Managed Care Supervisor jobs in Virginia Beach, VA

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
  • Virginia, VA 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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Floor Supervisor
  • Care-A-Lot Pet Resorts
  • Moyock, NC FULL_TIME
  • Summary/Objective The Floor Supervisor is responsible for establishing and maintaining guest services. Additionally, assists in unloading delivery trucks and compares received products to packing list...
  • 22 Days Ago

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Medical Biller Supervisor
  • Chesapeake Health Care
  • Salisbury, MD FULL_TIME
  • POSITION SUMMARY Manages the day to day supervision and processes associated with the billing department. Ensures the accurate and timely billing and collection of medical and dental claims through a ...
  • 25 Days Ago

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Managed Services Manager
  • Sentara
  • Virginia, VA FULL_TIME
  • Sentara Health is seeking a passionate leader to join our HRIS team as Managed Services Manager ! This is a Full-time & 100% Remote position**Candidates must have a current residence in one of the fol...
  • 25 Days Ago

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Patient care supervisor
  • Sentara
  • Virginia, VA FULL_TIME
  • City / State Hampton, VA Overview Work Shift First (Days) (United States of America) Sentara CarePlex Hospital located in Hampton, VA is hiring a Patient Care Supervisor,RN for the Bed Management Unit...
  • 1 Day Ago

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Care Coordinator Supervisor
  • Wraparound Maryland
  • Salisbury, MD FULL_TIME
  • Duties and Responsibilities: The Care Coordinator Supervisor will coach care coordinators around engagement and completion of a Family Interview with each family. The Care Coordinator Supervisor will ...
  • 25 Days Ago

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0 Managed Care Supervisor jobs found in Virginia Beach, VA area

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Housekeeping Manager
  • MasterCorp, Inc.
  • Virginia Beach, VA
  • Overview: As the leader in the resort housekeeping industry, we experience rapid and consistent growth at resort locatio...
  • 4/26/2024 12:00:00 AM

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Laundry Aide
  • Bay Pointe Rehabilitation and Nursing
  • Virginia Beach, VA
  • Bay Pointe Rehabilitation and Nursing - Eastern Health Care Services takes the quality and service of Dietary & Housekee...
  • 4/26/2024 12:00:00 AM

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Housekeeping Manager
  • MasterCorp, Inc.
  • Virginia Beach, VA
  • Overview: As the leader in the resort housekeeping industry, we experience rapid and consistent growth at resort locatio...
  • 4/24/2024 12:00:00 AM

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Clinical Social Worker
  • Thriveworks
  • Virginia Beach, VA
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Norfolk...
  • 4/24/2024 12:00:00 AM

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Pharmacist - Sign On Bonus Available
  • WALGREENS
  • Virginia Beach, VA
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/24/2024 12:00:00 AM

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LPC Resident in Counseling - Full Time Hybrid - Sign on Bonus
  • Thriveworks
  • Virginia Beach, VA
  • Thriveworks Counseling is seeking individuals pursuing Virginia State Licensure as a LPC in Virginia Beach, Virginia. **...
  • 4/23/2024 12:00:00 AM

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Virginia Beach, VA
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 4/23/2024 12:00:00 AM

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Virginia Beach, VA
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 4/22/2024 12:00:00 AM

Virginia Beach is located at 36°51′02″N 75°58′40″W / 36.8506°N 75.9779°W / 36.8506; -75.9779 (Virginia Beach). According to the United States Census Bureau, the city has a total area of 497 square miles (1,290 km2), of which 249 square miles (640 km2) is land and 248 square miles (640 km2) (49.9%) is water. It is the largest city in Virginia by total area and third-largest city land area. The average elevation is 12 feet (3.7 m) above sea level. A major portion of the city drains to the Chesapeake Bay by way of the Lynnhaven River and its tributaries. The city is located at the southeaster...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,796 to $100,467
Virginia Beach, Virginia 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