- Humana (Washington, DC)
- …care experience **Additional Information** + This AVP will report to the VP, Provider Process and Network Operations Transformation and will have 6 ... will own the transformation of how we work in Provider Process and Network Operations...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- Merck (Washington, DC)
- … to support policy development and external engagement opportunities. + Direct and provide oversight of process for developing and updating public-facing policy ... Provide timely, concise, and accurate upward communication to AVP on emerging policy issues to keep GPP LT...inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here… more
- Prime Therapeutics (Washington, DC)
- …point of contact for the state and MCOs including participation in state, provider , or enrollee meetings, appeal and grievance meetings, or state fair hearings. + ... efforts across the organization to implement new program or process changes for the client. Manage change control ...system operations and experience developing and managing a pharmacy network . + Must be eligible to work in the… more
- Aston Carter (Vienna, VA)
- …adjustments. Perform account reconciliation, analytics, and variance analysis, and provide sufficient supporting documentation. Apply broad knowledge of Generally ... isolate and resolve discrepancies, and contribute to quality control and process improvement. Investigate, resolve and/or escalate complex discrepancies, data entry… more
- Merck (Washington, DC)
- …main point of contact for our company in the Payer/PBM segment and reports to the AVP of US Top Accounts. The National Key Account Director plays a crucial role in ... common goals. **Clinical Proficiency** + Understands applicable product portfolio to provide approved disease and product information to key decision makers and… more