Managed Care Supervisor jobs in Houston, 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
  • Houston, 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.
  • 2 Months Ago

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Managed Care Payer Contracting
  • Texas Regional Physicians
  • Houston, TX FULL_TIME
  • DescriptionRESPONSIBILITY:Collaborate with leadership, identify appropriate contracting and re-contracting opportunities.Initiates discussions with key constituents as related to new relationships or ...
  • 2 Months Ago

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Managed Pressure Drilling Technician/Supervisor
  • Opla Energy Ltd.
  • Houston, TX FULL_TIME
  • Who we areOpla Energy is service-focused and caters to clients’ needs with modern, automated intelligent Managed Pressure Drilling Technology to optimize efficiencies and reduce drilling costs.Our bus...
  • 2 Months Ago

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Managed Care Provider Relations Specialist
  • Curitec, LLC.
  • Spring, TX FULL_TIME
  • Overview: Curitec is seeking a skilled individual to join our team as a Managed Care Provider Relations Specialist. This role is pivotal in managing all aspects of contracting within our managed care ...
  • 23 Days Ago

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Managed Care Representative II - Member Services
  • Kelsey-Seybold
  • Pearland, TX FULL_TIME
  • Responsibilities Managed Care Representatives respond to inquiries from health plan members, providers and various customers while consistently meeting productivity, quality and service standards. Rep...
  • 2 Months Ago

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Senior Pharmacy Managed Care Contract Administrator - Payor Contracting
  • Texas Children's Hospital
  • Houston, TX OTHER
  • Job Summary We are searching for a Senior Pharmacy Managed Care Contract Administrator -- someone who works well in a fast-paced setting. In this position, you will analyze, negotiate, and implement P...
  • 2 Months Ago

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0 Managed Care Supervisor jobs found in Houston, TX area

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House Supervisor - Registered Nurse
  • IASIS Healthcare
  • Houston, TX
  • House Supervisor - Registered NurseClick Here to Apply OnlineJob DescriptionLocation: St. Joseph Medical CenterPosted Da...
  • 5/3/2024 12:00:00 AM

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Senior Manager, Construction Management
  • Sodexo
  • HOUSTON, TX
  • Unit Description: Do you enjoy a high energy, fast paced environment? Sodexo Energy and Resources is seeking a Senior Co...
  • 5/2/2024 12:00:00 AM

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Personal Care Attendant
  • Bayview Home Health Services
  • Baytown, TX
  • Job Description Job Description POSITION SUMMARY Primary functions: provide personal assistance and/or health-related se...
  • 5/2/2024 12:00:00 AM

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Customer Care Representative
  • Star Furniture Company
  • Houston, TX
  • ** Customer Care Representative** Customer Care Houston, Texas **Description** **CUSTOMER CARE REPRESENTATIVE** Service ...
  • 5/1/2024 12:00:00 AM

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Animal Care Technician - No Experience Required
  • City of Houston, TX
  • Houston, TX
  • Applications Accepted From: ALL PERSONS INTERESTED PN# 33715 Division: BARC Animal Shelter and Adoptions/Kennel Workdays...
  • 5/1/2024 12:00:00 AM

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Nurse Practitioner
  • YesCare
  • Houston, TX
  • Experience & Requirements: Graduate of an accredited program. Holds a current license to practice in the state where fac...
  • 5/1/2024 12:00:00 AM

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Design and Construction Project Manager II
  • Sodexo
  • HOUSTON, TX
  • Unit Description: Do you enjoy a high energy, fast paced environment? Sodexo Energy and Resources is seeking a Design an...
  • 5/1/2024 12:00:00 AM

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Dishwasher
  • Marriott International
  • Houston, TX
  • Job Description POSITION SUMMARY Our Utility Cleaners play an important role in support of a number of vital hotel funct...
  • 5/1/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$76,542 to $105,632
Houston, Texas area prices
were up 2.3% 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