Managed Care Finance Director jobs in Newark, NJ

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
  • Newark, NJ 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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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Jersey, NJ 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
  • Associated Humane Societies
  • Newark, NJ FULL_TIME
  • DESCRIPTION: The Associated Humane Societies is hiring a Director of Finance to join our team in Newark, NJ. This position will be responsible for overseeing the financial books and records of a $10 m...
  • 14 Days Ago

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Director of Finance
  • Covenant House of NJ
  • Newark, NJ FULL_TIME
  • Job Description: Director of Finance directs the finance staff and accounting functions for Covenant House New Jersey. This includes supervising the staff accountant and providing guidance and support...
  • 1 Month Ago

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Finance Director
  • Newark Community Street Team Inc
  • Newark, NJ FULL_TIME
  • Under the direct supervision of the CFO, the Finance Director oversees and directs the accounting, budgeting, financialauditing, and reporting for the program. The Finance Director recommends and impl...
  • 1 Month Ago

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US E-Consulting-Finance Managed Services Manager - EP/EOaaS - FY24
  • Deloitte US
  • Morristown, NJ FULL_TIME
  • Finance Managed Services Manager - EP/EOaaSDo you like to challenge the status quo? Does curiosity feed your soul? Are you addicted to the thrill of creating? Do you want to be your authentic self at ...
  • 28 Days Ago

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0 Managed Care Finance Director jobs found in Newark, NJ area

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CFO/Controller
  • Crunch
  • Woodbridge, NJ
  • Fitness Holdings Northeast LLC is looking for a CFO/Controller to join our corporate team. We are a franchise of CRUNCH ...
  • 4/26/2024 12:00:00 AM

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Financial Director
  • Avelino Law, LLP
  • Morristown, NJ
  • Company Description Avelino Law, LLP is a mid-sized law firm in Florham Park, NJ. We provide comprehensive estate planni...
  • 4/26/2024 12:00:00 AM

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Salesperson, Leveraged Finance - Director
  • Citigroup
  • New York, NY
  • The senior salesperson within the Leveraged Finance franchise tasked with selling new issue transactions and trading in ...
  • 4/26/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/25/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 4/25/2024 12:00:00 AM

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Interim CFO
  • A&M Warshaw Plumbing & Heating
  • New Hyde Park, NY
  • Job Description Job Description We are seeking an Interim CFO to become an integral part of our team! You will coordinat...
  • 4/24/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/22/2024 12:00:00 AM

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Finance Director
  • IDEX Corporation
  • Rutherford, NJ
  • If you're looking for a special place to build or grow your career, you've found it. Whether you're an experienced profe...
  • 4/22/2024 12:00:00 AM

Newark (/ˈnjuːərk/,[24] locally /njʊərk/)[25] is the most populous city in the U.S. state of New Jersey and the seat of Essex County.[26] As one of the nation's major air, shipping, and rail hubs, the city had a population of 285,154 in 2017, making it the nation's 70th-most populous municipality, after being ranked 63rd in the nation in 2000. Settled in 1666 by Puritans from New Haven Colony, Newark is one of the oldest cities in the United States. Its location at the mouth of the Passaic River (where it flows into Newark Bay) has made the city's waterfront an integral part of the Port of New...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$161,181 to $208,267
Newark, New Jersey area prices
were up 1.6% from a year ago

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