Managed Care Finance Director jobs in Omaha, NE

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
  • Omaha, NE 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.
  • 29 Days Ago

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Finance Director
  • Kids Can Community Center
  • Omaha, NE FULL_TIME
  • Position Summary: Kids Can Community Center is a non-profit organization founded in 1908. Our mission is to educate, engage, and inspire children through early childhood care and out-of-school experie...
  • 5 Days Ago

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Director of Finance
  • Legal Aid of Nebraska
  • Omaha, NE FULL_TIME
  • DescriptionMission Driven – Great Fit for an Experienced Accounting Professional Seeking PurposeLooking for an experienced accounting and finance professional or accounting leader who is mission drive...
  • 21 Days Ago

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Director of Finance
  • HABITAT FOR HUMANITY OF OMAHA
  • Omaha, NE FULL_TIME
  • DescriptionPosition Overview:The Director of Finance will be a strategic and business partner to the Chief Financial Officer (CFO), and play a crucial role in overseeing and managing various financial...
  • 24 Days Ago

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Director of Finance and Administration
  • Institute for Priestly Formation
  • Omaha, NE FULL_TIME
  • Institute for Priestly Formation Position: Director of Finance and Administration Organization: Founded in 1995 to assist catholic seminaries and bishops in the spiritual formation of seminarians, pri...
  • 22 Days Ago

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Director of Finance and Administration
  • Fontenelle Forest
  • Bellevue, NE FULL_TIME
  • Director of Finance and Administration Position Type: Full Time, Exempt Salary: $80,000 annualized salary Benefits: Health, dental, vision, life & long-term disability insurance, paid time off (vacati...
  • 26 Days Ago

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0 Managed Care Finance Director jobs found in Omaha, NE area

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Financial Advisor
  • Prudential Financial
  • Omaha, NE
  • Explore a career as a FINANCIAL PLANNER! Take your career to the next level at Prudential Advisors! Change your life by ...
  • 4/19/2024 12:00:00 AM

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Custom Product Consultant/Buyer
  • Fiserv
  • Omaha, NE
  • Custom Product Consultant/Buyer page is loaded **Custom Product Consultant/Buyer** **Custom Product Consultant/Buyer** l...
  • 4/19/2024 12:00:00 AM

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Roving Personal Banker Omaha
  • WELLS FARGO BANK
  • Bellevue, NE
  • Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
  • 4/19/2024 12:00:00 AM

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Director of Strategy and Development
  • CFO Systems Recruiting & Staffing
  • Omaha, NE
  • Our valued client is searching for a Director of Strategy and Development They are a family-owned, steadily expanding co...
  • 4/18/2024 12:00:00 AM

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Corporate Finance Manager
  • Mutual of Omaha Mortgage
  • Omaha, NE
  • Qualifications The ideal candidate will have a strong background in accounting, treasury, tax, and financial modeling/fo...
  • 4/18/2024 12:00:00 AM

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Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • Omaha, NE
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 4/17/2024 12:00:00 AM

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Personal Banker - Roving Omaha
  • WELLS FARGO BANK
  • Bellevue, NE
  • Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
  • 4/16/2024 12:00:00 AM

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Roving Personal Banker Omaha
  • WELLS FARGO BANK
  • Omaha, NE
  • Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
  • 4/15/2024 12:00:00 AM

Omaha (/ˈoʊməhɑː/ OH-mə-hah) is the largest city in the state of Nebraska and the county seat of Douglas County. Omaha is located in the Midwestern United States on the Missouri River, about 10 miles (15 km) north of the mouth of the Platte River. The nation's 40th-largest city, Omaha's 2018 estimated population was 466,061. Omaha is the anchor of the eight-county, bi-state Omaha-Council Bluffs metropolitan area. The Omaha Metropolitan Area is the 59th largest in the United States, with an estimated population of 944,316 (2018). The Omaha-Council Bluffs-Fremont, NE-IA Combined Statistical Are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$135,648 to $175,276
Omaha, Nebraska area prices
were up 0.8% from a year ago

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Managed Care Finance Director in Danbury, CT
Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020