Managed Care Supervisor jobs in Columbus, OH

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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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Columbus, OH 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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Managed Care Biller - Atrium Centers
  • Atrium Centers
  • Columbus, OH FULL_TIME
  • Atrium Centers…Be a light…to all residents, their families and team members “Our mission is to serve as a bright light in the lives of our residents and families by delivering compassionate, quality c...
  • 10 Days Ago

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Client Services Supervisor for an IT Managed Service Provider
  • EasyIT
  • Dublin, OH FULL_TIME
  • Job Overview:We are seeking a highly motivated and experienced Client Services Manager to join our team. As a Client Services Manager, you will be responsible for overseeing and managing client relati...
  • 17 Days Ago

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Direct Care Staff Supervisor
  • Advance DD Care, LLC
  • Columbus, OH FULL_TIME,PART_TIME
  • Do you have a passion for helping others? Would you like to leave work everyday knowing that you made a difference in somebody's life? At Advance DD Care, you can make a difference every day. We are h...
  • 19 Days Ago

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Pet Care Supervisor
  • Furball Fitness Dog Walking & Pet Care
  • Reynoldsburg, OH FULL_TIME
  • We are looking for a self-motivated person who loves dogs and has at least one year experience as a supervisor and six months of pet care experience. This is a working management position. The duties ...
  • 5 Days Ago

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Pet Care Supervisor
  • Furball Fitness Dog Walking & Pet Care
  • Reynoldsburg, OH FULL_TIME
  • We are looking for a self-motivated person who loves dogs and has at least one year experience as a supervisor and six months of pet care experience. This is a working management position. The duties ...
  • 5 Days Ago

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0 Managed Care Supervisor jobs found in Columbus, OH area

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Quality Assurance Lab Technician II - Nights
  • Sherwin-Williams
  • Columbus, OH
  • This position is responsible for testing production batches according to specific written testing methods and identifyin...
  • 4/22/2024 12:00:00 AM

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Registered Respiratory Therapist (Part-Time)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 2/27/2024 12:00:00 AM

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Registered Respiratory Therapist - Full Time Nights
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 2/15/2024 12:00:00 AM

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Registered Respiratory Therapist (Part-Time/Casual)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/18/2024 12:00:00 AM

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Registered Respiratory Therapist - Full Time Days
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/18/2024 12:00:00 AM

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Registered Respiratory Therapist (Part-Time/Casual)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/3/2024 12:00:00 AM

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Registered Respiratory Therapist (5,000 sign on bonus)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 12/18/2023 12:00:00 AM

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Registered Respiratory Therapist/ Part-Time/Casual
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 12/8/2023 12:00:00 AM

The confluence of the Scioto and Olentangy rivers occurs just north-west of Downtown Columbus. Several smaller tributaries course through the Columbus metropolitan area, including Alum Creek, Big Walnut Creek, and Darby Creek. Columbus is considered to have relatively flat topography thanks to a large glacier that covered most of Ohio during the Wisconsin Ice Age. However, there are sizable differences in elevation through the area, with the high point of Franklin County being 1,132 ft (345 m) above sea level near New Albany, and the low point being 670 ft (200 m) where the Scioto River leaves...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,776 to $103,199
Columbus, Ohio area prices
were up 1.3% 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