Managed Care Finance Director jobs in Virginia Beach, VA

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
  • Virginia, VA 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
  • Dare County Schools
  • Nags Head, NC FULL_TIME
  • DARE COUNTY SCHOOLS Title: Director of Finance Location: Dare County Central Office Reports to: Superintendent Salary: Based on State Salary Schedule and commensurate with experience Essential Job Fun...
  • 1 Month Ago

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Director of Finance
  • Westminster-Canterbury on Chesapeake Bay
  • Virginia, VA OTHER
  • Job DescriptionWestminster-Canterbury on Chesapeake Bay is hiring a full-time Director of Finance for the Accounting Department.WHAT YOU WILL DO:Direct, coordinate, and evaluate accounting and financi...
  • 1 Month Ago

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SaaS Finance Director - Remote
  • Driven Insights
  • Virginia, VA FULL_TIME
  • Fully Remote, Permanent Work from Home OpportunityJob Summary: Looking to build upon your track record as a SaaS finance professional in a rapidly growing segment of the financial services industry? Y...
  • 1 Month Ago

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Director of Finance & Accounting - Remote
  • Driven Insights
  • Virginia, VA FULL_TIME
  • Job Summary: Looking to build upon your track record as a SaaS finance professional in a rapidly growing segment of the financial services industry? You will work tightly with our clients and the Driv...
  • 1 Month Ago

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Preschool Director
  • Learning Care Group
  • Virginia, VA FULL_TIME
  • Join a strong community where all we do is care-for the children and families we serve every day, as well as for our dedicated team members. Our people are our best asset. We listen and we know what y...
  • 8 Days Ago

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0 Managed Care Finance Director jobs found in Virginia Beach, VA area

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SAP ERP Migration Coordinator
  • Herdt Consulting
  • Norfolk, VA
  • About the Organization Herdt Consulting, Inc. An excellent opportunity with a highly successful, Veteran-Owned Small Bus...
  • 4/26/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Norfolk, VA
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/26/2024 12:00:00 AM

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Accounting Technician AR- FT 5560
  • Coast Guard Community Services Command
  • Chesapeake, VA
  • Job Description Job Description Announcement #: 5560 Opening Date: 21 February 2024 Pay Plan/Series/Pay Band: NF-0525-03...
  • 4/25/2024 12:00:00 AM

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Medical Practice Manager
  • Panacea Behavioral Health & Wellness Center
  • Virginia Beach, VA
  • Job Description Job Description I. Overview: The Practice Manager is directly responsible for prioritizing resources, in...
  • 4/25/2024 12:00:00 AM

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Manager, Financial Planning & Analysis
  • Ses-government Solutions
  • Virginia Beach, VA
  • Job ID: 108544Leonardo DRS is a prime contractor, leading technology innovator and supplier of integrated products, serv...
  • 4/24/2024 12:00:00 AM

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Senior Sales Executive
  • Aspire Partners USA
  • Newport News, VA
  • Aspire Partners seeks current or former Business Professionals, Executives, B2B Sales reps, Finance executives, CFOs, CO...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Norfolk, VA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
  • Department Of The Treasury
  • Norfolk, VA
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

Virginia Beach is located at 36°51′02″N 75°58′40″W / 36.8506°N 75.9779°W / 36.8506; -75.9779 (Virginia Beach). According to the United States Census Bureau, the city has a total area of 497 square miles (1,290 km2), of which 249 square miles (640 km2) is land and 248 square miles (640 km2) (49.9%) is water. It is the largest city in Virginia by total area and third-largest city land area. The average elevation is 12 feet (3.7 m) above sea level. A major portion of the city drains to the Chesapeake Bay by way of the Lynnhaven River and its tributaries. The city is located at the southeaster...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$136,362 to $176,197
Virginia Beach, Virginia area prices
were up 1.2% from a year ago

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