Top Managed Care Executive jobs in Tulsa, OK
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)
Recently Added Top Managed Care Executive jobs
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.
- 23 Days Ago
Administrator/Executive Director
- Oklahoma Memory Care Institute
-
Tulsa, OK
FULL_TIME
- Come work for a company that cares and appreciates its staff and helps us strive to be the difference makers and a guiding light in our profession. We are searching for attentive, kindhearted health p...
- 10 Days Ago
Account Executive - Hospice
- Agape Care Group
-
Tulsa, OK
FULL_TIME
- Overview Join Our Team as an Account Executive Do you have a knack for coordinating, organizing, and making connections? Are you ready to make a difference in the lives of others and in the community?...
- 13 Days Ago
Account Executive - Hospice
- Agape Care Group
-
Muskogee, OK
FULL_TIME
- Overview Join Our Team as an Account Executive Do you have a knack for coordinating, organizing, and making connections? Are you ready to make a difference in the lives of others and in the community?...
- 21 Days Ago
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 ...
- 24 Days Ago
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...
- 19 Days Ago
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0 Top Managed Care Executive jobs found in Tulsa, OK area
Automotive Service Manager
- Express oil change
-
Tulsa, OK
- Company Description Express Oil Change & Tire Engineers is one of the leading automotive service providers in the nation...
- 5/4/2024 12:00:00 AM
Construction Administration Group Manager
- Olsson Associates
-
Tulsa, OK
- Olsson provides construction management, administration, and observation services for both public and private projects t...
- 5/4/2024 12:00:00 AM
Senior Sales Manager, Multifamily - Cox Communities
- Cox Enterprises
-
Tulsa, OK
- Company Cox Communications, Inc. Job Family Group Sales Job Profile Sr Manager, Direct Sales MDU New Build - CCI Managem...
- 5/4/2024 12:00:00 AM
CEO - Utica Park Clinic & Oklahoma Heart Institute
- Utica Park Clinic
-
Tulsa, OK
- Overview: Ardent Health Services invests in quality healthcare. Ardent Health Services, located in Nashville, Tennessee,...
- 5/3/2024 12:00:00 AM
Supervisory Transportation Security Officer
- Department Of Homeland Security
-
Tulsa, OK
- Summary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-sta...
- 5/2/2024 12:00:00 AM
Program Coordinator
- Tulsa Community Foundation
-
Tulsa, OK
- Job Type Full-time Description A cover Letter and Resume are required to apply. Build in Tulsa Background: The mission o...
- 5/2/2024 12:00:00 AM
Executive Director - TCBH
- State of Oklahoma
-
Tulsa, OK
- Job Posting Title Executive Director - TCBH Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization ...
- 5/1/2024 12:00:00 AM
Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
- 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: htt...
- 5/1/2024 12:00:00 AM
About Tulsa, Oklahoma
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 Top Managed Care Executive jobs
$200,127 to $355,054
Tulsa, Oklahoma area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Top Managed Care Executive do?
Top Managed Care Executive in Danbury, CT
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Top Managed Care Executive in Youngstown, OH
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Top Managed Care Executive in Colorado Springs, CO
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