Managed Care Supervisor jobs in Toledo, 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
  • Toledo, 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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Desktop Support Specialist
  • Velocity A Managed Services Company
  • Holland, OH FULL_TIME
  • Velocity is seeking to hire an onsite Desktop Support Specialist. The Desktop Support Specialist will work a mid shift or second shift schedule and be onsite @ our Holland, Ohio location. This role as...
  • 21 Days Ago

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TEMS Associate (Remote)
  • Velocity A Managed Services Company
  • Holland, OH FULL_TIME
  • Velocity is currently seeking a TEMS Associate to work with our customers telephone carriers. The position primary job function is to work in general clerical accounting, utilizing Microsoft Office, a...
  • 4 Days Ago

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Repair Technician (Warehouse and Production)
  • Velocity A Managed Services Company
  • Holland, OH FULL_TIME
  • Velocity is seeking to hire a repair technician. The Repair Technician analyzes, troubleshoots, and repairs dye sublimation printers and related equipment; as well as documents all activities performe...
  • 7 Days Ago

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Repair Technician (Warehouse and Production)
  • Velocity A Managed Services Company
  • Holland, OH FULL_TIME
  • Velocity is seeking to hire a repair technician. The Repair Technician analyzes, troubleshoots, and repairs dye sublimation printers and related equipment; as well as documents all activities performe...
  • 7 Days Ago

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Facilities Maintenance Specialist
  • Velocity A Managed Services Company
  • Holland, OH FULL_TIME
  • Velocity is a fast-paced company with an open-door environment looking to add a Facilities Maintenance Specialist to our team. The Facilities Maintenance Specialist will provide services to all Veloci...
  • 9 Days Ago

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0 Managed Care Supervisor jobs found in Toledo, OH area

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RN / Registered Nurse - Patient Care Supervisor - Adult Trauma Intermediate / Orthopedics - Full Time - Nights
  • ProMedica
  • Toledo, OH
  • This position will oversee the Gen2 Acute Trauma Unit and the Gen7 Acute Orthopedic Unit REPORTING RELATIONSHIPS Provide...
  • 4/26/2024 12:00:00 AM

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RN / Registered Nurse - Patient Care Supervisor - Med Surg / Intermediate / Ortho - Full Time - Nights
  • ProMedica
  • Sylvania, OH
  • Job Title RN / Registered Nurse - Patient Care Supervisor - Med Surg / Intermediate / Ortho - Full Time - Nights Categor...
  • 4/26/2024 12:00:00 AM

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Administrative Assistant -Crisis Center
  • OhioGuidestone
  • Napoleon, OH
  • Where New Paths Begin OhioGuidestone is the state's leader in community behavioral health care, serving around 26,000 Oh...
  • 4/26/2024 12:00:00 AM

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Advanced Nursing Assistant (ADNA) - 4C Oncology - Part Time 3p-11:30p
  • Bon Secours Mercy Health
  • Toledo, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/26/2024 12:00:00 AM

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Supply Chain Technician
  • Bon Secours Mercy Health
  • Toledo, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/25/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Toledo, OH
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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RN (Registered Nurse) - Senior Staff Nurse - Vascular Access Team - Days
  • Bon Secours Mercy Health
  • Toledo, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/24/2024 12:00:00 AM

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Ambulatory RN (Registered Nurse) - Pediatric ENT - Full Time Days
  • Bon Secours Mercy Health
  • Toledo, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/23/2024 12:00:00 AM

Toledo (/təˈliːdoʊ/) is a city in and the county seat of Lucas County, Ohio, United States. Toledo is in northwest Ohio, at the western end of Lake Erie bordering the state of Michigan. The city was founded in 1833 on the west bank of the Maumee River, and originally incorporated as part of Monroe County, Michigan Territory. It was re-founded in 1837, after conclusion of the Toledo War, when it was incorporated in Ohio. After the 1845 completion of the Miami and Erie Canal, Toledo grew quickly; it also benefited from its position on the railway line between New York City and Chicago. The first...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$73,558 to $101,518
Toledo, 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