Managed Care Provider Relations Manager jobs in Fort Worth, TX

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
  • Arlington, 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.
  • 28 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fort Worth, 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 medicatio...
  • 1 Month Ago

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Provider Relations Coordinator
  • CCHP Cook Children's Health Plan
  • Fort Worth, TX FULL_TIME
  • Location: Calmont Operations Building Department: Network Mgmt Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Additional Information: The Provider Relations Coordinat...
  • 10 Days Ago

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In-Home Care Provider
  • FAMILY TREE PRIVATE CARE
  • Fort Worth, TX FULL_TIME
  • DescriptionJoin our Care Providing Team today.Become part of the exceptional team that helps care for older adults who rely on Family Tree Private Care. Create your own schedule, and choose the shifts...
  • 1 Month Ago

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Childcare Provider
  • BRIGHT LIGHTS CHILD CARE llc
  • Justin, TX FULL_TIME,PART_TIME,CONTRACTOR
  • Experienced child care teacher Must have experience in early childhood or working with children of all ages. Duties include diaper changing, feedings and implementing a daily lesson plan filled with a...
  • 2 Days Ago

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Advanced Practitioner Provider (APP) - Critical Care
  • DALLAS PULMONARY & CRITICAL CARE PA
  • Fort Worth, TX FULL_TIME
  • Description: Advanced Practitioner Provider DPACC Exceed Healthcare The Intensivist Advanced Practitioner Provider (APP) is a certified, licensed nurse practitioner or physician assistant who independ...
  • 1 Month Ago

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0 Managed Care Provider Relations Manager jobs found in Fort Worth, TX area

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Relationship Manager
  • Hilltop Securities Inc.
  • Dallas, TX
  • JOB DESCRIPTION The Relationship Manager will report to the Director of the Relationship Management Team. RESPONSIBILITI...
  • 4/25/2024 12:00:00 AM

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Customer Relationship Management Specialist
  • JCW
  • Dallas, TX
  • JCW is partnering with a top 100 Law Firm out of their Chicago, Dallas, and Houston locations to bring on a CRM Speciali...
  • 4/24/2024 12:00:00 AM

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Managing Director, 401K Relationship Manager
  • Fidelity TalentSource LLC
  • Westlake, TX
  • Job Description: Role The Managing Director (MD) is entrusted with a book of business of defined contribution. The Manag...
  • 4/24/2024 12:00:00 AM

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Pharmacy Relationship Manager
  • America's Pharmacy Group, LLC
  • Arlington, TX
  • Whether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or lo...
  • 4/22/2024 12:00:00 AM

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Relationship Manager Middle Market
  • Texas Capital Bancshares, Inc.
  • Fort Worth, TX
  • Texas Capital is built to help businesses and their leaders. Our depth of knowledge and expertise allows us to bring the...
  • 4/22/2024 12:00:00 AM

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Managing Director, 401K Relationship Manager
  • Fidelity TalentSource LLC
  • Westlake, TX
  • Job Description: The Managing Director is responsible for maintaining and enhancing relationships within each Plan Spons...
  • 4/22/2024 12:00:00 AM

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Dealer Relationship Manager (Bilingual Spanish)
  • AFS Acceptance
  • Dallas, TX
  • POSITION SUMMARY We are one of the nation's top automobile loan providers and we are searching for ambitious, highly per...
  • 4/22/2024 12:00:00 AM

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Relationship Manager II
  • Frost (Cullen/Frost Bankers)
  • Carrollton, TX
  • Job Description It's about names, not numbers. Do you consider yourself to be a self-starter? Passionate about financial...
  • 4/21/2024 12:00:00 AM

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$98,274 to $141,763
Fort Worth, Texas area prices
were up 2.2% 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