Managed Care Supervisor jobs in Nebraska

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
  • Omaha, NE 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.
  • 22 Days Ago

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Supervisor
  • NEBRASKA DENTAL CARE LLC
  • Norfolk, NE FULL_TIME
  • At Aspen Dental, we put You First, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive...
  • 19 Days Ago

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Dietary Supervisor
  • Care Network
  • Blue, NE FULL_TIME
  • Amazing things are happening at The Pines at Blue Hill. Come put your passion of cooking to work in our skilled rehab and nursing community. Working in our facility will allow you to be creative in yo...
  • 2 Months Ago

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Maintenance supervisor
  • Nestle Purina Pet Care
  • Crete, NE FULL_TIME
  • Maintenance Supervisor Were a leader in the pet care industry, which means were not only ahead in volume, profit and market share, but our associates dare to Stand Taller. We innovate new products, im...
  • 4 Days Ago

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Maintenance Supervisor
  • Westfield Quality Care of Aurora
  • Aurora, NE FULL_TIME
  • Job Overview:We are seeking a skilled and experienced Maintenance Supervisor to join our team. As the Maintenance Supervisor, you will be responsible for overseeing and coordinating the maintenance ac...
  • 7 Days Ago

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Maintenance Supervisor
  • Elwood Care Center
  • Elwood, NE FULL_TIME
  • The Maintenance Supervisor coordinates maintenance throughout the facility to ensure a safe environment for residents of the Elwood Care Center & Assisted Living in Elwood, NE. The Maintenance Supervi...
  • 13 Days Ago

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Animal Care Supervisor
  • Petco
  • Wellington, FL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/10/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies Inc
  • Plainfield, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/8/2024 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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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...
  • 6/6/2024 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

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,043 to $99,419

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