- Novo Nordisk Inc. (Phoenix, AZ)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS 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
- Takeda Pharmaceuticals (Phoenix, AZ)
- …true to the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts , you will lead the development and implementation of ... deadlines relative to contract expirations and post contract evaluation for payer accounts to achieve...+ Will lead the technical and analytical support for payer contracts . + Independently work with Legal,… more
- Merck (Phoenix, AZ)
- …Confirming customer contracts are properly loaded to provide the appropriate contract pricing to the eligible sites of care + Communicating approved information ... responsibilities as both an Integrated Account Lead (IAL) and Payer Account Executive within the assigned geography and for...our Company product strategy + Optimizing Net Sales and Contract Performance across a portfolio of our Company products… more
- Sumitomo Pharma (Phoenix, AZ)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Phoenix, AZ)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Centene Corporation (Phoenix, AZ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, LPC and...with BH experience required + For Illinois Youth Care Contract : Master's degree in social sciences, social work, or… more
- Centene Corporation (Phoenix, AZ)
- …work, that member needs are being met, and adherence to internal and contract policies and procedures + Provides resource support to members and their ... to ensure compliance with current state, federal, and third-party payer regulators + Provides training and education to care...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and RN… more
- Novo Nordisk (Phoenix, AZ)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS 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
- HealthEdge Software Inc (Phoenix, AZ)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Intermountain Health (Phoenix, AZ)
- …the insurance company to be unpayable. Scope This is a regional role reporting to the Manager of Appeals. This role is fully remote and works a schedule of Monday - ... Strategizes which appeal strategy should best be used (medical necessity, payer language, state/federal laws). 3. Maintains an understanding of expected… more
- CVS Health (Phoenix, AZ)
- …convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and ... executing enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation of… more