Managed Care Supervisor jobs in Las Vegas, NV

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
  • Las Vegas, NV 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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Director of Managed Care Vendor Administration
  • Eastridge
  • Las Vegas, NV FULL_TIME
  • Eastridge Workforce Solutions is a leading provider of workforce management solutions, dedicated to connecting skilled professionals with rewarding opportunities. In partnership with a well-establishe...
  • 4 Days Ago

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Director of Managed Care Vendor Administration
  • Eastridge
  • Las Vegas, NV FULL_TIME
  • Eastridge Workforce Solutions is a leading provider of workforce management solutions, dedicated to connecting skilled professionals with rewarding opportunities. In partnership with a well-establishe...
  • 4 Days Ago

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Assistant Director of Contracting and Managed Care
  • Clinical Management Consultants
  • Springs, NV FULL_TIME
  • A fantastic career opportunity for Assistant Director of Managed Care and Contracting is now available with a prestigious healthcare system in Nevada! The Assistant Director of Contracting and Managed...
  • 8 Days Ago

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Mobile Diesel Technician - Advanced
  • Managed Mobile
  • Las Vegas, NV FULL_TIME
  • Managed Mobile is looking for an advanced level Journeyman Technician with a wide breadth of experience who can diagnose and repair medium/heavy duty trucks. The selected candidate will work independe...
  • 1 Month Ago

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Airport Rental Car Fleet Driver ($11.25 per hour)
  • Managed Labor Solutions
  • Las Vegas, NV FULL_TIME
  • Have a passion for driving late model cars? Need a flexible schedule? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, is looking to hire committed and efficient peo...
  • 6 Days Ago

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0 Managed Care Supervisor jobs found in Las Vegas, NV area

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Customer Care Team Lead
  • Sunbit
  • Las Vegas, NV
  • JOB TITLE: Customer Care Team Lead LOCATION: Las Vegas, Nevada WORK SCHEDULE: Flexible Who We Are: Sunbit builds financi...
  • 4/23/2024 12:00:00 AM

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Customer Care Team Lead
  • Sunbit
  • Las Vegas, NV
  • JOB TITLE: Customer Care Team Lead LOCATION: Las Vegas, Nevada WORK SCHEDULE: Flexible Who We Are: Sunbit builds financi...
  • 4/23/2024 12:00:00 AM

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SUPERVISOR EVS/HOUSEKEEPING (NIGHTS)
  • UHS
  • Las Vegas, NV
  • Responsibilities About Centennial Hills Hospital: Centennial Hills Hospital Medical Center® is a 336-bed facility that i...
  • 4/22/2024 12:00:00 AM

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LEAD MEDICAL TECHNOLOGIST- CENTENNIAL HILLS HOSPITAL
  • UHS
  • Las Vegas, NV
  • Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two milli...
  • 4/22/2024 12:00:00 AM

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Part Time - Child Care Worker (FY2023-2024)
  • College of Southern Nevada
  • North Las Vegas, NV
  • The College of Southern Nevada appreciates your interest in employment at our growing institution. We want your applicat...
  • 4/21/2024 12:00:00 AM

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CLINICAL SUPERVISOR (RN) ICU (NIGHTS)
  • UHS
  • Las Vegas, NV
  • Responsibilities About Centennial Hills Hospital: Centennial Hills Hospital Medical Center® is a 336-bed facility that i...
  • 4/21/2024 12:00:00 AM

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Medical Technologist
  • MountainView Hospital
  • Las Vegas, NV
  • Description Hourly Wage Estimate: $34.64 - $51.95 / hour Learn more about the benefits offered for this job. The estimat...
  • 4/20/2024 12:00:00 AM

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CLINICAL SUPERVISOR MED/SURG (NIGHTS)
  • UHS
  • Las Vegas, NV
  • Responsibilities About Centennial Hills Hospital: Centennial Hills Hospital Medical Center® is a 336-bed facility that i...
  • 4/20/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$76,908 to $106,142
Las Vegas, Nevada area prices
were up 2.5% 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