- Daiichi Sankyo, Inc. (Bernards, NJ)
- …This position is responsible for independently providing innovative and strategic legal support and solutions as a market access attorney and the primary legal ... but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …Functions Helps inform, and executes on, overarching strategy for Commercial, Medicare , and Medicaid channels, ensuring cross-functional support for strategic ... delivers an understanding of landscape, changes, and trends in the Commercial, Medicare , and Medicaid channels across all NNI therapeutic areas. Collects, analyzes,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …supporting technological and data innovation, insights and analytics, delivering patient support solutions, maintaining our facilities and assuring the integrity and ... reports status and exceptions. Provides analytical and consulting services in support of delivering and executing projects related to Business Assurance.… more
- Insmed Incorporated (Denver, CO)
- …ourselves. In this field-based role you will have a unique opportunity to support patient access to prescribed treatment and deliver upon an industry leading patient ... component of this role is to establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to … more
- Daiichi Sankyo, Inc. (Seattle, WA)
- …serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient access to DSI oncology products. ... The ADFR (FRM) will provide reimbursement education and support to oncologists and professional staff, and to respond appropriately to HCP questions regarding the… more
- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... access to build and maintain business-relevant relationships with customers: prescribers, support staff, pharmacies, and clinic administrators to gain access and… more
- Merck & Co. (Minneapolis, MN)
- …integration with the Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and other key stakeholders to share key customer ... learnings and support customer needs. Position Qualifications : Minimum Requirements: Bachelor's degree with 6-8 years Sales-experience-OR-a-minimum of high school… more
- Medical Mutual of Ohio (OH)
- …pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Services Support Specialist ( Medicare UM)_ **Location:** _Ohio_ **Requisition ID:** ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under general… more
- AmeriHealth Caritas (Newtown Square, PA)
- …monthly/biweekly meetings with all subcontracted vendors. + Manage vendor invoice audits to support Medicare Finance and Actuarial to ensure accuracy and control ... + Effectively develop and maintain relationships with critical supplemental benefits/ Medicare vendors. + Support supplemental vendor sourcing activities,… more
- The Cigna Group (Morris Plains, NJ)
- …product adoption and sales support in collaboration with account teams to support our Medicare clients. This client-facing position will take a lead role ... in supporting current clients. This involves using extensive Medicare knowledge to support product development, manage work plans, perform data analysis, as well… more
- USAA (Tampa, FL)
- …We are currently seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- … Part D/EGWP programs + Ensure compliance with CMS rules and regulations surrounding Medicare Part D + Support vendor relationships (eg Plan Sponsor), daily ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight… more
- Molina Healthcare (ID)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. ... Support for all Medicare lines of business the annual Medicare ...Applications and Plan Benefit Package design. Provides centralized year-round support in Medicare for the development and… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** Case Manager RN will support our Medicare Population in the state of South Carolina. Case Manager will be required to communicate ... the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. + Conducts… more
- Healthfirst (NY)
- **Duties and Responsibilities:** + Monitor experience under Healthfirst's Medicare line of business. + Provide support for annual Medicare bids for all ... analysis and other ad hoc analyses. + Research, evaluate and analyze Medicare market landscape. + Analyze product and segment performance, incorporating both… more
- Providence (WA)
- …strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage regulations, ... pricing decisions. + Developing key inputs and/or assumptions in support of the annual Medicare Advantage bid...and/or assumptions in support of the annual Medicare Advantage bid + Conducting sensitivity analyses and scenario… more
- CVS Health (Southfield, MI)
- …that applies compliance, regulatory, business, analytical and communication skills to support , manage and develop Medicare and Medicaid compliance programs ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...Medicare Compliance, Medicaid Compliance and State regulations in support of MMP and SNP plans * Builds and… more
- Centene Corporation (Raleigh, NC)
- …in the ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department with ... anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist. + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly reporting to the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …identify and appropriately scope opportunities. Examples include standardizing data to support Medicare , Medicaid and other regulatory filings, supporting ... both government and commercial payment systems; and, (4) Provide Medicare , Medicaid, and payment system expertise in support... Medicare , Medicaid, and payment system expertise in support of BILH provider and system strategic and operational… more
