Managed Care Finance Director jobs in Orange, 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)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Irvine, 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

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Director of Finance
  • University of California - Irvine
  • Irvine, CA FULL_TIME
  • The Department of Medicine has 11 divisions, more than 300 employees and more than $68 million in expenditures annually. The mission of the Department of Medicine is to deliver accessible, patient-cen...
  • 21 Days Ago

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Director of Finance
  • Bal Seal Engineering
  • Foothill Ranch, CA FULL_TIME
  • Director of Finance Location : Location US-CA-Foothill Ranch Requisition ID 2024-8313 Category General Finance Segment Kaman Aerospace # of Openings 1 Posted Date 5 hours ago(4/18/2024 12:44 PM) Overv...
  • 4 Days Ago

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Director Finance
  • McCarthy Building Co
  • Newport, CA FULL_TIME
  • The Finance Director will partner, collaborate and provide support on financial and accounting matters for the region. This person will work with the finance and accounting departments to ensure accur...
  • 9 Days Ago

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Director of Finance
  • Emerald Bay Community Association
  • Laguna Beach, CA FULL_TIME
  • THE COMMUNITY ASSOCIATION Located along the scenic coast of Southern California in an unincorporated Orange County area of North Laguna Beach, the Emerald Bay Community Association (EBCA) governs this...
  • 10 Days Ago

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Director of Finance
  • Core Recruiting Inc
  • Costa Mesa, CA FULL_TIME
  • Director of Finance Since 1996, our client has provided personalized and compassionate medical care for our frail and medically complex patients in skilled nursing and long-term care facilities. Their...
  • 1 Month Ago

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

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CFO/FUND RAISER
  • Guaranty Investment Company, Inc
  • Riverside, CA
  • Our Real Estate Flipping startup is seeking a highly motivated and experienced Chief Financial Officer/Fundraising Manag...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer CFO
  • Founder Centered
  • Irvine, CA
  • Job Description Job DescriptionWe are in search of an accomplished and strategic Chief Financial Officer (CFO) to join o...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer (CFO) - Community Clinic
  • Wilmington Community Clinic
  • Los Angeles, CA
  • Job Description Job Description Join Wilmington Community Clinic! Have you ever wanted to be a part of something bigger?...
  • 4/23/2024 12:00:00 AM

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Chief Financial Officer - B2B EXIT & B2B CFO
  • B2B CFO
  • La Habra, CA
  • Seeking An Experienced CFO Are you a driven and entrepreneurial CFO with experience in helping business owners improve t...
  • 4/22/2024 12:00:00 AM

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Regional Hotel Finance Director
  • Hospitality Spotlight
  • Sunset Beach, CA
  • Job Description Hospitality Spotlight is working with a luxury client in Southern California and we are looking for a ho...
  • 4/21/2024 12:00:00 AM

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CFO/FUND RAISER
  • Guaranty Investment Company Inc
  • Riverside, CA
  • Our Real Estate Flipping startup is seeking a highly motivated and experienced Chief Financial Officer/Fundraising Manag...
  • 4/21/2024 12:00:00 AM

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Executive Assistant, CFO
  • MRC
  • West Hollywood, CA
  • MRC is a diversified global entertainment company with divisions including Film and Television. Role Description: The Ex...
  • 4/20/2024 12:00:00 AM

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CFO
  • GHJ
  • Los Angeles, CA
  • GHJ Search and Staffing serves as the recruitment division of GHJ, a prominent national accounting and advisory firm. Ou...
  • 4/20/2024 12:00:00 AM

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$157,757 to $203,843
Orange, California area prices
were up 3.0% from a year ago

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