- Fairview Health Services (Minneapolis, MN)
- …& Sales (20%)** + Account and relationship management of current and new specialty pharmacy payer accounts, resulting in client retention, loyalty, ... of cutting-edge payer programs and services that position Fairview Specialty Pharmacy as a market leader in the competitive specialty marketplace.… more
- Dr. Reddy's Laboratories (Remote, OR)
- …traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of market ... pipeline products. As a strategic and tactical expert in areas of market access, payer coverage and contract negotiation, you will be a leader with the ability to… more
- Henry Ford Health System (Detroit, MI)
- *The Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit is a Remote OR Hybrid role with Henry Ford Health (HFH). Our HFH office ... concentrated daily oversight of Inpatient Clinical Documentation Improvement and Payer Audit teams. The Program Director will...- from primary and preventative care to complex and specialty care, health insurance, a full suite of home… more
- Corewell Health (Southfield, MI)
- Job Summary We are seeking a visionary leader to join our team as the Director of Retail and Specialty Pharmacy Operations. This is a unique opportunity to ... services and drive significant growth and expansion. The Director of Retail and Specialty Pharmacy...pharmacy operations, including inventory management, customer service, and payer contracting. + 5 years of relevant Pharmacy… more
- CVS Health (Woonsocket, RI)
- …affordable. **Position Summary** As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most ... open to developing financial acumen and analytical rigor around pharmacy economics The Payer Relations Account Executive...relations experience managing a book of business in a Pharmacy , PBM, Health Plan, or medical specialty … more
- Hackensack Meridian Health (Eatontown, NJ)
- …maintain relationships that will grow and sustain the business. + Works with the Specialty Pharmacy Director and leadership team on designated projects as ... total dollars outstanding from third parties to the Network Director of Pharmacy Business & Finance. +...ensures timely resolution. + Identifies new specialty pharmacy opportunities based on current restricted payer … more
- Fairview Health Services (Minneapolis, MN)
- …and Sales** + Provide account and relationship management of current and new specialty pharmacy payer accounts, resulting in client retention, loyalty, ... **Overview** Responsible for the oversight of specialty pharmacy clinical payer relationships and strategic development of specialty pharmacy … more
- Mount Sinai Health System (New York, NY)
- … team and on behalf of Mount Sinai Human Resources partners, the Pharmacy Benefits Program Director is responsible to provide service support, reporting, ... guarantees while working with multiple internal stakeholders and other external vendors. The Pharmacy Benefits Program Director serves as the primary pharmacy… more
- Takeda Pharmaceuticals (Boston, MA)
- …Lexington, MA office. Where you will be responsible for value story development, payer /PBM contracting strategy, pricing, specialty pharmacy and distribution ... TAK-861 and future Orexin Agonists. + Responsible for value story development, payer /PBM contracting strategy, pricing, specialty pharmacy and distribution… more
- J&J Family of Companies (Titusville, NJ)
- …technologies, and innovative programming approaches that support patient engagement in the specialty pharmacy channel. The role must build and maintain strong ... Marketing, Account Management, Operations, Analytics and/or related fields is required. + Specialty Pharmacy experience is preferred + Experience in Immunology… more
- AbbVie (Mettawa, IL)
- …driver of this evolution are the changing needs of our stakeholders in the specialty pharmacy channel where AbbVie has a significant footprint of high-value ... the identification and assessment of business opportunities in the fast-evolving specialty pharmacy and distribution channel and developing and implementing… more
- Takeda Pharmaceuticals (Lexington, MA)
- …best of my knowledge. **Job Description** About the role: Join Takeda as a Director , Outcomes Research (OR) where you will develop and execute health economics and ... US Medical team, you will report to the Sr. Director Outcomes Research and Data Science. This is a...plan, budgets, vendors and editing scientific content. + Anticipate payer needs, represent the payer perspective/voice, and… more
- Daiichi Sankyo Inc. (Seattle, WA)
- …NCCN/ASCO guidelines, private payer , GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution ... including but not limited to: benefits investigations, financial assistance options, and Specialty Pharmacy issues. They will also provide education on relevant… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …contracting, access, and performance objectives with assigned specialty distributor and specialty pharmacy accounts. The Associate Director of Trade will ... and Execution: Lead and advance strategic relationships with assigned specialty distributor and specialty pharmacy ...buy and bill reimbursement models. + Strong understanding of payer market and payer dynamics, both commercial… more
- University of Rochester (Rochester, NY)
- …is responsible for the overall management of drug access for high-cost specialty and restricted access drugs in assigned clinics. Duties will include collaboration ... request was denied and preparing a response to the payer with necessary additional information. If the denial management...letter of medical necessity is needed or if physician-to-medical director conversation is needed for approval outside of the… more
- Walgreens (Orlando, FL)
- …* Communications * Maintains strong relationships with Premise Health stakeholders, including Director of Client Operations, Pharmacy Director , and other ... on behalf of prescribers. * Operations * Collaborates with Pharmacy Services Director and Director ...preferred. + Experience with client resolution and exposure to Specialty Pharmacy . + Experience supervising or staffing… more
- Bassett Healthcare (Cooperstown, NY)
- …and Foxcare. This position will also have supervision provided by the Director , Outpatient Pharmacy . Operational/Procedural: Responsible for day to day ... you'll do Under supervision of the Manager, the Business Office Assistant - Pharmacy , is responsible for timely and accurate processing of all payment, transfer and… more
- Arvinas (New Haven, CT)
- …key stakeholders including payers, GPO (community practice / hospital), PBM's, and specialty pharmacy . + Understanding of Benefit Design & Economics associated ... member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the...strategies for Arvinas products. + Work closely with the Payer Account team to assess customer opportunities and structure… more
- AbbVie (Mettawa, IL)
- …including experience working within non-pharma manufacture Healthcare Organizations (eg. Pharmacy ( Specialty /Retail), HealthPlan, PBM, Hospital, et Additional ... and enabling patient access to our portfolio of products across all payer and distribution channels including Commercial health plans, PBMs, Medicare, Medicaid,… more
- Penn Medicine (Bala Cynwyd, PA)
- …your life's work? **Entity: Penn Primary Care (PPC) and Penn Specialty Practices (PSP)** **Department: Population Health** **Location: Penn Medicine Hospice- 150 ... Monument Road** **Hours: Per Departmental Needs** Summary: + The Director , Penn Partners in Care (PPiC) skillfully and strategically leads care management services,… more