- Sumitomo Pharma (Lincoln, NE)
- …attainment of coverage goals and maximizing net revenue + Develop payer & provider deal models to assess the implications of deal scenarios on gross-to-net revenue ... Review internal data/reports to ensure compliance with government pricing programs + Provide issue resolution and presentation of solutions from contract disputes +… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical ... capabilities aligned with Otsuka's vision, direction, and growth strategy. The Executive Director, Medical Affairs Strategy, Excellence & Operations will lead five… more
- Molina Healthcare (Bellevue, NE)
- …negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- Western Digital (Lincoln, NE)
- …enhance supplier performance. Leadership responsibilities include developing a contracting Center-of-Excellence accountable for driving continuous improvement in ... + **Supplier Management:** Manages strategic supplier relationships at an executive level, while driving value through strategic sourcing decisions. Aligns… more
- Cardinal Health (Lincoln, NE)
- …Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal Health and ... is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed… more
- Molina Healthcare (Bellevue, NE)
- …and Grievances, Problem Research and Resolution, and the development/maintenance of Member/ Provider Materials. **Job Duties** * Provide service support to ... covered benefits. * Provides inquiry assistance involving claims, authorizations, appeals, contracting , credentialing and other provider related issues. *… more
- Oracle (Lincoln, NE)
- …project plans, and manage the capture of the level of effort (LOE) for contracting work. This role will be essential in bridging the gap between our client's ... projects are scoped accurately for resource allocation, budgeting, and contracting purposes. **Key Responsibilities:** + **Client Collaboration & Requirement… more
- Molina Healthcare (Bellevue, NE)
- …from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational ... JOB DESCRIPTION Job Summary Provides executive level strategy and leadership for team responsible...* Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS… more
- Oracle (Lincoln, NE)
- …to market by managing pipeline intake and ensuring seamless engagement during contracting and estimating of Non-Recurring Costs (NRCs) with lease providers. This ... on its promises with precision and urgency. As a manager, you will provide strategic and operational leadership for a team of Technical Program Managers driving… more
- Oracle (Lincoln, NE)
- …clear roles, SLAs, and succession plans. + Chair the Estimate Review Board; provide independent cost assurance for major funding decisions. + Oversee development of ... orders for reasonableness. + Support negotiations with LV and other contractors; provide claim analysis and cost entitlement assessments. + Maintain a variance log… more
- Oracle (Lincoln, NE)
- …addition to covering a geographic territory. We're looking for an Industry Sales Executive to provide expertise in finance, budgeting analytic solutions, or ... **Job Description** **Come join us!** We are seeking a Sales Executive for Oracle's Financial Services Global Industry Unit. **Who we are:** Oracle is a market… more
- Quanta Services (Omaha, NE)
- …Intermountain Electric (IME)brings decades of experience as a trusted leader in electrical contracting . Founded in 1946, we began as a small company in Denver, CO, ... RFQ and RFP responses, including client interviews. Review bid results and provide feedback to the team on areas of improvement. Effectively communicate information… more
- Cardinal Health (Lincoln, NE)
- …cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation. ... of ATSP claims for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies.… more
- Humana (Lincoln, NE)
- …Lead and mature supplier governance including quarterly business reviews (QBRs), executive business reviews, steering committees, and strategic roadmaps. + Oversee ... supplier risk, and competitive landscapes within portfolio. + Influence executive stakeholders using strong communication, storytelling, and analytical reasoning. +… more
- Merck (Lincoln, NE)
- …field team to ensure implementation and pull-through at the individual clinic/hospital/ provider level. **Responsibilities include and are not limited to the ... importance. + Stays abreast of competitor approaches and our company's customer contracting strategy; engages appropriate account team members (field and HQ) to… more
- Molina Healthcare (Bellevue, NE)
- …plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a… more
- Molina Healthcare (Bellevue, NE)
- …plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a… more
- Molina Healthcare (Bellevue, NE)
- …statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create ... by developing and maintaining analytical dashboards and data solutions that provide actionable insights into enrollment, broker performance, network performance and… more
- Jacobs (Omaha, NE)
- …across Jacobs West Central geography? Do you embrace innovative solutions to provide our clients and communities the very best from a worldwide delivery ... This is a fast-paced role reporting directly to the Executive Director of Operations and will have direct reports...projects and top pursuits, inclusive of engaging with Jacobs contracting , risk and legal teams as appropriate * Proven… more
- Molina Healthcare (Bellevue, NE)
- …other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Assist with ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Act as a subject matter… more