Managed Care Finance Director jobs in San Antonio, 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
  • San Antonio, 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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Director Of Finance
  • HEI Hotels & Resorts
  • San Antonio, TX FULL_TIME
  • Director Of Finance Job Locations US-TX-San Antonio Requisition ID 2024-45986 Category Accounting/Finance Position Type Regular Full-Time FLSA Status Exempt Location Name Hotel Contessa About Us Don't...
  • 15 Days Ago

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Director of Finance
  • Central Catholic High School
  • San Antonio, TX FULL_TIME
  • DescriptionPRIMARY RESPONSIBILITIESOversee management of the finances and accounting of the organization. This includes cash management, investment policy, systems integrity, risk management, and comp...
  • 3 Days Ago

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Director of Finance
  • GEORGE GERVIN YOUTH CENTER
  • San Antonio, TX FULL_TIME
  • Overview:George Gervin Youth Center seeking a highly skilled and experienced Director of Finance to join our team. The Director of Finance will be responsible for overseeing the business operations of...
  • 10 Days Ago

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Director Of Finance
  • Hotel Contessa
  • San Antonio, TX OTHER
  • About UsDon't meet every single requirement of this job? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At HEI we are d...
  • 13 Days Ago

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Director of Finance
  • The Texan Stores
  • Yorktown, TX FULL_TIME
  • Job Duties: Leads all financial planning and analysis (FP&A), including forecasting, budgeting, and cash flow management. Manages a growing finance department. Prepares monthly, quarterly, and annual ...
  • 13 Days Ago

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0 Managed Care Finance Director jobs found in San Antonio, TX area

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Director of Finance, Accounting & Business Operations / Controller
  • Tubeloads
  • San Antonio, TX
  • Job Description Job Description We are looking for a finance, accounting and administration “athlete” with a solid track...
  • 4/25/2024 12:00:00 AM

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Assistant Corporate Controller--remote (West Coast)
  • Mason & Blair Llc
  • San Antonio, TX
  • HARD REQUREMENTS: BIG 4 CPA WITH ACCOUNTING LEADERSHIP EXPERIENCE IN PUBLICLY-TRADED COMPANY Remote role with SF bay are...
  • 4/25/2024 12:00:00 AM

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Assistant Corporate Controller--remote (West Coast)
  • Mason & Blair, LLC
  • San Antonio, TX
  • HARD REQUREMENTS: BIG 4 CPA WITH ACCOUNTING LEADERSHIP EXPERIENCE IN PUBLICLY-TRADED COMPANY Remote role with SF bay are...
  • 4/24/2024 12:00:00 AM

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VP of Taxation | $1B+ Pre-IPO tech (UP-C & TRA exp required) - 100% Remote
  • Alliance Resource Group
  • San Antonio, TX
  • ARG is partnered with a high growth (20% YoY) $1B+ pre-IPO tech/SaaS company in search of a VP of Taxation. This positio...
  • 4/23/2024 12:00:00 AM

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Assistant Controller
  • Deacon Recruiting
  • San Antonio, TX
  • Job Description Assistant Controller Location: San Antonio, TX THE COMPANY OFFERS... Well-established company located in...
  • 4/22/2024 12:00:00 AM

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VP of Taxation | $1B+ Pre-IPO tech (UP-C & TRA exp required) - 100% Remote
  • Alliance Resource Group
  • San Antonio, TX
  • ARG is partnered with a high growth (20% YoY) $1B+ pre-IPO tech/SaaS company in search of a VP of Taxation. This positio...
  • 4/21/2024 12:00:00 AM

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Senior Accountant
  • Vizrt
  • San Antonio, TX
  • Vizrt® is the world's leading provider of innovative visual storytelling tools for media content creators in broadcast, ...
  • 4/21/2024 12:00:00 AM

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Billing and AR Specialist
  • Futurex
  • Bulverde, TX
  • Futurex is seeking an Accounts Receivable Specialist to handle the billing, collections and other accounting duties for ...
  • 4/21/2024 12:00:00 AM

San Antonio (/ˌsæn ænˈtoʊnioʊ/; from Spanish, "Saint Anthony"), officially the City of San Antonio, is the seventh-most populous city in the United States, and the second-most populous city in both Texas and the Southern United States, with more than 1.5 million residents. Founded as a Spanish mission and colonial outpost in 1718, the city became the first chartered civil settlement in present-day Texas in 1731. The area was still part of the Spanish Empire, and later of the Mexican Republic. Today it is the state's oldest municipality. The city's deep history is contrasted with its rapid rec...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$134,935 to $174,354
San Antonio, Texas area prices
were up 1.2% from a year ago

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