• Dental Director - Commercial

    CVS Health (Harrisburg, PA)
    …more personal, convenient and affordable. Job Purpose and Summary: The Dental Director - Commercial and Medicare Advantage is an individual contributor ... role will be a key partner to the Medicare business segment. + The Dental Director reports to Aetna's Chief Dental Officer + Serves as liaison and is… more
    CVS Health (06/22/24)
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  • Medical Director - National Medicare

    Humana (Harrisburg, PA)
    …general surgery preferable** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
    Humana (06/15/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Harrisburg, PA)
    …of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
    Humana (06/23/24)
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  • Medical Director - Southeast Region

    Humana (Harrisburg, PA)
    …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
    Humana (06/08/24)
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  • Behavioral Health Medical Director - N.…

    Humana (Harrisburg, PA)
    …**Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
    Humana (04/09/24)
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  • Director , Government Public Policy

    Organon & Co. (Plymouth Meeting, PA)
    **Job Description** **The Position** The Director , Government Public Policy will report to the Chief Government Affairs and Policy Officer, working directly with the ... Policy and Government Affairs teams, the Global Policy team, the US Commercial organization, Organon Research and Development (R&D), and the General Counsel's office… more
    Organon & Co. (05/01/24)
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  • Senior Director , Strategic Pricing…

    Sumitomo Pharma (Harrisburg, PA)
    …Experience in pharmaceutical secondary analytics and financial modeling + Understanding of Commercial and Medicare Part D pharmacy benefit design + Understanding ... highly motivated, and experienced individual for the position of **Senior Director , Pricing, Contracting Strategy & Analytics.** This position reports to the… more
    Sumitomo Pharma (06/15/24)
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  • Director , State and Local

    KPMG (Harrisburg, PA)
    **Business Title:** Director , State and Local **Requisition Number:** 112685 - 76 **Function:** Advisory **Area of Interest:** **State:** PA **City:** Harrisburg ... a career in Advisory. KPMG is currently seeking a Director in Customer & Operations - State & Local...Human Services Medicaid solution delivery market, working for a commercial off-the-shelf (COTS) solution provider or consulting organization with… more
    KPMG (06/01/24)
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  • Associate Director - Patient…

    Organon & Co. (Plymouth Meeting, PA)
    **Job Description** **The Position** This position will support the Director , Patient Access and will provide strategic input, and manage the development and ... including coupons, vouchers, and/or other access-related savings offers. The Associate Director is accountable for understanding and aligning to individual brand… more
    Organon & Co. (05/25/24)
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  • Senior Medical Value Liaison, Neuroscience…

    Bristol Myers Squibb (Philadelphia, PA)
    …and Regional Managed Care accounts, covering all books of business (eg, Commercial , Managed Medicaid, Fee-for-Service, Medicare , PBMs, and Exchange Plans) + ... the pharmaceutical industry in the payor space + Extensive knowledge of the Medicaid/ Medicare environment, payor market commercial insurance, as well as the… more
    Bristol Myers Squibb (06/22/24)
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  • Patient Services & Field Reimbursement Lead, US…

    Takeda Pharmaceuticals (PA)
    …**Job Description** **About the role:** As a member of Takeda Oncology, as a Director , your work will contribute to our bold, inspiring vision: We aspire to cure ... solutions and appropriately manage risks. + Lead the Field Reimbursement Director team by establishing objectives, providing training & coaching, and performance… more
    Takeda Pharmaceuticals (06/26/24)
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