- Merck & Co. (North Wales, PA)
- Job DescriptionThe Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers best-in-class, ... insightful customer experiences, and enriching employee experiences for IAM Contract Management , Service Agreement, Account Management , and Channel Strategy… more
- Humana (Trenton, NJ)
- …frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management and Wellness Strategy** will have ... Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the...+ 3+ years of management experience or management consulting + Deep working knowledge of Medicaid… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... of actuarial and business needs for specific product lines. The Director , Actuarial requires an...organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be… more
- CVS Health (Blue Bell, PA)
- … business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- CVS Health (Trenton, NJ)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and… more
- Organon & Co. (Plymouth Meeting, PA)
- …market and customer knowledge. + Experience in Public Policy, Public Health or Medicaid . + Experience negotiating contracts and product access within payer ... **Job Description** **The Position** Under the guidance of the Director , Commercial Operations - Women's Health, the Women's Health...of contact for Organon for the following: + State Medicaid & Managed Medicaid Plans + State… more
- Merck (North Wales, PA)
- **Job Description** The Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers ... insightful customer experiences, and enriching employee experiences for IAM Contract Management , Service Agreement, Account Management , and Channel Strategy… more
- Novo Nordisk (Princeton, NJ)
- …internally and externally is scientifically rigorous and aligned to NNI strategy throughout product life cycle. In addition, the Director , HEOR synthesis will ... education and collecting data to support efficacy and new product development, CMR is involved. The one thing that...you ready to make a difference? The Position The Director , HEOR Evidence Synthesis is part of the HEOR… more
- Prime Therapeutics (Trenton, NJ)
- …and Account Management Staff). + Serves as Preferred Drug List product lead for program implementation including developing relationships, RFP support, and other ... drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West...+ 10+ years' professional experience in managed care and/or Medicaid . + 5+ years' experience in account management… more
- Bristol Myers Squibb (Princeton, NJ)
- …organization that is focused on strategic and executional excellence. As an Associate Director , you will be working among the best in your profession and will ... long-term success of training multiple market access field teams. The Associate Director will be responsible for driving best-in-class training for PASS field teams… more
- HealthEdge Software Inc (Trenton, NJ)
- …(National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other State ... support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care … more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading the technology ... transformation efforts focused on defining the product architecture standards and governance for API development across the enterprise. This role will bring together… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. + Job Description + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
- The Cigna Group (Philadelphia, PA)
- …competitive intel process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors, Medical Directors, and ... product leadership to create new coverage policies for innovative...Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited… more
- Humana (Trenton, NJ)
- …application solutions for Humana. This person will also need to provide secondary management support as needed. If this sounds like you, then we encourage you ... Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on… more
- Prime Therapeutics (Trenton, NJ)
- …their team delivers on daily production goals and support of key product offerings (Benefit Design, e-Prescribe, Claims Processing, Integrated Product Solutions, ... Consumer Directed Health Plan). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter… more
