- Lundbeck (Kansas, IL)
- Regional Payer Account Director - Central Requisition ID: 7112 Location: Kansas City, IL, US Do you want to join a team where the mission is meaningful, the ... transform lives. Join us on our journey of growth! The territory for the Regional Payer Account Director Central includes the following states: TX, OK, KS, NE,… more
- BrightSpring Health Services (Englewood, CO)
- …Overview Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well ... payer related issues. Schedule:Monday - Friday, 8:30am-5pm - Remote We Offer * Medical, Dental & Vision Benefits...on payment rate and structure, and all aspects of contract language + Provides insight and knowledge in order… more
- IQVIA (New Providence, NJ)
- …and innovative technology across the healthcare ecosystem. **IQVIA's Healthcare Payer team** is currently seeking a seasoned and entrepreneurial-spirited ... technology, and strategic services for both regional and national healthcare payer clients.** This **individual contributor** role requires a savvy professional able… more
- ServiceNow, Inc. (Chicago, IL)
- …will do:** We are seeking a strategic and highly experienced Sr. Client Director to own and nurture C-suite relationships across multiple business lines, serving as ... growth through compelling, value-based storytelling focused on multi-year Customer Account Contract Value (CACV) expansion. + Develop and oversee account strategy… more
- United Therapeutics (CA)
- …business case development in the pharma/biotech industry + Proven national payer contract development, negotiation, and implementation + Current relationships ... access + Collaboration and Communication: Communicate regularly with the National Director of Payer Engagement, Market Access leadership, and cross-functional… more
- Community Health Systems (Antioch, TN)
- …cycle operations required + Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required + Experience working ... **Job Summary** The Payment Compliance & Contract Management Specialist (PCCM Specialist) serves as a...skills. + Advanced understanding of healthcare reimbursement systems and payer contracts . + Excellent leadership and team… more
- Cardinal Health (Atlanta, GA)
- …and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group ... Finance teams to ensure the successful handoff and flawless operationalization of complex payer contracts . + Establish and lead Joint Operating Committees (JOCs)… more
- Mount Sinai Health System (New York, NY)
- …including admission and continued stay, and discharge reviews using CMS guidelines and payer contract terms. + Ensure timely and appropriate communication with ... ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director , Pre Appeals Management is a strategic… more
- Cardinal Health (Providence, RI)
- …teams to ensure the flawless execution and post- contract realization of payer programs and contracts + Drive seamless cross-functional coordination ensuring ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- Takeda Pharmaceuticals (Boston, MA)
- …and process rebates and fees within ModelN FLEX revenue management system for both Payer and GPO contracts . Support data requests from US OBU Patient Value ... management and administration of assigned accounts. Ensures all pertinent contract attributes are properly translated into the correct ...bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer … more
- Takeda Pharmaceuticals (Boston, MA)
- …Appraisal (HTA; including the EU Joint Clinical Assessment [JCA]) and payer assessments to optimize rapid, broad patient access, achieve value-based prices ... roll-out and training on global HE materials and provide country response to payer inquiries. Lead the development and country adaptations of HTA models with… more
- Takeda Pharmaceuticals (Boston, MA)
- …and be empowered to deliver your best. In this highly visible role, the Sr. Director will lead the strategic and analytic aspects of the US Oncology BU's (US OBU's) ... access analytics, and lead the newly formed health economics function. The Sr Director will develop the analytic aspects of the US OBU's commercial and government… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …and external healthcare payers. * Forecast VBA outcomes using internal datasets and payer -supplied data to support financial modeling and contract design. * ... to the best of my knowledge. **Job Description** The Director , Outcomes Research and Data Science (ORDS) is a...portfolio. * Assist in drafting VBA-specific sections of rebate contracts and support contract execution. * Work… more
- Takeda Pharmaceuticals (Boston, MA)
- …assessment (HTA; including the EU Joint Clinical Assessment [JCA]) and payer decision outcomes. Lead cross-functional integration and impact, resulting in ... ensuring that all evidence and access strategies are fully aligned with evolving payer , HTA, and policy needs globally + Pioneer and implement innovative digital,… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The System Director of IT Population Health Services Organization (PHSO) is a leader responsible for the strategic oversight, ... used for care coordination, risk stratification, quality improvement, and payer -provider integration, ensuring alignment with the organization's value-based care and… more
- Chiesi (CA)
- …+ Work collaboratively with Sales and Marketing to effectively maximize current payer scenarios. Negotiate and execute formulary contracts where applicable, ... This is what you will do The National Account Director (NAD) contributes to the company's success by being...individual Will play a critical role in executing corporate payer strategy by developing strategic relationships, along with securing… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Director of Population Health Operations will oversee execution of established clinical ... protocols and care management programs operationally. The Director will be responsible for the Profit & Loss (P&L) of one or more clients/line of business and ensure… more
- Genentech (South San Francisco, CA)
- **The Position** **The Opportunity** This Customer Segment Strategy - 340B, Director position is responsible for leading the development and implementation of access ... customer reactions and providing relevant talking points. + Synthesizes key contract performance insights across 340B customers to identify scalable insights for… more
- Community Health Systems (Antioch, TN)
- …revenue cycle, or contract management required + Familiarity with payer contracts and healthcare reimbursement methodologies preferred + Experience in ... analytical and problem-solving skills. + Proficient in understanding and interpreting payer contracts and reimbursement terms. + Effective communication and… more
- Medtronic (CA)
- …payer or healthcare provider decision makers (C-suite, administration, director -level) physicians, private practice managers. + Experience developing and ... influencing and sales skills. + Knowledge and/or experience negotiating payer /provider contracts . + Experience building strong cross-functional partners.… more
