- Elevance Health (Columbus, OH)
- … members. -Understanding of the benefit design and formularies, specifically for Part D . -Experience in a pharmacy benefit management organization leading ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account... Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, preserving… more
- CVS Health (Salem, OR)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part C appeals… more
- Central Maine Medical Center (Lewiston, ME)
- …and for each other every day. Position Summary: Reporting to the Nursing Director , the Nurse Leader is responsible for the day-to-day operations of assigned ... evaluating the operation of their assigned department. In conjunction with the Director , the Nurse Leader is responsible for overseeing implementation of patient… more
- Marshfield Clinic (Eau Claire, WI)
- …communication with referral network across system; work with regional specialty director (s) to address deficiencies d . Identify new services/service expansion; ... in the world!** **Job Title:** Assistant Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …of business. + Develop, refine, implement, and pull through the MTPA contracting strategy for Medicare Part D , PBMs, GPOs and Commercial + Manage all Payer ... evidence, and creating hope for all facing illness. The Director , Corporate Accounts, is a field based national leader...and external groups including Commercial Payers, Medicare , Medicare Advantage plans, Part D ,… more
- Arvinas (New Haven, CT)
- …providers/organizations, with a strong preference for knowledge of national and regional payers, Medicare Part D , and Medicaid. + National payer experience ... 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… more
- Access Dubuque (Dubuque, IA)
- …RN Clinic-Cardiology Clinic UnityPoint Health Finley Hospital Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this ... Director Clinic Operations **UnityPoint Health Finley Hospital** 1...department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and private payer policies, ... member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the...Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with Oncology Customers +… more
- Amgen (Washington, DC)
- **HOW MIGHT YOU DEFY IMAGINATION?** If you feel like you're part of something bigger, it's because you are. At Amgen, our shared mission-to serve patients-drives all ... you can be proud of. **Medical Value & Access Director - Account Lead** **Live** **What you will do** Let's...Amgen executives + Knowledgeable in the CMS' Center for Medicare & Medicaid Innovation (CMMI), healthcare payment and service… more
- Dr. Reddy's Laboratories (Salem, OR)
- …access strategies to assigned National Accounts. + Demonstrate knowledge and experience in Medicare Part A- D , Medicaid, and commercial payer policies, ... with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the… more
- Molina Healthcare (GA)
- …results across the enterprise. + Delivers a unified or fully Integrated DSNP Medicare and Medicaid model that ensures case management and utilization management work ... of the CMO, Network, Government Contracts, Growth and Community Engagement) as part of clinical model design. + Demonstrates strategic leadership by directing… more
- AdventHealth (Rome, GA)
- …satisfaction. Understands the impact of dissatisfaction on the business goals of the unit. d . In coordination with the Director of Surgical Services, is involved ... + Career Development + **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the… more
- Access Dubuque (Dubuque, IA)
- …Hospital Dubuque, IA UnityPoint Health Finley Hospital Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this Job** ... Patient Services Representative - Part -Time Overnight (Midnight - 8am): Excellent Shift Differential!...necessity for DME supplies requested for patients based on Medicare guidelines, and maintaining physician call schedules. + Contact… more
- Central Maine Medical Center (Bridgton, ME)
- …among all staff and shifts. c) Effectively manages change at a departmental level d ) Identifies readiness for change and involves staff in change process e) Responds ... rounds c) Ensure purposefully hourly rounding occurs on all patients d ) Takes appropriate action on patient/family/staff/physician issues and concerns e) Actively… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, GPOs, Hospitals, etc.). **This ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience… more
- Access Dubuque (Dubuque, IA)
- …John Deere - Dub UnityPoint Health Finley Hospital Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this Job** ... patient with a payment receipt. + Validates medical necessity (LMRP/LCD review) of Medicare and Non- Medicare cases to ensure clinical and financial clearance.… more
- Conviva (Orange City, FL)
- **Become a part of our caring community and help us put health first** The Nurse Practitioner (NP) works in our team-based care environment. We are a value based ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral… more
- American Institutes for Research (Rockville, MD)
- …related experience or Pharm. D . Degree. + Extensive familiarity with CMS, the ACA, Medicare Part D , and Medicare -specific value-based care policy and ... analyst will lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be expected to… more
- Conviva (San Antonio, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more