- Organon & Co. (Charleston, WV)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... negotiation and execution of pharmacy discount agreements and product contract offerings; individual account performance against strategic, financial and product… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- Datavant (Annapolis, MD)
- …our bold vision for healthcare. **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team. This role will oversee ... the management of our Salesforce contract repository, ensure accuracy and completeness of contract records, and partner with Sales Operations to streamline … more
- AbbVie (Mettawa, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for ... on deal/ no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract and economics from the payer perspective (as needed),… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics...*This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Walmart (Bentonville, AR)
- …patients live, work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and physician agreements ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in meetings, ... + Develops payer scorecard initiatives to measure payer compliance with contract terms and overall...enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading,… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- Walmart (Bentonville, AR)
- …and regulatory requirements. **What you'll do ** + Lead all phases of contract negotiation with PBMs (Pharmacy Benefit Managers) and Health Plans to maximize ... profitability and compliance. + Analyze complex contract language, market data, and financial models to identify risks, opportunities, and viable negotiation… more
- AbbVie (Mettawa, IL)
- …as future pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ ... Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team within APEX, the individual in this role will work… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- The Contract Strategy team has responsibility for developing contracting strategies leveraging complex data analysis while identifying potential risks and balancing ... the business against Regeneron capabilities and compliance requirements. The Director, Contract Strategy will own specific accounts and business segments (either… more
- Bausch + Lomb (Atlanta, GA)
- …opportunity to join our dry eye Market Access team. The **Field Access Manager ** is a field-based non-promotional position who will use their extensive knowledge of ... + Subject matter expert on Bausch + Lombs patient support programs, payer utilization management, access issue resolution, financial assistance and Company approved… more
- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... management and administration of assigned accounts. Ensures all pertinent contract attributes are properly translated into the correct ...bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer … more
- Providence (Burbank, CA)
- …insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts; payer contract compliance; vendor and ... **Description** Manager Pharmacy Business - Home Infusion - St....Six Sigma training and experience. + Vendor or payor contract negotiation experience. **Why Join Providence?** Our best-in-class benefits… more
- Ascendis Pharma (Princeton, NJ)
- …their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have an exciting opportunity for ... you want to work as a Billing Code Senior Manager where your passion for creating positive patient interactions...expert billing and coding support to various teams, including payer contracting and analytical teams, payer relations,… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy program. This… more
- Abbott (Abbott Park, IL)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible for developing ... and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting,… more
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