- CVS Health (Blue Bell, PA)
- …to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the provider data ... will require continuous collaboration and consultation with complex, cross-functional stakeholder management , to ensure the desired business outcome is defined and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …business projects in support of LDH. The Portfolio unit is responsible for Product Management and Implementation oversight of MES Modules, Advanced Planning ... Directs preparation of reports/analyses for Medicaid Deputy Director , Medicaid Director , Undersecretary or...guidance to Product Managers and stakeholders. Oversees Product Management of systems projects, coordinating between… more
- Humana (Columbus, OH)
- …compliance with corrective action plans, as needed. Humana is seeking an Associate Director to oversee compliance programs for Humana's Medicaid contracts. The ... our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate Director ,… more
- CVS Health (Springfield, IL)
- …successful track record negotiating contracts which includes experience within Network Medicaid management . Proven working knowledge of provider financial issues ... health care more personal, convenient and affordable. **Position Summary** The Lead Director will manage the development of contracts and agreements with providers… more
- CVS Health (Sacramento, CA)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and… more
- Point32Health (Canton, MA)
- …years of health plan or provider experience, preferred + Experience with Medicare, Medicaid and/or Dual product management , preferred **Skill Requirements** ... membership targets (sales and retention), competitive positioning, marketing strategy, care management model, and provider network. The Director is responsible… more
- Molina Healthcare (ID)
- …of applicable State, Federal and third party regulations. * Thorough understanding of Medicaid product lines. * Ability to establish and maintain positive and ... into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and monitoring a… more
- Arvinas (New Haven, CT)
- …Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts ... organizations, largest downstream regional account clients as well as their assigned state Medicaid payers. They will be a leader in cross-functional teams to ensure… more
- Ascendis Pharma (Princeton, NJ)
- …to be both strategic and tactical, demonstrating strong leadership, project management , and communication skills. As the Director , Contracting Operations, ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include implementing… more
- Bayer (Houston, TX)
- **Associate Director - Field Reimbursement - Oncology - South Texas** **Associate Director - Field Reimbursement - Oncology - South Texas** **PURPOSE** ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
- Bayer (Denver, CO)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Denver/Utah** **Associate Director - ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
- Bayer (Los Angeles, CA)
- …minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Southern California** **Associate Director ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
- Bayer (WI)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Great North** **Associate Director - ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Director , ACA Individual provides leadership for the operation of the ACA Individual programs across multiple ... ensure the profitability, growth, and stability of the business. The Director will have responsibility for business direction, financial performance, growth… more
- Prime Therapeutics (Columbus, OH)
- …Clinical Program Development Director contributes to the development of drug management strategy for the designated clinical product domain (ie Utilization ... and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …researching on real-world evidence, and creating hope for all facing illness. The Director , Corporate Accounts, is a field based national leader that is responsible ... for oversight, leadership, management , and tactical execution of the Managed Care team....therapy and future products in the United States. The Director will be responsible for holding the team accountable… more
- Dr. Reddy's Laboratories (Salem, OR)
- …candidates with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead ... National Accounts and have secondary oversite for resources responsible for account management with Regional Payors and Health Systems. You will develop strong… more
- Arvinas (New Haven, CT)
- …As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and executing ... include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing...capability and organization to prepare for current and future product launches. + Design and develop pricing models to… more
- Mount Sinai Health System (New York, NY)
- …responsible for evaluating and driving performance for value-based contracts including Medicare, Medicaid and commercial arrangements. The Senior Director is a ... Population Health leadership, Clinical Documentation and Quality Improvement, Care Management , Product Development and Patient Engagement. 3. Partner… more
- Brookdale Senior Living (Chicago, IL)
- …source activities and events as specified by the community marketing plan, Executive Director , and Regional Sales management . Follows up and executes sales ... Medicare and Medicaid regulations to include applicable processes for the product line(s) being sold. Knowledge of state regulations impacting or directing the… more