- Elevance Health (Columbus, OH)
- …on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, ... an impact: + Handling a variety of Medicare pharmacy accounts. + Utilizing strong account management experience to cater to complex needs of distinct clients… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Quality Specialist, Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and CAHPS by ... jargon to ensure understanding + Process refill requests through pharmacy or provider + Assist with correcting pharmacy...CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director How Corewell… more
- Hackensack Meridian Health (Eatontown, NJ)
- …payers are received, reconciled, and posted accurately and promptly to the appropriate pharmacy account . They work to minimize aged receivable days, address ... that will grow and sustain the business. + Works with the Specialty Pharmacy Director and leadership team on designated projects as requested. **Qualifications**… more
- CVS Health (Sacramento, CA)
- … Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …access, and performance objectives with assigned specialty distributor and specialty pharmacy accounts. The Associate Director of Trade will collaborate ... and advance strategic relationships with assigned specialty distributor and specialty pharmacy customers. Collaborate with home office teams (eg, Supply Chain,… more
- Walgreens (Deerfield, IL)
- …with National Accounts. Accountable for developing and implementing a strategic account operating plan that ensures profitable access across key Walgreens business ... + Integrate with key executives and other decision making personnel within account to align account opportunities and business objectives with Walgreens… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical Director , ... at LRH, serving as representative of the LGHP Hospitalists practice. The Associate director will report to LGHP Medical Director and have a reporting… more
- Walgreens (Deerfield, IL)
- …Description:** **Job Summary:** Responsible for the promotion of Walgreens specialty pharmacy services to targeted physicians, nurses, practice managers and other ... complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/D, ACOs, GPOs, Hospitals, etc.). **Job Responsibilities** +… more
- BrightSpring Health Services (Morton Grove, IL)
- Our Company OnePoint Patient Care Overview The Director , Business Development assists on various fronts of OnePoint Patient Care's revenue growth strategy in ... creation and maintenance of opportunities within the workers compensation business line. The Director is expected to take a very hands-on approach in bringing new… more
- CVS Health (Bloomington, MN)
- …8 years experience in managed care which may include PBM, Pharma, market access, account management, specialty pharmacy , or health plan. + Ability to travel up ... lowering costs and improving quality of care. In this Director level role, you will have the opportunity to...high-value medical rebate contracts and value based agreements for Medicare Part B, Managed Medicaid, and Commercial segments. This… more
- Dr. Reddy's Laboratories (Remote, OR)
- …candidates with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead ... for National Accounts and have secondary oversite for resources responsible for account management with Regional Payors and Health Systems. You will develop strong… more
- Daiichi Sankyo Inc. (Seattle, WA)
- …landscape, the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Field Reimbursement (ADFR) is a critical front-line member of the DSI… more
- AbbVie (Mettawa, IL)
- …we'd love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the Market Analytics and Business ... a matrixed environment and partner with cross-functional partners including AbbVie's Account Management team, Payer and Brand Marketers, Finance, & Business… more
- Arvinas (New Haven, CT)
- …As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and executing ... access strategies for Arvinas products. + Work closely with the Payer Account team to assess customer opportunities and structure contractual agreements that are… more
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Director , Pricing **Location:** Bridgewater, NJ **About the Job** We are an innovative global healthcare company with one purpose: to chase the ... and Analytics matrix to ensure successful execution of contract changes at the channel/ account level + Support V&A and contracting operations with analytics for bid… more
- AbbVie (Mettawa, IL)
- …all payer and distribution channels including Commercial health plans, PBMs, Medicare , Medicaid, VA/DoD, Employer, Health System, Pharmacy , Wholesalers and ... Pharmacy and Medical reimbursement). Includes awareness of commercial, Medicare , Medicaid, other government, and specialty segments. + Experience with… more
- Gilead Sciences, Inc. (Seattle, WA)
- …the lives of patients with life-threatening illnesses worldwide. As the **Senior Director , Field Reimbursement Management (FRM)** for HIV Prevention, you will play a ... insurance regulations, and reimbursement practices, particularly within the specialty pharmacy and biotechnology sectors. + Experience engaging with and managing… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... position: $200,000 - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will vary across the Health Care division,… more
- Prime Therapeutics (Hoover, AL)
- …As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and ... + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and implementation,… more
- Bristol Myers Squibb (Albany, NY)
- …Cell Therapy accounts specific to the assigned geography during all phases of account onboarding and post onboarding. This role will lead all Cell Therapy Market ... territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is...process. + Work cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell… more
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