfo
  • Grove City, OH
  • Seeking An Experienced CFOAre you a driven and entrepreneurial CFO with experience in helping business owners improve th...
  • 4/24/2024 12:00:00 AM

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Assistant Corporate Controller--remote (West Coast)
  • Mason & Blair, LLC
  • Columbus, OH
  • HARD REQUREMENTS: BIG 4 CPA WITH ACCOUNTING LEADERSHIP EXPERIENCE IN PUBLICLY-TRADED COMPANY Remote role with SF bay are...
  • 4/24/2024 12:00:00 AM

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Head of Fund Administration and CFO for First Eagle Funds
  • First Eagle Investment Management
  • Columbus, OH
  • Head of Fund Administration and CFO for First Eagle Funds First Eagle is an independent, privately owned investment mana...
  • 4/23/2024 12:00:00 AM

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VP of Taxation | $1B+ Pre-IPO tech (UP-C & TRA exp required) - 100% Remote
  • Alliance Resource Group
  • Columbus, OH
  • ARG is partnered with a high growth (20% YoY) $1B+ pre-IPO tech/SaaS company in search of a VP of Taxation. This positio...
  • 4/23/2024 12:00:00 AM

The confluence of the Scioto and Olentangy rivers occurs just north-west of Downtown Columbus. Several smaller tributaries course through the Columbus metropolitan area, including Alum Creek, Big Walnut Creek, and Darby Creek. Columbus is considered to have relatively flat topography thanks to a large glacier that covered most of Ohio during the Wisconsin Ice Age. However, there are sizable differences in elevation through the area, with the high point of Franklin County being 1,132 ft (345 m) above sea level near New Albany, and the low point being 670 ft (200 m) where the Scioto River leaves...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$140,070 to $180,989
Columbus, Ohio area prices
were up 1.3% from a year ago

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Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020