• Manager of Payer Contracting

    Takeda Pharmaceuticals (Trenton, NJ)
    …+ 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 (Trenton, NJ)
    …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 (Trenton, NJ)
    …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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  • Senior Manager , Product Operations

    HealthEdge Software Inc (Trenton, NJ)
    **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 (Trenton, NJ)
    **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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  • Senior Business Development Manager

    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
    CVS Health (10/01/24)
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  • PRN Senior Practice Manager

    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 (09/18/24)
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  • Senior Practice Manager

    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
    Penn Medicine (08/23/24)
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  • Key Account Manager , Rare Diseases - Mid…

    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
    Chiesi (09/28/24)
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  • Product Manager

    HealthEdge Software Inc (Trenton, NJ)
    **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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  • Care Manager

    Centene Corporation (Trenton, NJ)
    …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, LPC and RN with BH… more
    Centene Corporation (09/27/24)
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  • Director, Product Management (Billing/Financials)

    HealthEdge Software Inc (Trenton, NJ)
    …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 (Wilmington, DE)
    …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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  • Senior Specialty Representative - Bone Health

    Amgen (Wilmington, DE)
    …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
    Amgen (09/07/24)
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