Managed Care Finance Director jobs in Houston, 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
  • Houston, 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.
  • 1 Month Ago

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Managed Care Payer Contracting
  • Texas Regional Physicians
  • Houston, TX FULL_TIME
  • DescriptionRESPONSIBILITY:Collaborate with leadership, identify appropriate contracting and re-contracting opportunities.Initiates discussions with key constituents as related to new relationships or ...
  • 1 Month Ago

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Managed Care Provider Relations Specialist
  • Curitec, LLC.
  • Spring, TX FULL_TIME
  • Overview: Curitec is seeking a skilled individual to join our team as a Managed Care Provider Relations Specialist. This role is pivotal in managing all aspects of contracting within our managed care ...
  • 13 Days Ago

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Director of Finance
  • Project Row Houses
  • Houston, TX FULL_TIME
  • PROJECT ROW HOUSES (PRH) POSITION: Director of Finance STATUS: Full-time Exempt Project Row Houses is seeking a Director of Finance to join our team. Reporting to the Chief Operating Officer (COO), th...
  • 16 Days Ago

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Finance Director
  • City of Mont Belvieu
  • Mont Belvieu, TX FULL_TIME
  • Have you calculated the best opportunity for YOU? Don't look any further. We want you to join our team at the City of Mont Belvieu! The City of Mont Belvieu, Texas is currently accepting applications ...
  • 19 Days Ago

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Director of Finance
  • Krueger Real Estate
  • Houston, TX FULL_TIME
  • Are you a seasoned financial expert with a passion for real estate? We're seeking a dynamic and experienced Director of Finance to join our reputable brokerage and lead our financial operations to new...
  • Just Posted

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0 Managed Care Finance Director jobs found in Houston, TX area

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Commercial Finance Director
  • Honeywell
  • Houston, TX
  • Driving Infinite Possibilities Within A Diversified, Global Organization The future is what you make it. When you join H...
  • 4/24/2024 12:00:00 AM

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Finance Director, Supply Chain Transformation
  • Honeywell
  • Houston, TX
  • Innovate to solve the world's most important challenges The future is what you make it. When you join Honeywell, you bec...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer CFO
  • Founder Centered
  • Houston, TX
  • Job Description Job DescriptionWe are in search of an accomplished and strategic Chief Financial Officer (CFO) to join o...
  • 4/23/2024 12:00:00 AM

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Commercial Finance Director
  • Honeywell
  • Houston, TX
  • Driving Infinite Possibilities Within A Diversified, Global Organization The future is what you make it. When you join H...
  • 4/21/2024 12:00:00 AM

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CFO Consultant
  • Bridgepoint Consulting
  • Houston, TX
  • Bridgepoint Consulting, an Addison Group Company, is a leading management consulting firm that helps companies throughou...
  • 4/21/2024 12:00:00 AM

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Finance Director, Supply Chain Transformation
  • Honeywell
  • Houston, TX
  • Innovate to solve the world's most important challenges The future is what you make it. When you join Honeywell, you bec...
  • 4/21/2024 12:00:00 AM

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CORPORATE HOTEL CHIEF FINANCIAL OFFICER (CFO)
  • Hospitality Pro Search
  • Houston, TX
  • Job Description Job Description CHIEF FINANCIAL OFFICER for HOUSTON BASED MULTI-UNIT HOSPITALITY GROUP A multi-unit hosp...
  • 4/21/2024 12:00:00 AM

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CFO Consultant
  • Bridgepoint Consulting
  • Houston, TX
  • Bridgepoint Consulting, an Addison Group Company, is a leading management consulting firm that helps companies throughou...
  • 4/20/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$143,066 to $184,860
Houston, Texas area prices
were up 2.3% 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