- Arvinas (New Haven, CT)
- …and Medicaid payers. Support non targeted payers as needed. + Collaboration with specialty pharmacy , channel distribution & hub services. + Extensive cross ... important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key...present pre and post approval information, negotiate contracts, secure pharmacy policies that maximize patient access and ensure that… more
- Dr. Reddy's Laboratories (Salem, 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
- 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …pharmacy benefit managers (PBMs) to effectively negotiate transplant, high-cost drugs, pharmacy , and other specialty services contracts. Ensures that contract ... Children's Health (SMCH). Develop, execute, and sustain SHC and SMCH payer strategy strategies for applicable agreements. **Locations** Stanford Health Care **What… 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
- Amgen (Washington, DC)
- …maintains professional relationships with targeted Payer , Pathways, GPO, Trade & Specialty Pharmacy population health decision makers relative to the Amgen ... you can be proud of. **Medical Value & Access Director - Account Lead** **Live** **What you will do** Let's...Master's Degrees considered) + ≥ 5 years of related Payer /PBM/Pathways/Trade/ Specialty Pharmacy customer experience +… 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
- Sanofi Group (Cambridge, MA)
- …advanced training modules, including deep dives into disease states, product portfolios, and payer dynamics (eg, specialty pharmacy , buy-and-bill models). + ... **Job Title:** Director , Market Access Training **Location:** Cambridge, MA **About...executing the comprehensive training and development strategy for Sanofi's Specialty Care and US Shared Services Market Access teams.… more
- Beth Israel Lahey Health (Westwood, MA)
- …documents, perform analysis and maintain databases **Preferred Qualifications:** 1. Accredited Specialty Pharmacy , Mail Order, or Call Center experience 2. ... 120,000 square feet facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We specialize in patient-centered… 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
- 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
- Organon & Co. (Sacramento, CA)
- …hospital outpatient pharmacy departments, as well as IDN-owned medical groups, specialty pharmacy , infusion centers, payer , and home-infusion. + ... supply chain, employee health plans and relevant medical specialties (ie, Specialty Pharmacy , Oncology, Rheumatology, Gastroenterology and Dermatology). +… more
- Bayer (Houston, TX)
- …have a valid driver's license with a safe driving record/ MVR; + Specialty Pharmacy Experience; + Experience educating and/or supporting pharmacies. **WHO YOU ... **Associate Director - Field Reimbursement - Oncology - South...to Bayer Programs/Therapies); + Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; + Experience… more