| Managed Care Specialist Job Description |
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| The following is a full job description for Managed Care Specialist. Here are the requirements and responsibilities for Managed Care Specialist along with statistics. If after reading this page you determine that Managed Care Specialist is not the position you are looking for, you may want to try one of these similar titles: Managed Care Supervisor, Managed Care Manager, SVP of Managed Care, Managed Care Director, Managed Care Pharmacy Manager, Managed Care Pharmacy Supervisor, Vendor Managed Inventory Analyst I, Managed Care Pharmacy Senior Manager, Vendor Managed Inventory Manager |
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| Requirements and Responsibilities For Managed Care Specialist |
| Coordinates utilization reviews and evaluates financial impacts to support managed care contract negotiations and maintain care quality. Identifies patterns in service use and recommends strategies to improve efficiency and reduce expenses. Tracks financial outcomes, stays current on policy updates, manages contract records, and prepares reporting. Typically requires a bachelor's degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. |
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| Also referred to as: Managed Care Contracting Analyst, Payer Relations Specialist |
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| Similar Jobs: Managed Care Supervisor, Managed Care Manager, SVP of Managed Care, Managed Care Director, Managed Care Pharmacy Manager, Managed Care Pharmacy Supervisor, Vendor Managed Inventory Analyst I, Managed Care Pharmacy Senior Manager, Vendor Managed Inventory Manager |
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| Level of Education: Managed Care Specialist Salaries with a High School Diploma or Technical Certificate, Managed Care Specialist Salaries with an Associate's Degree, Managed Care Specialist Salaries with a Bachelor's Degree, Managed Care Specialist Salaries with a Master's Degree or MBA, Managed Care Specialist Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare | |
