Managed Care Finance Director jobs in Fresno, CA

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)

P
PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fresno, CA 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

S
Director of Finance
  • Stardom Employment Consultants
  • Fresno, CA FULL_TIME
  • Job Title: Director of FinanceIndustry: Agricultural ManufacturingCompany Size: $300 Million Valuation Overview:Seeking a Director of Finance to spearhead financial operations within our dynamic agric...
  • 17 Days Ago

C
Finance Director
  • Catholic Charities of the Diocese of Fresno
  • Fresno, CA FULL_TIME
  • Summary: The Finance Director is responsible for the Agency financial reporting function of Catholic Charities and reports to the Executive Director. ESSENTIAL DUTIES & RESPONSIBILITIES: To execute de...
  • Just Posted

P
Clinician - Managed Care (King County: $3000 Hiring Incentive)
  • Pacific Clinics a merger with Uplift Family...
  • Fresno, CA FULL_TIME
  • Title: Clinician - Managed Care (King County: $3000 Hiring Incentive and Up to $3000 Bilingual Incentive, Spanish Preferred)Actual offers will be determined by the candidate’s creditable years of expe...
  • 8 Days Ago

S
Director of Rehab
  • Sweetwater Care
  • Fresno, CA FULL_TIME
  • What Sets Us Apart We are an in-house, close-knit therapy team who addresses patient needs and collaborates well with our IDT. Our team has a family feel and all members are appreciated, seen, and hea...
  • Just Posted

S
Maintenance Director
  • Sweetwater Care
  • Chowchilla, CA FULL_TIME
  • Palms Care Center is seeking a Maintenance Director in Chowchilla, CA. Do you want to work where both patients and staff are valued and respected? Are you professional, patient, and motivated? If so, ...
  • 10 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Managed Care Finance Director jobs found in Fresno, CA area

S
CFO Manufacturing
  • Stardom Employment Consultants
  • Fresno, CA
  • Job Title: Chief Financial Officer (CFO)Industry: ManufacturingSummary: We are seeking an experienced Chief Financial Of...
  • 4/24/2024 12:00:00 AM

C
Chief Financial Officer
  • Central Valley Search Partners
  • Fresno, CA
  • The CFO is a newly created position due to overall company growth! This organization is family owned and is a loading ma...
  • 4/23/2024 12:00:00 AM

C
Chief Financial Officer
  • Central Valley Search Partners
  • Fresno, CA
  • The CFO is a newly created position due to overall company growth! This organization is family owned and is a loading ma...
  • 4/23/2024 12:00:00 AM

A
Enterprise Sales Specialist
  • Aspire Partners USA
  • Fresno, CA
  • Aspire Partners seeks current or former Business Professionals, Executives, B2B Sales reps, Finance executives, CFOs, CO...
  • 4/23/2024 12:00:00 AM

C
Director of Finance / Treasurer - OPEN UNTIL FILLED
  • City Of Selma
  • Selma, CA
  • Are you an experienced finance professional with working knowledge of Governmental Accounting Standard Board (GASB) and ...
  • 4/23/2024 12:00:00 AM

N
Treasurer
  • Noble Credit Union
  • Fresno, CA
  • Noble Credit Union has grown and expanded over the years as they strive to better serve the needs of communities in Cali...
  • 4/22/2024 12:00:00 AM

I
Chief Operations Officer
  • ISI
  • Fresno, CA
  • Job Description Job Description Established, highly reputable, underground construction contractor, specializing in dire...
  • 4/22/2024 12:00:00 AM

N
Treasurer
  • Noble Credit Union
  • Fresno, CA
  • Noble Credit Union has grown and expanded over the years as they strive to better serve the needs of communities in Cali...
  • 4/21/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$142,923 to $184,676
Fresno, California area prices
were up 2.7% from a year ago

Managed Care Finance Director in Portsmouth, NH
Providence is calling a Project Manager (Managed Care Finance) to our Facey Jade Admin Building location in Mission Hills, CA.
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