Managed Care Finance Director jobs in Fort Worth, 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
  • Arlington, 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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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fort Worth, 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 medicatio...
  • 1 Month Ago

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Director of Finance
  • Fossil Rim Wildlife Center
  • Glen Rose, TX FULL_TIME
  • FOSSIL RIM WILDLIFE CENTER invites applicants for the position: Director of Finance Summary/Purpose of Position: In this position, the Director of Finance will plan, organize, supervise, and direct th...
  • 8 Days Ago

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Director of Finance
  • Robert Half
  • Fort Worth, TX FULL_TIME
  • Robert Half Finance and Accounting and Kevin Sweet have partnered with the leading global hospitality and facility management company to be the Director of Finance for one of the most dynamic properti...
  • 27 Days Ago

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Director of Finance
  • Thomas Edwards Group Inc.
  • Mineral, TX FULL_TIME
  • Job Description The Director of Finance & Operations will be responsible for ensuring the integrity of financial data for all accounting and financial operations and have oversight of the order fulfil...
  • 1 Month Ago

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Director of Finance and Administration
  • First United Methodist Church Denton
  • Denton, TX FULL_TIME
  • At FUMC Denton, we are a church that is passionate about shining God’s love into every life. We are a welcoming community of faith that believes there is a place for everyone here—including you. We be...
  • Just Posted

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0 Managed Care Finance Director jobs found in Fort Worth, TX area

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Financial Director
  • Seneca Resources
  • Grand Prairie, TX
  • Title: Finance Director Duration: Full-time, direct-hire Location: Grand Prairie, TX (hybrid) Summary: The Finance Direc...
  • 4/24/2024 12:00:00 AM

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Transportation & Delivery Servies CFO
  • Canada Group Systems Llc
  • Dallas, TX
  • Job Description Job Description Transportation & Delivery Servies /CFOCanada Group Systems LLC, USAAlbuquerque, NM (Remo...
  • 4/24/2024 12:00:00 AM

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Finance Director/Treasurer
  • International Missions, Inc. dba Christar
  • Richardson, TX
  • Job Description Job Description The Christar Mobilization Center U.S. (CMCUS) The CMCUS is the administrative office of ...
  • 4/21/2024 12:00:00 AM

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Finance Director
  • Remotivate LLC
  • Irving, TX
  • Hello, Financial Leaders! We're Emma and Jordan, the Co-Founders of Gameway. Gameway is the world's first premium video ...
  • 4/21/2024 12:00:00 AM

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Director of Private Equity (Fund CFO Services)
  • Junonia Partners
  • Dallas, TX
  • Company Overview Junonia Partners provides Outsourced CFO and Controller level services to investment advisors of hedge ...
  • 4/21/2024 12:00:00 AM

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General Finance Manager (Finance Director)
  • Fun Town RV
  • Cleburne, TX
  • Position is located in Cleburne, TX We're currently looking for a General Finance Manager (Finance Director) with a stro...
  • 4/20/2024 12:00:00 AM

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Financial Director
  • Seneca Resources
  • Grand Prairie, TX
  • Title: Finance Director Duration Full-time, direct-hire Location: Grand Prairie, TX (hybrid) Summary: The Finance Direct...
  • 4/20/2024 12:00:00 AM

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General Finance Manager (Finance Director)
  • Fun Town Rv
  • Cleburne, TX
  • Position is located in Cleburne, TX We're currently looking for a General Finance Manager (Finance Director) with a stro...
  • 4/20/2024 12:00:00 AM

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$138,929 to $179,515
Fort Worth, Texas area prices
were up 2.2% from a year ago

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