Managed Care Supervisor jobs in Austin, TX

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Associate Contract Compliance Managed Care - REMOTE - (JP9539)
  • 3 Key Consulting
  • Austin, TX FULL_TIME
  • Job Title:   Associate Contract Compliance Managed Care - REMOTE - (JP9539)
    Location: Austin, TX. (100% REMOTE)
    Employment Type:  Contract
    Business Unit: Impurities
    Duration: 4 months (with likely extensions and/or conversion to permanent)
    Posting Date: 12/07/2021


    3 Key Consulting is hiring an Associate for a consulting engagement with our direct client, a leading global biopharmaceutical company.

    Job Description:
    The successful candidate for this data-focused position will be responsible for ensuring Contract Compliance by cross-checking Managed Care Rebate Invoice submissions against Formulary Validation results and proactively identifying claims for dispute. Additionally, you will work in concert and at the direction of your direct supervisor to coordinate your work with theirs to ensure payments are made accurately and timely. This role will require you to work cross-functionally with partners from Payor Contracting and Market Access and will require active participation in regular status meetings, for which you will be responsible for taking and distributing meeting minutes. Additionally, you will be responsible for maintaining dispute status tracker as well as other tasks as assigned.

    Why is the Position Open?
    Needing additional cover; special project.

    Top Must Have Skills:
    • Must have 1-2 years' experience working with large data sets.
    • Basic understanding of prescription drug coverage.
    • Intermediate Excel skills, and tech savvy.
    • Great communicational skills.

    Basic Qualifications:
    • B.S. degree in Data Science, Mathematics, Finance, Economics, Sciences or related discipline.
    • Min 1-2 years' experience working with large data sets.
    • Basic understanding of prescription drug coverage.
    • Intermediate Excel skills.

    Preferred Qualifications:
    • Experience with Managed Care, PBMs, or other payors, and in depth understanding of prescription drug coverage in the US.
    • Advanced MS Excel skills.
    • Demonstrate independence and ability to produce quality results while meeting tight deadlines under minimal direction.
    • Generate complete, accurate, and concise documentation.
    • High energy individual who can multi-task and handle a fast-pace, dynamic work environment.
    • Take detailed meeting minutes.
    • Actively participate in cross-functional meetings which will require effective communication across various levels of the organization.
    • Perform analysis on data sets.
    • Maintain dispute status tracker.
    • Work in partnership with direct supervisor to ensure smooth handoffs of work.

    Employee Value Proposition:
    • Great team dynamic.
    • Collaborative team.
    • Opportunity to growth and learn new skill sets.
    • Facetime with leadership and management.
    • Possible extension.

    Red Flags:
    • No excel experience; must have strong experience in Excel (more than basic skills), formula driven.
    • Not driven or willing to learn new things.
    • Must be able to multitask.

    Interview process:
    Video Skype Panel Interview


    We invite qualified candidates to send your resume to resumes@3keyconsulting.com.  If you decide that you’re not interested in pursuing this particular position, please feel free to take a look at the other positions on our website www.3keyconsulting.com/careers. You are also welcome to share this opportunity with anyone you think might be interested in applying for this role.
  • 15 Days Ago

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Airport Rental Car Cleaner ($17.00 per hour • Daily Pay Access)
  • Managed Labor Solutions
  • Austin, TX FULL_TIME
  • Do you enjoy late model cars, have a good attention to detail, and need a flexible schedule plus access to daily pay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company...
  • 8 Days Ago

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Airport Rental Car Fleet Driver ($15.00 per hour • Daily Pay Access)
  • Managed Labor Solutions
  • Austin, TX FULL_TIME
  • Do you enjoy working outside an office and are passionate about driving late-model cars? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental ca...
  • 8 Days Ago

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Paralegal – U.S. Immigration
  • Integreon Managed Solutions
  • Austin, TX FULL_TIME
  • Job Title: Paralegal – U.S. Immigration Job Location: Austin, Texas Role Summary: Integreon is actively seeking experienced paralegals to join our immigration services team, which operates in a fast‐p...
  • 8 Days Ago

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Maintenance Supervisor
  • Park Place Care Center
  • Georgetown, TX FULL_TIME
  • We’re seeking a Maintenance Supervisor to join our growing team! Reliability, trustworthiness and consistency with regard to attendance is extremely important to this job. The ability to regularly and...
  • 16 Days Ago

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Registered Nurse Supervisor
  • Integral Care
  • Austin, TX FULL_TIME
  • Job Number: 24-6881 Job Summary: The Nurse Supervisor provides clinical oversight for nursing staff. This position will provide clinical supervision to nursing and direct care staff, will identify, de...
  • 4 Days Ago

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0 Managed Care Supervisor jobs found in Austin, TX area

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Culinary Supervisor - Corner
  • White Lodging
  • Austin, TX
  • Summary: White Lodging develops and operates a portfolio of award-winning, premium-brand hotels, rooftop bars and restau...
  • 4/22/2024 12:00:00 AM

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TDA - FN - Travel Specialist for Food & Nutrition (Travel Accounting Specialist) (57231)
  • CAPPS
  • Austin, TX
  • Job Description Travel Specialist for Food & Nutrition (F&N) (Program Support/Administrative Assistant/Accounting) Salar...
  • 4/22/2024 12:00:00 AM

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TDA - FND - Administrator for Food and Nutrition (Financial and Budget Operations) (57564)
  • CAPPS
  • Austin, TX
  • Job Description Administrator for Food and Nutrition (Financial and Budget Operations) Salary Information:B29, $12,500.0...
  • 4/22/2024 12:00:00 AM

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PRN RN Registered Nurse
  • Fresenius Medical Care
  • Austin, TX
  • POSITION FEATURES: AZURA PURPOSE AND SCOPE: Supports the Organization mission, vision, core values and customer service ...
  • 4/22/2024 12:00:00 AM

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Customer Service Rep I
  • Chesapeake Utilities Corp.
  • Georgetown, TX
  • ** Customer Service Rep I** **Job Category****:** Customer Contact Center **Requisition Number****:** CUSTO002687 Showin...
  • 4/21/2024 12:00:00 AM

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Licensed Talk Therapist
  • Thriveworks
  • Austin, TX
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Austin,...
  • 4/21/2024 12:00:00 AM

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Licensed Psychologist
  • Thriveworks
  • Austin, TX
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Austin,...
  • 4/21/2024 12:00:00 AM

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Clinical Social Worker
  • Thriveworks
  • Austin, TX
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Austin,...
  • 4/21/2024 12:00:00 AM

Austin is the capital of the U.S. state of Texas and the seat of Travis County, with portions extending into Hays and Williamson counties. It is the 11th-most populous city in the United States and the 4th-most populous city in Texas. It is also the fastest growing large city in the United States, the second most populous state capital after Phoenix, Arizona, and the southernmost state capital in the contiguous United States. As of the U.S. Census Bureau's July 1, 2017 estimate, Austin had a population of 950,715 up from 790,491 at the 2010 census. The city is the cultural and economic center ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$75,385 to $104,040
Austin, Texas area prices
were up 1.2% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020