Managed Care Provider Relations Manager jobs in Fort Wayne, IN

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fort Wayne, IN 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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Child Care Provider
  • Kids First Child Care Ministr
  • Decatur, IN FULL_TIME
  • Provider will help provide a safe classroom environment that fosters imagination, curiosity and development. Maintain a cleaning schedule for the classroom and other parts of the childcare setting. Me...
  • 1 Month Ago

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Media Relations Manager
  • Parkview Health
  • Fort Wayne, IN FULL_TIME
  • Summary Leads the development and day-to-day operations of Parkview Health’s media relations program. Serves as the Parkview spokesperson and primary media liaison; develops media and public informati...
  • 11 Days Ago

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Regional Service Manager - Fort Wayne, IN (Remote)
  • Signode -Regional Service Manager
  • Fort Wayne, IN FULL_TIME
  • Regional Service Manager - Fort Wayne, IN (Remote) Apply Now Description/Job Summary About Signode:With over $2B in revenue, 80 manufacturing facilities across 6 continents and over 9,000 employees wo...
  • 19 Days Ago

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Clinical Manager
  • At Home Health Care Agency
  • Yoder, IN FULL_TIME
  • Everyday Life: As a clinical manager, you will report directly to the Administrator and serve as a key member of care center operations and management team by leading a full team of multidiscipline, h...
  • 1 Month Ago

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Vendor Managed Inventory (VMI) Delivery Driver
  • PTSolutions
  • Fort Wayne, IN FULL_TIME
  • Job Description: PTSolutions the leading supplier of industrial tools in the Midwest and one of the Top 100 distributors in the United States. With more than 30 locations throughout the country and mo...
  • 17 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Fort Wayne, IN area

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Customer Support Agent
  • The Gainey Agency
  • Fort Wayne, IN
  • Job Description Job Description Are you a passionate and empathetic individual who wants to make a significant impact on...
  • 4/23/2024 12:00:00 AM

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Director of Operations - ABA Therapy
  • Bright achievements
  • New Haven, IN
  • Job Description Job Description About Us: Bright Achievements is a leading provider of in-home and center-based ABA serv...
  • 4/23/2024 12:00:00 AM

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Management & Sales Training Program
  • Sherwin-Williams
  • Fort Wayne, IN
  • The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you...
  • 4/23/2024 12:00:00 AM

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Operations Coordinator
  • Kanak Naturals
  • Fort Wayne, IN
  • Description About Us: Kanak Naturals is a dynamic company dedicated to producing sustainable, disposable tableware and f...
  • 4/22/2024 12:00:00 AM

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Technical Sales Representative, GCP - Georgia Remote, Construction Chemicals
  • Saint Gobain
  • Fort Wayne, IN
  • Technical Sales Representative, GCP - Georgia Remote, Construction Chemicals The Technical Sales Representative (TSR) re...
  • 4/22/2024 12:00:00 AM

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Sales Executive
  • City Lifestyle
  • Fort Wayne, IN
  • Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
  • 4/21/2024 12:00:00 AM

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Printing Sales Representative
  • DataPrint Initiatives
  • Fort Wayne, IN
  • Job Title: Printing Service Sales Representative Job Summary: We are seeking a dynamic and results-oriented Printing Ser...
  • 4/20/2024 12:00:00 AM

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Operations Coordinator
  • Kanak Naturals
  • Fort Wayne, IN
  • Description About Us: Kanak Naturals is a dynamic company dedicated to producing sustainable, disposable tableware and f...
  • 4/19/2024 12:00:00 AM

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$94,138 to $135,795
Fort Wayne, Indiana area prices
were up 1.3% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019