Managed Care Supervisor jobs in Oklahoma

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
  • Oklahoma, OK 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.
  • 23 Days Ago

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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 au...
  • 3 Days Ago

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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 ...
  • 3 Days Ago

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Clinical Supervisor
  • BrightStar Care of Tulsa
  • Tulsa, OK FULL_TIME
  • Are you looking for a home care job where you can make a difference in people’s lives? Do you want to work for a home care agency that genuinely cares about you? Work in a T.E.A.M. environment where T...
  • 24 Days Ago

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Housekeeping Supervisor
  • 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...
  • 2 Months Ago

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Maintenance Supervisor
  • Long Term Care Facility
  • Durant, OK FULL_TIME
  • Overview: This position is responsible for making the premises safe and keeping it in good working order for residents, employees, and the public. The maintenance person must be knowledgeable in all a...
  • 2 Months Ago

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Child Care Supervisor
  • Stratton Mountain
  • Stratton Mountain, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 6/11/2024 12:00:00 AM

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Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Gilbert, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3196 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/11/2024 12:00:00 AM

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Pikesville, MD
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 6/11/2024 12:00:00 AM

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/7/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Rochester, MN
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/6/2024 12:00:00 AM

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Direct Care Supervisor
  • Mosaic
  • Axtell, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

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Direct Care Supervisor
  • Mosaic
  • Kearney, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Wausau, WI
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/3/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$70,743 to $97,625

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