- Takeda Pharmaceuticals (Harrisburg, PA)
- …+ 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
- Merck (Harrisburg, PA)
- …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
- Sumitomo Pharma (Harrisburg, PA)
- …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
- WellSpan Health (York, PA)
- …Essential Functions: + Informs the Manager -Case Management of any payer issues regarding contracts (non-adherence or changes), performance (on-site liaisons ... provision of appropriate, cost effective and quality health care. Assists the Manager -Case Management in the provision of leadership and integration of utilization… more
- HealthEdge Software Inc (Harrisburg, PA)
- **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 (Harrisburg, PA)
- **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
- CVS Health (Blue Bell, PA)
- …make health care more personal, convenient and affordable. **Aetna Senior Business Development Manager Role** Aetna is recruiting for a Senior Manager , Business ... + Partnering with finance on the development of financial models and VBC contracts to support portfolio growth. + Partnering with Network and Segment teams to… more
- Guthrie (Towanda, PA)
- …the compliance of Guthrie Medical Group, the Guthrie Clinic, federal, state and payer guidelines and contracts . 3. Provides feedback related to workflow ... interviewing, hiring, performance appraisals, development plans and disciplinary actions. The Manager of Hospital Business Office provides leadership to the Hospital… more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. * Practice Financial Strategies & Policies- Supports ... **Summary of Accountabilities:** In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction in regards to… more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. . Practice Financial Strategies & Policies- Supports ... Full-Time **Job Summary** In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction in regards to all… more
- Chiesi (Philadelphia, PA)
- Key Account Manager , Rare Diseases - Mid Atlantic Date: Sep 5, 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
- HealthEdge Software Inc (Harrisburg, PA)
- **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 (Harrisburg, PA)
- …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
- Option Care Health (Harrisburg, PA)
- …Summary:** Responsible for the timely, accurate submission of invoices to responsible payer , of any type, for all services and products provided. Evaluates payments ... **Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee… more
- Elevance Health (Harrisburg, PA)
- …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