- 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 ... and Infusion companies for our Company's commercial and government business.-The Director , US Market Access Contracting reports to the Executive… more
- University Medical Center of El Paso (El Paso, TX)
- …Assists with successful on-boarding and facilitates the development of a strategic provider recruitment plan. Assists with provider staff retention through ... and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid. Ability to adapt and use information system… more
- The Cigna Group (Plano, TX)
- …market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is...in lieu of a bachelor's degree. + **5+ years Medicare experience required.** + **5+ years Contracting … more
- The Cigna Group (Nashville, TN)
- …Advantage stakeholders for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates and ... + Leads the planning and implementation of enterprise-wide initiatives related to provider contracting strategy, affordability, and network design and regularly… more
- Arvinas (New Haven, CT)
- …Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and ... executing the pricing and contracting strategies to support the launch of Arvinas's portfolio....and delivery of market insights that inform payer and provider customer strategies, tactics and product forecasts. + Lead… more
- The Cigna Group (Scottsdale, AZ)
- …as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. + Design innovative contract ... Provider Relationship and Service Management experience. + Technical/Functional expertise: provider contracting , provider relations and negotiation. +… 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 ... companies for our Company's commercial and government business. The Director , US Market Access Contracting reports to...and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting… more
- The Cigna Group (Bloomfield, CT)
- …** Medicare Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is ... NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment....Contract negotiations, required** + 8+ years of experience in provider , client and customer relations, contracting or… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other ... to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting , claim payment,… more
- Molina Healthcare (Long Beach, CA)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- The Cigna Group (Atlanta, GA)
- …Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). Reporting ... work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of...to the Network Operations Senior Manager or Director , this individual ensures the effective performance management of… more
- The Cigna Group (Maitland, FL)
- …Health Services, Clinical, Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). ... Reporting to the Provider Performance Director , the Provider ...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- Henry Ford Health System (Troy, MI)
- … Network Management (PNM) with Health Alliance Plan (HAP), will be responsible for provider contracting and management of provider relations for assigned ... accounts using a coordinated team approach including the Director , and contract and provider services administrators....in the health care field with three (3) years provider contracting experience with hospitals, health systems… more
- Hartford HealthCare (Wethersfield, CT)
- …practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, and self-motivated individual ... In this role, this individual partners with the Sr Director and management team to create and maintain database...experience desired . Preferred knowledge regarding current and evolving provider payment methodologies with a focus on hospital and… more
- Molina Healthcare (Owensboro, KY)
- …conjunction with direct management and senior leadership, oversees development of provider contracting strategies, identifying those specialties and geographic ... Experience** + 7+ years' experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services. + Min. 2 years' experience… more
- Molina Healthcare (Louisville, KY)
- …with Director , Provider Contracts, develops health plan-specific provider contracting strategies including VBP. This includes identifying specialties and ... contracting , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the… more
- Cedars-Sinai (Los Angeles, CA)
- …Population Health leadership, including Pharmacy Services, Ambulatory Care Management & ISP, Contracting , and Quality. The MH Medical Director provides direct ... as a provider for e-consultation. + Supervises the Assistant Medical Director for Mental Health + Develops and provides in-service training and educational… more
- Cardinal Health (Columbus, OH)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- AbbVie (Mettawa, IL)
- …price/ volume dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government ... to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the...(MABI) organization will lead the financial assessment of payer contracting via data driven payer level analysis across AbbVie's… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …team to determine forward-looking assumptions on buy-and-bill drugs. Develop ASP projections. Provide expertise and guidance on Medicare Part B ASP calculations, ... Associate Director , Strategic Pricing - Parsippany, NJ Date: Sep..., Strategic Pricing is to coordinate pricing activities and provide related pricing analysis and support for all Teva… more
