- Centene Corporation (Harrisburg, PA)
- …Purpose:** Oversee the development and management of company products throughout the product life cycle from inception to implementation to sunset. Drive ongoing ... met. Partner with cross functional teams and other stakeholders such as Product and Regulatory Compliance, Actuarial, Finance and Regional Market business partners.… more
- The MITRE Corporation (Mclean, VA)
- …the public interest, with no commercial conflicts to influence what we do. The R& D centers we operate for the government create lasting impact in fields as diverse ... Healthcare FFRDC (Health FFRDC)'s Health Coverage Division is seeking a Department Manager for Federal-State Partnerships to join our leadership team at MITRE's… more
- Sanofi Group (Cambridge, MA)
- …started? **Main responsibilities:** + Responsible for the management and development of Medicare Part D , Managed Medicaid, and Commercial health plan contract ... goals. + Detailed understanding, review and negotiating of contract language for Medicare Part D , Managed Medicaid, and Commercial health plan contracts… more
- VNS Health (Manhattan, NY)
- …following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D , or Select Health to ensure compliance with ... of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations...and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product … more
- Banner Health (AZ)
- …the Monthly Medicare Compliance Dashboard. 8. Assists with the annual Medicare Product implementation workgroup. 9. This position works under supervision, ... Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs… more
- CVS Health (Overland Park, KS)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of ... four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid); this suite of reporting includes...data, specifically the adoption of ADAM ( **A** etna ** D ** ate of Service **A** nalytic **M** odel) Cloud… more
- BeiGene (Jefferson City, MO)
- …managed markets, hospital markets, various sites of care, IV medications, injectables, orals and Medicare Part D , etc. + Ability to measure and analyze key ... **General Description:** Reporting to the Division Sales Manager , The Account Manager - Hematology...to address the change. + Successful completion of all product knowledge coursework, LMS/Compliance Wire assignments. + Performs all… more
- Walgreens (Deerfield, IL)
- …segments. In addition, experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience with analyzing and reporting ... including disability/veterans". \#LI-AJ1 **Job ID:** 1474913BR **Title:** Regional Account Manager , Specialty Pharmacy - DC/MD/VA **Company Indicator:** Walgreens **Employment… more
- Cardinal Health (Columbus, OH)
- …or equivalent preferred + Patient Support Service experience, preferred + Clear knowledge of Medicare (A, B, C, D ), Medicaid & Commercial payers policies and ... connection to the customer experience and better control of product success. Personalized service and creative solutions executed through...Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted + Track any payer/plan… more
- Cardinal Health (Columbus, OH)
- …or equivalent preferred * Patient Support Service experience, preferred * Clear knowledge of Medicare (A, B, C, D ), Medicaid & Commercial payers policies and ... connection to the customer experience and better control of product success. Personalized service and creative solutions executed through...Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted * Track any payer/plan… more
- Boehringer Ingelheim (Ridgefield, CT)
- …a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in order to support the ... performance results. The individual will also assess administrative feasibility of product and contract strategies, enhance performance metrics and monitor ongoing… more
- Molina Healthcare (Amherst, NY)
- …Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Key Words: Medicare , Medicaid, Managed Care, Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... for all product lines. + Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc **JOB… more
- Bausch Health (Bridgewater, NJ)
- …branded and generic products, as assigned, + Chargebacks + Managed Care Commercial and Medicare Part D rebates, + Patient Rebates (Coupons), and + Medicaid and ... our collective progress and impact. Reporting to the Sr Manager , Accounting, the successful candidate for this position will...other government rebates + Product Sales Return Reserves + Calculate and reconcile distribution… more
- Prime Therapeutics (Columbus, OH)
- …strict timelines, under pressure. + Working knowledge of Medicare Part D , Medicaid, state healthcare product or program related regulations and/or Health ... Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Novo Nordisk (Dayton, OH)
- …Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class therapies for the treatment of diabetes, ... current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates… more
- Molina Healthcare (WA)
- …research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements + Uses mastery ... and familiarity with quality assurance (QA) processes to ensure product reliability and performance. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree… more