- Organon & Co. (Columbus, OH)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business relationship at the regional level,… more
- Lyric (Newtown Square, PA)
- …assumption and other immigration support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve as a strategic partner ... guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients...(including NCCI, LCDs, State Medicaid, MUEs, Lyric edits and payer medical policies) + Provide consultative support to internal… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …engagement with US hospital and office administrators to review coding and payer coverage policies and decisions to enable physician and facility purchase decisions. ... Clinical, Policy, and C-Suite executives, physicians, biller, revenue cycle manager , VAC Committee members and national/regional payers + Establish critical… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …areas + Relevant experience in pharmaceutical industry within commercial, medical, payer or academic institution + Good understanding of payers and reimbursement ... landscape + Working knowledge of pharmaco-economic principles + Ability to manage cross functional projects + Ability to analyze complex models and scientific data and draw out key messages + Understanding of FDA, ACCME, PhRMA regulations + Proficiency in… more
- Caris Life Sciences (Irving, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Senior Financial Analyst provides critical ongoing reporting and data insights to assist ... the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Finance Manager , and will work closely with the Finance and Accounting teams to produce… more
- Novo Nordisk Inc. (Buffalo, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Walmart (Bentonville, AR)
- …data, model potential outcomes, and present clear, data-backed recommendations to senior leadership. + Exceptional attention to detail and experience navigating ... complex regulatory requirements specific to US pharmacy operations. \#LI-MF4 _The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive… more
- Bausch + Lomb (Bridgewater, NJ)
- …to continue leading the advancement of eye health in the future. **Overview** The ** Senior Manager , Payer Marketing** role supports the market access ... with a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic ... payer relationships and represent the organization confidently with both external payer executives and internal senior leadership. + Background in strategic… more
- Walmart (Bentonville, AR)
- …** Drive data-powered decisions that shape Walmart's Health & Wellness strategy. As Senior Manager of Business Analysis and Insights, you'll transform complex ... data into actionable insights that influence payer programs and improve healthcare outcomes for millions. This...Ensure data integrity and governance across Health & Wellness payer programs. **About Health & Wellness Payer … more
- CommonSpirit Health (Phoenix, AZ)
- …a remote position that works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership and expert oversight for ... all aspects of our organization's payer relations and contracting, ensuring optimal financial performance and sustainable partnerships with health plans. Every day… more
- Walmart (Bentonville, AR)
- …ensuring alignment of proposed contracts to enterprise strategy + Be the senior relationship owner for top-tier PBM accounts; develops account strategy, performance ... (eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer … more
- Walmart (Bentonville, AR)
- …ensuring alignment of proposed contracts to enterprise strategy + Be the senior relationship owner for top-tier PBM accounts; develops account strategy, performance ... (eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer … 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...reconciliation reports, payment denials, claims projects, claim events, and senior leadership payer meetings. * Responsible for… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed… more
- Oracle (Trenton, NJ)
- …systems, regulators, and innovators worldwide. **The Role** We are seeking a ** Senior Principal Product Manager ** who deeply understands the **regulatory, ... the next generation of intelligent, cloud-based healthcare platforms - combining clinical, payer , and regulatory data at scale to transform how care is delivered… more
- Danaher Corporation (Portland, OR)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... a provider / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics.… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have an exciting ... Do you want to work as a Billing Code Senior Manager where your passion for creating...expert billing and coding support to various teams, including payer contracting and analytical teams, payer relations,… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an ... Do you want to work as a Quality Control Senior Manager where your passion for creating...reviews. This role is pivotal in identifying and addressing payer medical policy issues, supporting the regulatory compliance team,… more
- Abbott (Abbott Park, IL)
- …the way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible ... attention to detail and excellent communication skills to effectively engage with Senior Leadership. **This is a remote opportunity.** **What You'll Do** + Develop… more
