Managed Care Finance Director jobs in Detroit, MI

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
  • Detroit, MI 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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Platform Director - Dealership Accounting Operations
  • L0642 North Central Finance Center
  • Washington, MI FULL_TIME
  • Dealership: L0642 North Central Finance Center Platform Director The Platform Director is the business partner for store operation leaders and oversees certain accounting functions in accordance with ...
  • 1 Month Ago

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Finance Director
  • Royal Oak, MI
  • Royal, MI FULL_TIME
  • Under the general direction of the City Manager, performs a variety of complex supervisory, professional, administrative and technical accounting and finance activities in maintaining the fiscal recor...
  • 20 Days Ago

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Director of Finance
  • Michigan Association of School Boards
  • Oakland, MI FULL_TIME
  • Deadline: April 26, 2024 District/Organization: Troy School District Position/Type: Central Office – 1st Line Admin, full time Salary: $102,658 – $134,307 Position Details Position: Director of Financ...
  • 22 Days Ago

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Director of Finance
  • Society of St. Vincent de Paul Detroit
  • Detroit, MI FULL_TIME
  • Job Description Job Title: Director of FinanceReports To: CEO, SVDP-DetroitFLSA Status: Exempt SUMMARY The Society of St. Vincent de Paul Detroit exists to build a more equitable and compassionate wor...
  • 9 Days Ago

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Finance Director
  • Rocket Careers
  • Detroit, MI FULL_TIME
  • RKT Holdings is a centralized hub that delivers thoughtful and innovative solutions for Rocket Companies®. We are the center of operations, technology, marketing, HR, legal, strategy and more that pro...
  • 13 Days Ago

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0 Managed Care Finance Director jobs found in Detroit, MI area

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CFO
  • United Way For Southeastern Michigan
  • Detroit, MI
  • The Company About United Way for Southeastern Michigan United Way for Southeastern Michigan (UWSEM) is a catalyst for ch...
  • 4/25/2024 12:00:00 AM

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Truck Mechanic, Lube Tech, Tire Tech
  • Kerry Brothers Truck Repair
  • Detroit, MI
  • Job Description Job Description We are looking for a Truck Mechanic to join our team! You will be responsible for repair...
  • 4/25/2024 12:00:00 AM

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Chief Of Staff
  • The CFO Group
  • Northville, MI
  • Title of Position: Chief of Staff BACKGROUND Employees of The CFO Group become key managers and executives of their clie...
  • 4/24/2024 12:00:00 AM

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Financial Analyst
  • Reed Foster Inc
  • Livonia, MI
  • Job Description Job Description A global tier-one supplier is seeking a Financial Analyst to help build a strong foundat...
  • 4/24/2024 12:00:00 AM

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Budget Director
  • Korn Ferry
  • Detroit, MI
  • Location: Detroit, MI Korn Ferry has partnered with our local Detroit area County client in their search for a Budget Di...
  • 4/23/2024 12:00:00 AM

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CFO
  • United Way for Southeastern Michigan
  • Detroit, MI
  • The Company About United Way for Southeastern Michigan United Way for Southeastern Michigan (UWSEM) is a catalyst for ch...
  • 4/22/2024 12:00:00 AM

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Director of Finance
  • Detroit Water and Sewerage Department
  • Detroit, MI
  • Job Description Job Description This is not a Civil Service Position. DWSD employees are subject to provisions of Court ...
  • 4/22/2024 12:00:00 AM

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SENIOR ACCOUNTANT
  • Matrix Human Services
  • Detroit, MI
  • Job Type Full-time Description Matrix Human Services is Educating Children, Supporting Families and Rebuilding Neighborh...
  • 4/22/2024 12:00:00 AM

Detroit (/dɪˈtrɔɪt/, locally also /ˈdiːtrɔɪt/; French: Détroit, lit. 'strait') is the largest and most populous city in the U.S. state of Michigan, the largest United States city on the United States–Canada border, and the seat of Wayne County. The municipality of Detroit had a 2017 estimated population of 673,104, making it the 23rd-most populous city in the United States. The metropolitan area, known as Metro Detroit, is home to 4.3 million people, making it the second-largest in the Midwest after the Chicago metropolitan area. Regarded as a major cultural center, Detroit is known for its co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$143,779 to $185,781
Detroit, Michigan area prices
were up 1.2% from a year ago

Managed Care Finance Director in Portsmouth, NH
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Managed Care Finance Director in Casper, WY
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Managed Care Finance Director in Danbury, CT
Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020