Managed Care Finance Director jobs in Nevada

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Las Vegas, NV 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.
  • 24 Days Ago

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Director of Finance
  • IVGID
  • Incline Village, NV FULL_TIME
  • Provides overall leadership & mgmt. for Finance/Actg & Revenue Ofc (incl. applicable internal controls); Board & community presentations. Performs high-level admin., tech. & professional work. Req: BA...
  • 3 Days Ago

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Director of Finance
  • Cactus Petes Resort Casino
  • Jackpot, NV FULL_TIME
  • WE’RE CHANGING ENTERTAINMENT. COME JOIN US. We’re always looking for talent that believes in having fun. At PENN Entertainment, you’ll get to be a part of an exciting industry, where the days and nigh...
  • 6 Days Ago

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Director of Finance
  • Transdev
  • North Las Vegas, NV FULL_TIME
  • Key Responsibilities: Analyze financial and performance data from operations and maintenance to proactively manage trends that warrant management attention, includes the monthly financial statements a...
  • 9 Days Ago

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Finance Director
  • United Nissan - NV.
  • Las Vegas, NV FULL_TIME
  • PURPOSE: The purpose of this position is to oversee the production of additional revenue for the dealership by the selling of finance and insurance programs and other approved, appropriate after-sale ...
  • 16 Days Ago

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Director of Finance
  • Cactus Petes
  • Jackpot, NV FULL_TIME
  • WE’RE CHANGING ENTERTAINMENT. COME JOIN US. We’re always looking for talent that believes in having fun. At PENN Entertainment, you’ll get to be a part of an exciting industry, where the days and nigh...
  • 20 Days Ago

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VP of Finance/CFO
  • Creative Financial Staffing
  • Boston, MA
  • An international Fitness and Sports Event company has exclusively retained Creative Financial Staffing to identify a VP ...
  • 6/11/2024 12:00:00 AM

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CFO / controller
  • FBF
  • Antler, ND
  • Job Description Job Description We are seeking a CFO / Controller to lead our company! You will help develop and execute...
  • 6/11/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 6/11/2024 12:00:00 AM

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Financial Director
  • Accountants One
  • Atlanta, GA
  • Accountants One is working with a repeat client that is hiring a Finance Director. This is an exciting opportunity to jo...
  • 6/10/2024 12:00:00 AM

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Chief Financial Officer (CFO)/Controller
  • New Reach
  • New Haven, CT
  • Company Overview: As a long-time leader in Connecticut, New Reach hopes to now chart a new path by fundamentally shiftin...
  • 6/8/2024 12:00:00 AM

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CFO/Controller
  • Bonaventure Pro LLC
  • Rayne, LA
  • Job Description CFO / Controller needed for a fast-growing business in Rayne, LA. We are looking for a senior team membe...
  • 6/7/2024 12:00:00 AM

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SVP of Finance / CFO
  • WellSaid Labs
  • Seattle, WA
  • Who We Are: WellSaid Labs WellSaid Labs is the leading AI voice company for enterprise and professional applications. Us...
  • 6/7/2024 12:00:00 AM

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CFO Controller
  • Paragon Systems Integration
  • Miami, FL
  • Job Description Job Description Do you want to work with a company that delivers the largest, most complex, cutting-edge...
  • 6/7/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$143,830 to $185,852

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020