Top Managed Care Executive jobs in Houston, TX

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (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.
  • 1 Month 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 ...
  • 1 Month 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 ...
  • 16 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...
  • 1 Month 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...
  • 1 Month Ago

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Account Executive
  • Angels Care Home Health
  • Victoria, TX FULL_TIME
  • Account Executive (AE) Angels Care Home Health Why choose Angels Care Home Health? Angels Care Home Health is different. Our nurses are not just another ‘employee number’ to us. We strive to be an ind...
  • 1 Month Ago

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0 Top Managed Care Executive jobs found in Houston, TX area

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Clinical Nurse Coordinator RN Operating Room
  • HCA Houston Healthcare Medical Center
  • Houston, TX
  • Description Introduction HCA Houston Healthcare Medical Center is committed to investing in the latest technology enabli...
  • 4/26/2024 12:00:00 AM

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Front Desk Supervisor
  • Magnolia Houston
  • Houston, TX
  • Overview: This position at Magnolia Houston Hotel will provide exceptional service to both internal and external guests ...
  • 4/26/2024 12:00:00 AM

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Clinical Nurse Coord Acute Care Cardiopulmonary
  • HCA Houston Healthcare Medical Center
  • Houston, TX
  • Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your applic...
  • 4/25/2024 12:00:00 AM

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Clinical Nurse Coordinator Surgical Telemetry
  • HCA Houston Healthcare Medical Center
  • Houston, TX
  • Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your applic...
  • 4/25/2024 12:00:00 AM

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Regional Director of Hospital Physician Programs and SMG Practice Management, South Region
  • IASIS Healthcare
  • Houston, TX
  • Regional Director of Hospital Physician Programs and SMG Practice Management, South RegionClick Here to Apply OnlineJob ...
  • 4/23/2024 12:00:00 AM

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Lead Medical Coordinator
  • Southwest Key Programs
  • Houston, TX
  • Job Summary:: The Lead Medical Coordinator (LMC) is responsible for guiding and ensuring the quality of clinical service...
  • 4/23/2024 12:00:00 AM

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CT Technologist
  • HCA Houston Healthcare Medical Center
  • Houston, TX
  • Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your applic...
  • 4/23/2024 12:00:00 AM

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CT Technologist PRN
  • HCA Houston Healthcare Medical Center
  • Houston, TX
  • Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your applic...
  • 4/23/2024 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 Top Managed Care Executive jobs
$211,706 to $375,597
Houston, Texas area prices
were up 2.3% from a year ago

Top Managed Care Executive in Danbury, CT
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
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Top Managed Care Executive in Youngstown, OH
Based on our compensation data, the estimated salary potential for Top Managed Care Executive will increase 16 % over 5 years.
February 07, 2020
Top Managed Care Executive in Colorado Springs, CO
Nearly 200 executives from provider organizations, benefit management organizations, health plans, long-term care organizations, and group purchasing organizations responded to the survey.
December 31, 2019