Managed Care Supervisor jobs in Pennsylvania

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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Managed Care Supervisor - Lime Spring
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.0
    Shift : Day
    Hours : Monday - Friday 8:00a - 4:30p

    SUMMARY OF POSITION :

    Directly supervise, lead and coordinate the daily activities of Managed Care workers. Assists with management decisions and activities.

    RESPONSIBILITIES :

    • Supervise the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
    • Resolve customer complaints or answer customers' questions regarding policies and procedures.
    • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
    • Review records or reports pertaining to activities such as production and payroll to verify details, monitor work activities, or evaluate performance.
    • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
    • Prepare and issue work schedules, deadlines, and duty assignments for staff.
    • Participate in the recruitment, interviewing, and selection of employees.
    • Interpret and communicate work procedures and company policies to staff.
    • Provide input into the evaluation of employees' job performance and conformance to regulations and recommend appropriate personnel action.
    • Train or instruct employees in job duties or company policies or arrange for training to be provided.
    • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
    • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
    • Coordinate activities with other supervisory personnel or with other work units or departments.
    • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
    • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
    • Develop or update procedures, policies, or standards.
    • Maintain records pertaining to inventory, personnel, orders, supplies, or maintenance.
    • Consult with managers or other personnel to resolve problems.

    MINIMUM QUALIFICATIONS :

    • High School Diploma or GED required.
    • Working knowledge of team function within the organization.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 14 Days Ago

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MOMobile Managed Care Program Manager
  • Maternity Care Coalition
  • Philadelphia, PA FULL_TIME
  • Organizational Summary In 1980, a group of Philadelphia health and social justice activists came together over concerns about the well-being of pregnant people and infants. They created Maternity Care...
  • 10 Days Ago

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Associate Managed Care Analyst
  • Allegheny Health Network
  • Remote Position, PA FULL_TIME
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates th...
  • 2 Days Ago

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Managed Care Support Analyst
  • Allegheny Health Network
  • Remote Position, PA FULL_TIME
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This role processes payor contracts for single case agreements, manages contract repository, and completes facility credentialing...
  • 20 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Pittsburgh, PA 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 medicatio...
  • 29 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Philadelphia, PA 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 medicatio...
  • 29 Days Ago

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Care Supervisor
  • Help at Home
  • Natchez, MS
  • Help at Home is hiring a Care Supervisor! Offering weekly pay! Help at Home, LLC is the nation’s leading provider of hig...
  • 4/18/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Starkville, MS
  • Help at Home is hiring a Care Supervisor! Now offering weekly pay! Help at Home, LLC is the nation’s leading provider of...
  • 4/18/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Warren, PA
  • Help at Home is hiring a Care Supervisor (Customer Service Representative)! Help at Home is the nation’s leading provide...
  • 4/18/2024 12:00:00 AM

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Customer Care Supervisor
  • Marque Urgent Care
  • Irvine, CA
  • Job Description Job Description The Customer Care Center (CCC) at Marque Urgent Care provides consistent, friendly, and ...
  • 4/18/2024 12:00:00 AM

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Customer Care Supervisor
  • Magellan Health, Inc
  • Rancho Cordova, CA
  • **Covid-19 Update:** Magellan Health is taking the implications of the coronavirus (COVID-19) pandemic very seriously. T...
  • 4/17/2024 12:00:00 AM

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Home Care Supervisor
  • Noor Home Healthcare Service Corp DBA NoorCare
  • Sacramento, CA
  • Job Description Job Description Benefits: Free food & snacks Free uniforms Training & development Home Care Service Supe...
  • 4/17/2024 12:00:00 AM

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Respiratory Care Supervisor
  • Essentia Health
  • Detroit Lakes, MN
  • Job Description: In this position you will provide support for the development and implementation of strategic and opera...
  • 3/14/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • W St Paul, MN
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/8/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$75,994 to $104,881

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020