Managed Care Finance Director jobs in El Paso, TX

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
  • El Paso, TX 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.
  • 26 Days Ago

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SaaS Finance Director - Remote
  • Driven Insights
  • El Paso, TX FULL_TIME
  • Fully Remote, Permanent Work from Home OpportunityJob Summary: Looking to build upon your track record as a SaaS finance professional in a rapidly growing segment of the financial services industry? Y...
  • 1 Month Ago

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Director of Finance & Accounting - Remote
  • Driven Insights
  • El Paso, TX FULL_TIME
  • Job Summary: Looking to build upon your track record as a SaaS finance professional in a rapidly growing segment of the financial services industry? You will work tightly with our clients and the Driv...
  • 1 Month Ago

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Finally, a legitimate Work-From-Home Opportunity
  • Strategic Finance Team
  • El Paso, TX FULL_TIME
  • Company DescriptionThe leader in the website design, internet reputation and search engine optimization. We help businesses build, repair, and maintain their websites and online reputation. Businesses...
  • 1 Month Ago

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RN Director of Nursing - Long-Term Care
  • St. Teresa Nursing and Rehab Center
  • El Paso, TX FULL_TIME
  • We’re seeking a Director of Nursing to join our growing team! Reliability, trustworthiness and consistency with regard to attendance is extremely important to this job. The ability to regularly and ti...
  • 26 Days Ago

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Finance Manager
  • honeywell
  • El Paso, TX FULL_TIME
  • Finance ManagerFinance Manager for Honeywell International, Inc. (El Paso, TX)RESPONSIBILITIES: -Support the financial landscape, speed, quality, and cost efficiency of business operations through bud...
  • 1 Month Ago

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0 Managed Care Finance Director jobs found in El Paso, TX area

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Chief Growth Officer
  • Wannamaker Management Corporation
  • El Paso, TX
  • Wannamaker Management Corporation Position Title: Chief Growth Officer FLSA: Exempt Location: El Paso, Texas (Relocation...
  • 4/18/2024 12:00:00 AM

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Controller
  • SPS Employer Risk Management LLC
  • El Paso, TX
  • Job Description Job Description Start Pay: $75,000 - $90,000 Full-time We are looking for an experienced and knowledgeab...
  • 4/18/2024 12:00:00 AM

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Director of Operations - Military Housing (Remote)
  • Hunt
  • El Paso, TX
  • A Brief Overview Under the direction of the Vice President Operations, the Director Operations is responsible for the le...
  • 4/18/2024 12:00:00 AM

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Director of Risk Management
  • Sparrow Company, LLC
  • El Paso, TX
  • Job Summary: The Director of Risk Management is responsible for managing the planning, execution, and oversight of all a...
  • 4/16/2024 12:00:00 AM

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Director of Risk Management
  • Sparrow Company Llc
  • El Paso, TX
  • Job Summary: The Director of Risk Management is responsible for managing the planning, execution, and oversight of all a...
  • 4/16/2024 12:00:00 AM

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Chief Growth Officer
  • Wannamaker Management Corporation
  • El Paso, TX
  • Wannamaker Management Corporation Position Title: Chief Growth Officer FLSA: Exempt Location: El Paso, Texas (Relocation...
  • 4/16/2024 12:00:00 AM

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Operations Controller
  • Mount Franklin Foods
  • El Paso, TX
  • Job Description Job Description Summary of Job As an Operations Controller, you will play a crucial role in managing the...
  • 4/16/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • El Paso, TX
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 4/16/2024 12:00:00 AM

El Paso is located at the intersection of three states (Texas, New Mexico, and Chihuahua) and two countries (the U.S. and Mexico). It is the only major Texas city on Mountain Time. Ciudad Juarez used to be on Central Time, but both cities are now on Mountain Time. El Paso is closer to the capital cities of four other states - Phoenix, Arizona (345 miles away); Santa Fe, New Mexico, (273 miles away); Ciudad Chihuahua, Chihuahua, (218 miles away), and Hermosillo, Sonora (325 miles away) - than it is to the capital of its own state, Austin (528 miles away). It is closer to Los Angeles, California...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$124,237 to $160,531
El Paso, Texas area prices
were up 1.2% from a year ago

Managed Care Finance Director in Portsmouth, NH
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December 13, 2019
Managed Care Finance Director in Casper, WY
Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys.
December 05, 2019
Managed Care Finance Director in Danbury, CT
Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020