- Abt Global Inc. (Rockville, MD)
- …overseeing complex data analysis projects. + At least 5 years of experience working with Medicare , including Part D and Medicare Advantage, and Medicaid ... work? Now's your chance. **The Opportunity** As a Project Director you will lead and manage a large and...government stakeholders. + Ensure alignment of project goals with Medicare and Medicaid program and payment policy frameworks. **What… more
- CVS Health (Hartford, CT)
- …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
- Humana (Jacksonville, FL)
- …must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work ... **Become a part of our caring community and help us...The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,… more
- Humana (Lincoln, NE)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … more
- Rhythm Pharmaceuticals (Boston, MA)
- …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop ... record of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP,… more
- Hospice Of San Joaquin (Stockton, CA)
- …are the focus of everything we do. We seek a Dynamic, self-motivated Director of Quality and Compliance who thrives in a fast-paced environment and supports ... our mission. JOB SUMMARY AND SCOPE The Director of Quality and Compliance (DQC) develops, implements, and...performance improvement projects, based on QAPI and benchmarking data. d ) Facilitates comprehensive chart audits for ALL teams and… more
- AbbVie (Savannah, GA)
- …and/or managing Buy & Bill, Specialty Pharmacy, Medicare Part B, and Medicare Part D products is highly preferred + Experience selling and/or ... distance to a major airport within this region. The Neuroscience Regional Sales Director leads the sales performance and professional development of a team of… more
- Ankura (NC)
- …firm or large to mid-size consulting firm in the payer and government programs ( Medicare Advantage and Part D , ACA, Medicaid, etc.) with experience ... Disputes and Economics Healthcare practice is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services.… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …lead the evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on ... Associate Director , HCP and Market Access Marketing Date: Nov...Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable strategies that align… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …in healthcare contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D , Medicare Part B, ... **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and… more
- Bayer (Morristown, NJ)
- …the influence/impact and decision drivers of US commercial and government payers (Commercial, Medicare Part B/ D , Medicaid) and channel customers (eg, ... make a real difference, there's only one choice.** **Executive Director Access Business Partner** The Access Business Partner (ABP)...better life, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer. To… more
- Option Care Health (Madison, WI)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... and brightest talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales plan that… more
- Hartford HealthCare (Hartford, CT)
- **Medical Director - Hospice and Palliative Care** **Get MORE from your career with Hartford HealthCare** There are no limits to what you can achieve when you join ... Certify (re-certify when necessary) patients eligible for hospice care under the Medicare Hospice Benefit . Consult with attending physicians regarding pain and… more
- UNC Health Care (Morrisville, NC)
- **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities ... we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for designing,… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Dec 17, 2025 Requisition ID: 463226 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve… more
- Sanofi Group (Morristown, NJ)
- …+ Demonstrated experience in working in specialty pharmacy + Understanding of Commercial, Medicare Part D and Medicaid + Experience identifying trends ... **Job Title:** Director , Access Strategy - Dupixent Rhinology Allergy and...the goal of profitable access. **About Sanofi:** We're an R& D -driven, AI-powered biopharma company committed to improving people's lives… more
- Takeda Pharmaceuticals (Boston, MA)
- …including HTA trends and guidance (eg, NICE, CADTH, PBAC, EU JCA) along with knowledge of US Medicare ( Part D ), ICER in the US and trends in Emerging Markets ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- Bristol Myers Squibb (Princeton, NJ)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more
- Takeda Pharmaceuticals (Boston, MA)
- …HTA trends and guidance (eg, NICE, CADTH, PBAC, EU JCA), along with knowledge of US Medicare ( Part D ), ICER in the US and trends in Emerging Markets ... purpose and be empowered to deliver your best. As part of the Global Health Economics team, you will...cross-functional and cross-regional stakeholders at all enterprise levels, including R& D , Market Access, and local operating companies (LOC), to… more
- Centers for Medicare & Medicaid Services (Washington, DC)
- …and support on Medicare Part B and D prescription drug models, Medicare Part D operational activities, and/or Medicare Part D ... GS-0101-14, you will provide technical expertise and guidance on Medicare Part B and D ... economic analyses and studies. Provide expert guidance to Director , Deputy Director , and higher level management… more
