- Healthfirst (NY)
- …and understanding of Medicare Advantage, as well as broader the Medicare product spectrum **Preferred Qualifications:** + Masters degree + Strength in ... in all initiatives + Supports VP in the development and management of the annual Medicare tele sales operating budget + Partners with Legal, Regulatory and… more
- Point32Health (Canton, MA)
- …including annual bid/rate and related filings, new benefit implementation, and product /vendor management processes. The Senior Manager will support annual ... senior leadership, the Senior Manager, in collaboration with the Director , is responsible for all necessary product ...+ Support other annual regulatory submissions as necessary, eg, Medicare Supplement product filing with state agencies… more
- Molina Healthcare (NY)
- …complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to ... fairly and effectively. Provides direction and coordination to deliver accurate product and service information to members and providers, and identifies… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... CPHL sites located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare ... or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The… more
- Humana (Columbus, OH)
- …capable of providing frameworks to maximize available resources to achieve growth. The ** Director ,** **Medicaid Insurance Product Management - Growth & ... the health of the communities it serves. Medicaid Insurance Product Management - Growth & Innovation team's...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary/Mission:** The Medicare Performance Management Lead Business Consultant will facilitate ... execution of the market strategies, including the development of market level Medicare Advantage product and network strategies, execution of pricing… 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 ... decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently...in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …with assigned specialty distributor and specialty pharmacy accounts. The Associate Director of Trade will collaborate with members of Supply Chain, Commercial, ... of solutions. + Strategic implementation and execute channel and account-based product distribution models aligned to Brand strategy, Market Access, and financial… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- Lilly (Indianapolis, IN)
- …bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and ... We are seeking a highly experienced and innovative Sr. Director to lead and work alongside Lilly's Litigation Case... to lead and work alongside Lilly's Litigation Case Management Team (LCMT), responsible for supporting all aspects of… 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
- 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
- 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 ... are properly understood and aligned with corporate strategies. The Director , Payer Accounts will work closely with Patient Services...role include, but are not limited to: + New product strategic access launch planning. + Build payer profiles… more
- CVS Health (Austin, TX)
- …Care (CVS AC) is seeking a qualified candidate for the role of Executive Director of Population Health. The Executive Director of Population Health is the ... of value-based care principles and outcomes. Together with the clinical teams, product and analytics teams is responsible for developing and implementing integrated… more
- Convey Health Solutions (Fort Lauderdale, FL)
- OVERVIEW The Director of Business Transformation is responsible for driving the strategic planning and execution of initiatives that transform the business model, ... organization remains competitive in a rapidly changing market. The Senior Director will work closely with senior leadership, department heads, and cross-functional… more
- Dr. Reddy's Laboratories (Remote, 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
- Mount Sinai Health System (New York, NY)
- …We are accelerating a transition to a business model focused on population health management - our goal is to keep entire communities healthy and out of the ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- CVS Health (Hartford, CT)
- …Organizations (PHOs). This position, working in tandem with partner success, strategy, product , clinical, operations, and project management teams, must achieve ... to make health care more personal, convenient and affordable. **Lead Sales Director , Growth, CVS Accountable Care** This is a remote opportunity and qualified… more
- Arvinas (New Haven, CT)
- …compliance requirements, patient confidentiality (HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part ... member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the...include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing… more
- Mount Sinai Health System (New York, NY)
- …is responsible for evaluating and driving performance for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is ... Population Health leadership, Clinical Documentation and Quality Improvement, Care Management , Product Development and Patient Engagement. 3. Partner… more