- Merck & Co. (North Wales, PA)
- Job DescriptionThe Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers best-in-class, ... insightful customer experiences, and enriching employee experiences for IAM Contract Management , Service Agreement, Account Management , and Channel Strategy… more
- Daiichi Sankyo, Inc. (Seattle, WA)
- …areas centered around rare diseases and immune disorders. Summary: The Associate Director , Field Reimbursement (ADFR) is a critical front-line member of the DSI ... The primary purpose of this role is to serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate… more
- Daiichi Sankyo, Inc. (Boston, MA)
- …areas centered around rare diseases and immune disorders. Summary: The Associate Director Field Reimbursement (ADFR) is a critical front-line member of the DSI ... The primary purpose of this role is to serve as a field-based product access specialist that provides appropriate reimbursement support to HCPs to help facilitate… more
- Segal (New York, NY)
- …practice. The Role:The Health Compliance Consultant (lawyer) reports to the Deputy Director of the Health Compliance Practice. They will perform as a regulatory ... such as professional staff training and development, process, and work product quality issues.Key Responsibilities:Minimum of an Undergraduate Degree. Law degree… more
- Humana (Columbus, OH)
- …frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management and Wellness Strategy** will have ... Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the...+ 3+ years of management experience or management consulting + Deep working knowledge of Medicaid… more
- CVS Health (Dallas, TX)
- …/ Wednesday /Thursday) in the Austin or Dallas office **Preferred Qualifications** + Medicaid product pricing + Health Plan Operations + Provider contracting and ... make health care more personal, convenient and affordable. **Position Summary** The Executive Director , CFO Texas Medicaid Market role will function as the CFO… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... of actuarial and business needs for specific product lines. The Director , Actuarial requires an...organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be… more
- CVS Health (Irving, TX)
- …+ 10+ years actuarial and/or health insurance experience. + Expert knowledge of Medicaid products. + 5+ years of management experience required. + Broad ... CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and… more
- CVS Health (Atlanta, GA)
- … business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- State of Georgia (Fulton County, GA)
- …Responsibilities - Position Overview: OMC/HSI Budget and Financial Analyst reports to the Director of the Office of Medicaid Coordination and Health Systems ... product lines. Duties and Responsibilities: Under the broad supervision of the Director of the Office of Medicaid Coordination and Health Systems Innovation,… more
- State of Georgia (Fulton County, GA)
- …Manager Pay Grade: N Position Overview: The OMC/HSI Program Manager reports to the Director of the Office of Medicaid Coordination and Health Systems Innovation. ... for DBHDD programmatic experts and directors in achieving innovation and special Medicaid projects; Using project management skills, convenes team members,… more
- WellSense (Boston, MA)
- …lead for the WellSense ACO and MCO programs under the Massachusetts Medicaid product known as MassHealth. WellSense's MassHealth enrollment includes >500k ... Director of Finance and Strategy, MassHealth Product...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- CVS Health (Columbus, OH)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading, ... key provider - facility and physician or group - clinical leadership. The Director oversees and leads medical management activities related to precertification… more
- Organon & Co. (Bloomington, IN)
- …market and customer knowledge. + Experience in Public Policy, Public Health or Medicaid . + Experience negotiating contracts and product access within payer ... **Job Description** **The Position** Under the guidance of the Director , Commercial Operations - Women's Health, the Women's Health...of contact for Organon for the following: + State Medicaid & Managed Medicaid Plans + State… more
- Merck (North Wales, PA)
- **Job Description** The Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers ... insightful customer experiences, and enriching employee experiences for IAM Contract Management , Service Agreement, Account Management , and Channel Strategy… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... of purpose:** This position works with both inpatient and outpatient Care Management nurses to monitor appropriate care and services in hospitals, skilled nursing… more
- Molina Healthcare (Long Beach, CA)
- …of applicable State, Federal and third party regulations. * Thorough understanding of Medicaid product lines. * Ability to establish and maintain positive and ... into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and monitoring a… more
- AbbVie (Chicago, IL)
- …on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Market Access and Advocacy- Plastic Regenerative Medicine, will focus on the ... will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid , Medicare Advantage and commercial plans to increase coverage of PRM… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …sales variables and gross margin analysis. + Demonstrates strong understanding of product discounts including cash discounts, rebates, Medicaid programs, trade ... Associate Director , Strategic Pricing - Parsippany, NJ Date: Sep...subject matter expert on gross to net sales, the Medicaid Drug Rebate Program, and the 340B Drug Pricing… more
