• Manager of Payer Contracting

    Takeda Pharmaceuticals (Nashville, TN)
    …+ Responsible for the technical and analytical support for payer contracts including: + Drafting and editing of contract documents + Highlighting ... of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will...you will lead the development and implementation of assigned Payer and PBM contracts with an emphasis… more
    Takeda Pharmaceuticals (09/04/24)
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  • Hybrid Institutional Account Lead / Payer

    Merck (Nashville, TN)
    …Confirming customer contracts are properly loaded to provide the appropriate contract pricing to the eligible sites of care + Communicating approved information ... will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for assigned accounts. The… more
    Merck (10/01/24)
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  • Sr. Manager , Medicaid Contract

    Sumitomo Pharma (Nashville, TN)
    …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
    Sumitomo Pharma (08/19/24)
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  • Manager of Payor Contracting

    e CancerCare (Nashville, TN)
    …and payer market. Key member of negotiating team for company. Negotiates contract language across all contracts , striving for uniformity among different ... Job Purpose: Manager of Payor Contracting is responsible for reviewing,.... Coordinates sign off on all proposed terms of contracts and amendments, adhering to Company contract more
    e CancerCare (08/06/24)
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  • Foster Care Case Manager

    BrightSpring Health Services (Clarksville, TN)
    …Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. + ... interprets potential reimbursement options and negotiates reimbursement levels with third party payer . + Contacts referral sources to advise them of case acceptance… more
    BrightSpring Health Services (09/24/24)
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  • Senior Manager , Product Operations

    HealthEdge Software Inc (Nashville, TN)
    **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
    HealthEdge Software Inc (09/21/24)
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  • Sr Manager , Product Management (Claims)

    HealthEdge Software Inc (Nashville, TN)
    **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
    HealthEdge Software Inc (10/02/24)
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  • Key Account Manager , Rare Diseases

    Chiesi (Nashville, TN)
    Key Account Manager , Rare Diseases - Nashville Date: Sep 19, 2024 Department: US Sales Job Type: Direct Employee Team: Sales Contract Type: Permanent Location: ... **_Who we are looking for_** **Purpose** We are seeking a Key Account Manager (KAM) who is a competitive, pharmaceutical sales professional with integrity, drive and… more
    Chiesi (09/28/24)
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  • Product Manager

    HealthEdge Software Inc (Nashville, TN)
    **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers… more
    HealthEdge Software Inc (09/11/24)
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  • Director, Product Management (Billing/Financials)

    HealthEdge Software Inc (Nashville, TN)
    …Our product teams are cross-functional and durable, generally comprised of a product manager , a product designer, several engineers, and QE. We have divided our ... teams to execute our product roadmap. Additionally, you will evangelize the HealthRules Payer line of products with our customers. **The Product:** With HealthRules … more
    HealthEdge Software Inc (09/21/24)
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  • Director I Medicare Operations

    Elevance Health (Nashville, TN)
    …a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... for directing multiple business function operations teams on Tier I contract with primary responsibility for Program Management and/or Medicare Integrity Operations.… more
    Elevance Health (09/24/24)
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  • Pharmacy Reimbursement Specialist II, Clinic…

    Vanderbilt University Medical Center (Nashville, TN)
    …of loss of reimbursement relating to pharmaceuticals. Assists with maintaining drug and payer data files in the dispensing system. Works with dispensing staff and/or ... of trends by multiple variables. * Work with patient accounting, finance, contracts and pharmacy to develop strategy for improved reimbursement. * Utilizing data… more
    Vanderbilt University Medical Center (10/01/24)
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