- 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 regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D)The US Market Access Contracting ...HP/PBM or Hospital/GPO Provider accounts who have a large national impact in private and/or public markets important to… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and ... Company and/or departmental expectations and goals as identified by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial,… more
- Merck & Co. (North Wales, PA)
- …with Global Market Access and Pricing teams in the development of pricing and contracting strategies. - The role will be a part of the team responsible for ... messaging for all US payer customer segments (health plan, PBM, ADAP, Medicaid, Medicare , federal, pharmacy, hospital and GPO) Develop pricing and contracting … more
- The Cigna Group (Nashville, TN)
- **What You'll Do** The Medicare National Contracting Advisor position is an integral member of the National Development and Network Solutions team, ... reporting directly to the Medicare National Partnerships Director. This role is...the energy to mobilize a matrixed team responsible for contracting national value-based providers and engaging in… more
- The Cigna Group (Bloomfield, CT)
- … Advantage position** WORK LOCATION: REMOTE position The ** National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... by national ancillary partners. + Contributes to national contracting strategy and collaborates with senior leadership both internally and externally… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor… more
- The Cigna Group (Bloomfield, CT)
- The **Provider Contracting Senior Advisor** serves as an integral member of the Network Development and Strategy Team and reports to the Provider Contracting ... for the management of the fee for service and value based contracting and network management activities for multiple local geographies. **DUTIES AND… more
- The Cigna Group (Plano, TX)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is a key contributor to the development ... **WORK LOCATION: TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The **Director, Provider Contracting - Medicare ** serves as an integral… 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 ... to develop facility affordability action plans, align with medical contracting as well as partner with large regional and...as well as partner with large regional and select national systems. In addition, the Senior Manager… more
- The Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report… more
- WellSpan Health (York, PA)
- Senior Director-Payor Contracting Location: WellSpan Health, York, PA Schedule: Full Time General Summary Participates in third party payor contract negotiations ... new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill,… more
- The Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,… more
- Elderwood (Monroe County, NY)
- …Committee. + Oversee the provider monthly monitoring process. Qualifications Senior Contracting & Credentialing Manager Educational Requirements and ... and understand the English language at an intermediate or more advanced level. Senior Contracting & Credentialing Manager Skills and Competencies + Excellent… more
- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where… 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 ... customer service, claims, and/or payor related experience + Demonstrated knowledge of contracting process, Medicare fee schedules, financial terms, and metrics… 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 ... other provider and practice management accounts + LTC + National and regional health plans and PBMs (Commercial, Managed...and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting… more
- The Cigna Group (Anaheim, CA)
- …with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of the Network ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND… more
- Healthfirst (NY)
- …with Medicare /Medicaid and Commercial Healthcare + Experience communicating to senior leadership and cross-functional groups within an organization + History of ... an effective vendor management governance and oversight framework + Provide senior leadership-level oversight and guidance across all vendor management risk areas… more
- Humana (Albany, NY)
- …Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, ... Region; drives financial and operational performance; and coordinates activities of senior managers and their respective functions. The Regional President represents… more
