Managed Care Supervisor jobs in Fort Worth, 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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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.
  • 22 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...
  • 30 Days Ago

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Maintenance Supervisor
  • Westside Campus of Care
  • White, TX FULL_TIME
  • Position Description Responsible for supervising and coordinating the activities of the maintenance department to ensure environmental center compliance in accordance to Federal, State and Local ordin...
  • 4 Days Ago

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Field Supervisor
  • Heart And Hands Private Care
  • Burleson, TX PART_TIME
  • We are looking for a competent Caregiver to care for our clients in a professional and compassionate manner. It’s an often demanding job as you will have to be available for most of the day and week. ...
  • 25 Days Ago

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Managed IT Services Professional
  • Austin Lane Technologies Inc.
  • Denton, TX FULL_TIME
  • ***This role is located in our Denton, TX office - this is NOT a remote position*** ***Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsors...
  • 4 Days Ago

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Managed Services Operations Analyst
  • Innovest Systems LLC
  • Fort Worth, TX FULL_TIME
  • SS&C is a global provider of investment and financial services and software for the financial services and healthcare industries. Named to Fortune 1000 list as top U.S. company based on revenue, SS&C ...
  • 2 Months Ago

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0 Managed Care Supervisor jobs found in Fort Worth, TX area

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Instructional Aide
  • International Leadership of Texas
  • Fort Worth, TX
  • Primary Purpose: Provide instructional assistance to students under the direct supervision of a certified teacher. Assis...
  • 4/19/2024 12:00:00 AM

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Regulatory Affairs Manager
  • Ferris Mfg. Corp.
  • Fort Worth, TX
  • Ferris Mfg. Corp., a successful and long-established Medical Device Manufacturer, is seeking a responsible, self-motivat...
  • 4/19/2024 12:00:00 AM

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Manager, Product Compliance - REMOTE
  • Net Health
  • Fort Worth, TX
  • About Net Health Belong. Thrive. Make a Difference. Are you looking for a meaningful and satisfying career where you hav...
  • 4/19/2024 12:00:00 AM

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Internal Revenue Agent (12 Month Roster)
  • Department Of The Treasury
  • Fort Worth, TX
  • Duties WHAT IS THE LBI - Large Business and InternationalDIVISION? A description of the business units can be found at: ...
  • 4/19/2024 12:00:00 AM

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BSWH - Patient Services Worker
  • Aramark Corp.
  • Fort Worth, TX
  • Job Description Patient Services Workers are responsible for a variety of specialized duties related to the receipt, int...
  • 4/19/2024 12:00:00 AM

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Center Operations Supervisor
  • Oak Street Health Inc.
  • Fort Worth, TX
  • Company: Oak Street Health Title: Center Operations Supervisor Location: Oak Street Health is a rapidly growing, innovat...
  • 4/19/2024 12:00:00 AM

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Intake & Assessment Clinician (RN) Behavioral Health
  • RehabCare
  • Fort Worth, TX
  • WellBridge Healthcare, owned and operated by Lifepoint Behavioral Health, seeks passionate, creative, and goal-oriented ...
  • 4/19/2024 12:00:00 AM

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Supervisor, Testing & Charging
  • Interstate Batteries
  • Dallas, TX
  • Our mission is to be a trusted workplace for team members to be their whole selves at work. A company that people love a...
  • 4/16/2024 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 Supervisor jobs
$74,167 to $102,359
Fort Worth, Texas area prices
were up 2.2% 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