- Merck & Co. (North Wales, PA)
- …management accountsLTCNational and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D)The US Market Access Contracting Team acts as ... Job DescriptionThe Director, US Market Access Contracting sits within the National Contract Operations and...forecasting to meet contract forecast objectives.Engage with our Company's senior leaders to provide business reviews and/or… 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 ... Director, US Pharma Payer Marketing for New Products/BD. Primary Responsibilities Include: Provide US payer input into Global Market Access Teams, new product… more
- Berkeley Research Group, LLC (Washington, DC)
- …firms that work with the industry.The Managing Consultant role is a mid-to- senior level consulting staff position. This position requires highly motivated problem ... on legislation as it relates to Government Pricing in order to provide consultation to clients.Demonstrate creativity and efficient use of relevant software tools,… more
- Versique Consulting & Search (Minneapolis, MN)
- …that assure organized, efficient, and compliant management systems. As an integral senior management team member, the CFO will participate in and provide ... preparation of all financial reporting to regulatory parties (ie, FSR, UDS, Medicare , HRSA, state tax returns, etc.) Attends routine finance committee meetings and… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare ** ** Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team ... and reports to the Medicare Provider Contracting Regional Vice...direct reports. + Experience in developing and managing key provider relationships including senior executives. + Knowledge… more
- The Cigna Group (Nashville, TN)
- …Advantage stakeholders for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates and ... **What You'll Do** The Medicare National Contracting Advisor position is...the planning and implementation of enterprise-wide initiatives related to provider contracting strategy, affordability, and network design… 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 ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts on opportunities… more
- The Cigna Group (Bloomfield, CT)
- …WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a critical contributor to ... the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial...Contract negotiations, required** + 8+ years of experience in provider , client and customer relations, contracting or… more
- The Cigna Group (Plano, TX)
- …as an integral member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is a key contributor to ... in Houston, San Antonio, Dallas or Plano** The **Director, Provider Contracting - Medicare ** serves..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… 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 ... The System Contract Senior Manager will have oversight of a region... Relationship and Service Management experience. + Technical/Functional expertise: provider contracting , provider relations and… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… 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
- The Cigna Group (Atlanta, GA)
- …market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Senior Advisor is an integral part of a ... Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development &... provider network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor… more
- The Cigna Group (Anaheim, CA)
- …meetings with Providers_** **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- Arvinas (New Haven, CT)
- …**Position 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....role include, but are not limited to: + Provides senior management and cross functional team members with relevant… more
- Elderwood (Monroe County, NY)
- …+ Oversee the provider monthly monitoring process. Qualifications Senior Contracting & Credentialing Manager Educational Requirements and Qualifications ... and understand the English language at an intermediate or more advanced level. Senior Contracting & Credentialing Manager Skills and Competencies + Excellent… 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 ... research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report… more
- The Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
