- Highmark Health (Montgomery, AL)
- …The incumbent requires a thorough understanding of all aspects of the pharmacy product . **ESSENTIAL RESPONSIBILITIES** + Create and maintain strategic ... to assess the value of implemented initiatives. + Lead product based pharmacy trend management discussions with...+ 2 years of clinical account management experience in Medicare as part of the 4 year managed care… more
- Prime Therapeutics (Providence, RI)
- …the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for ... point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet...in all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …alignment with regulatory requirements, financial objectives, and organizational strategy. The Director oversees programs such as Medicare Stars, HEDIS, ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Value Performance Quality Location: Hybrid | Eagan, Minnesota Career… more
- CVS Health (Springfield, IL)
- …of clinical leadership to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, ... UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM programs to… more
- Bayer (Morristown, NJ)
- …minds to make a real difference, there's only one choice.** **Executive Director Access Business Partner** The Access Business Partner (ABP) is accountable for ... of collaboration, influencing, and driving strategic alignment within the assigned Product Squad and across multiple access functions, including Account Management,… more
- Ascendis Pharma (Princeton, NJ)
- …develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include ... demonstrating strong leadership, project management, and communication skills. As the Director , Market Access Contract Operations, you will oversee all aspects of… more
- Lundbeck (Los Angeles, CA)
- Regional Business Director - West Requisition ID: 7047 Location: Los Angeles, CA, US **Will consider candidates who live in region or state which shares a border, ... CO, NV, TX, OR and other western states)** **SUMMARY:** The Regional Business Director (RBD) is responsible for leading field-based Area Sales Managers (ASM) and… more
- Organon & Co. (Dover, DE)
- …Established Brands) at aP&L level, by customer; negotiation and execution of pharmacy discount agreements and product contract offerings; individual account ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD… more
- Ascendis Pharma (Princeton, NJ)
- …(Commercial, Medicare and Medicaid) and reimbursement methodologies (eg specialty pharmacy ) + Experience managing external agency and vendor partners + Strong ... to grow and develop their skills. We are looking for an experienced Associate Director , Market Access & Patient Support Marketer, to join our team. This is a… more
- AbbVie (Chicago, IL)
- …Louis, Missouri + Minneapolis, Minnesota + Detroit, Michigan The Associate Director , Field Reimbursement Manager - Immunology Gastroenterology manages and coaches a ... of FAS effectively engages customers to understand key coverage, coding, payment, product acquisition and affordability dynamics for AbbVie products in their local… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and performance across ... all ACFC lines of business and products (Medicaid, Medicare , Exchange, PBM, BH). This role ensures that implemented solutions deliver measurable value through… more
- Point32Health (Canton, MA)
- …improvement recommendations based on analytic findings. Under the direction of the Director of Product Strategy, the Manager contributes to building ... stakeholders, including senior leadership **Strategy and Implementation** + Support the Director of Product Strategy, working collaboratively with the Policy… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …health systems, accounts and customers related to disease awareness, product discussions, formulary coverage, pricing (where appropriate) and collaborating with ... calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy … more
- Corewell Health (Grand Rapids, MI)
- …interactions, pharmacy Rx profiles, medical policies and plan documents for Medicare product lines + 2 years of relevant experience Extensive knowledge ... steps of the member appeal and fair hearing processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills,… more
- Ascendis Pharma (Princeton, NJ)
- …Lifecycle Management: Support drafting, execution, and administration of payer, specialty pharmacy , and/or GPO agreements (eg, rebate, discount, and data sharing ... ensure accurate and timely payments, with a focus on government ( Medicare , Medicaid, Federal) customers. + Cross-Functional Collaboration: Partner closely with… more
- Amgen (New York, NY)
- …do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the current ... for routinely meeting with appropriate opinion leaders in Cardiology, Lipidology, Pharmacy , P&T Committee, etc., that act as partners or decision-makers within… more
- Takeda Pharmaceuticals (Cambridge, MA)
- … pharmacy and distributor agreements, including agreements with: commercial and Medicare payers, pharmacy benefit managers (PBMs), Oncology GPOs, the ... **Job Description** **About the role:** As Counsel, Market Access, at the senior director level, you will be responsible for providing day-to-day legal support to… more
- J&J Family of Companies (Titusville, NJ)
- …Scientific Account Lead, V&ESE Field** **Reports to: Regional Field Director , V&ESE Field** **Department/Division: Value & Evidence Scientific Engagement/Scientific ... Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies, Governmental Agencies (CMS and… more
- J&J Family of Companies (Titusville, NJ)
- …Scientific Account Lead, V&ESE Field** Reports to: Regional Field Director , V&ESE Field Department/Division: Scientific Affairs Value and Evidence Scientific ... Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies, Governmental Agencies (CMS and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …for Medicaid and other AmeriHealth Caritas products. Reporting to the Director Business Development (Market Leader), the Business Development Manager (Manager) ... of assigned projects to support business development strategies and new strategic product initiatives. The Manager supports the Market Leader in establishing and… more