Managed Care Supervisor jobs in Tulsa, OK

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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Pharmacy - Managed Care Clinical Pharmacist 146-2002
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: The Managed Care Clinical Pharmacist will provide clinical pharmacy support to the CommunityCare Pharmacy Department including development of criteria for medications requiring a prior authorization, management of the drug utilization protocol, clinical support for the CMS Medication related STARs Measures, Medication Therapy Management (MTM) outreach, and other clinical duties as needed.  The ability to influence members and providers to act is important. This position will also work closely with the Patient’s at Risk Committee, reviewing data to identify and investigate possible medication related fraud, waste, and abuse.    KEY RESPONSIBILITIES: Medication CMS Stars Measures – Provide support to the pharmacy and quality department for medication related Stars Measures. Analyze data, identify areas of opportunity, contact members to identify barriers. Medication Therapy Management (MTM) – Support the Medication Therapy Management Program for qualifying members. Review MTM gaps and complete Comprehensive Medication Reviews with qualifying members to support the program. P&T Committee Clinical Support - Work with Director of Pharmacy on development of clinical presentations and drug utilization review programs. Provide clinical input to administrative staff in the preparation of Committee minutes. Clinical Liaison to PBM - Work with PBM as directed by the director of pharmacy to support clinical programs, identify areas to improve quality and reduce costs. Formulary Development – Work with the Director of Pharmacy on formulary development and maintenance with P&T Committee and PBM to assure accuracy of adjudication files, CMS files, print and web formulary files.  Prior-Authorization Reviews – Review medication requests that require a prior authorization and approve or deny based upon established criteria or clinical data provided. Internal/External Meetings - Provide clinical pharmacy input at various internal and external meetings, as necessary. Perform other duties as assigned.   QUALIFICATIONS: Demonstrated understanding and application of managed care concepts and terminology. Extensive experience in management of pharmacy clinical programs. Proficient in Microsoft applications. Successful completion of Health Care Sanctions background check. Excellent analytical, organizational, and decision making skills. Successful completion of Health Care Sanctions background check. (Is this the same as the line above?) Yes. I deleted the precious one.  Possess strong oral and written communication skills.   EDUCATION/EXPERIENCE: Graduation from an accredited School of Pharmacy. PharmD preferred. Current and active unrestricted license to practice pharmacy in the state of Oklahoma. Minimum of 3 years work experience in a managed health care environment specific to pharmacy management activities preferred. 5 years clinical pharmacy experience. Managed care and long-term care pharmacy experience preferred.
  • 13 Days Ago

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Family/Internal Medicine Physician | Flexible Employment Opportunity | Freedom from Managed Care System
  • Spectrum Healthcare Resources
  • Claremore, OK FULL_TIME
  • Join Spectrum Healthcare Resources, a trusted industry leader for over 35 years, and make a change in your career with the military medical system. Enjoy freedom from the traditional pressures of the ...
  • 14 Days Ago

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Airport Rental Car Fleet Driver ($9.50 per hour)
  • Managed Labor Solutions
  • Tulsa, OK 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...
  • 9 Days Ago

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Airport Rental Car Cleaner ($11.00 per hour)
  • Managed Labor Solutions
  • Tulsa, OK FULL_TIME
  • Do you enjoy late model cars and have a good attention to detail? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, ...
  • 9 Days Ago

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Maintenance supervisor
  • Mitchell Care & Rehab Center
  • McAlester, OK FULL_TIME
  • Mitchell Care & Rehab Center - At Mitchell Care & Rehab, we deliver the highest quality of care for every resident through our most valuable asset : you. We seek compassionate and thoughtful individua...
  • 25 Days Ago

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Engineer/Conductor
  • BROE Group and it's managed affiliates
  • Tulsa, OK FULL_TIME
  • OmniTRAX is the second-largest private management company of short-line railroads in North America with expertise in simplifying the entire process of shipping by rail. We call it Rail Made Easy. Omni...
  • 2 Days Ago

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0 Managed Care Supervisor jobs found in Tulsa, OK area

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/25/2024 12:00:00 AM

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Postdoctoral Fellow
  • Oklahoma State University
  • Tulsa, OK
  • Position Details Req ID: req11279 Position Title: Postdoctoral Fellow Position Type: Faculty Position Number: GF9839 OSU...
  • 4/25/2024 12:00:00 AM

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PT Service Team Member
  • Michaels Stores
  • Tulsa, OK
  • Store - TULSA-W 71ST ST, OK Deliver friendly customer service, help customers shop our store, and find what they're look...
  • 4/25/2024 12:00:00 AM

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Referral Program Supervisor
  • Ardent Health Services
  • Tulsa, OK
  • Overview Join our team as a day shift, full-time, Referral Coordinator Supervisor in Tulsa, OK. Fulfilling your purpose ...
  • 4/25/2024 12:00:00 AM

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Internal Revenue Agent (Compliance Automation Specialist - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - (Temp NTE 1 Year, MBE, MBMP) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,035 to $99,416
Tulsa, Oklahoma area prices
were up 1.2% 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