- Humana (Trenton, NJ)
- …frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... company committed to improving the health of the communities it serves. Medicaid Insurance Product Management - Growth & Innovation team's purpose is to… more
- Bayer (Philadelphia, PA)
- …minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Philadelphia Territory** **Associate Director ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
- Prime Therapeutics (Trenton, NJ)
- …Clinical Program Development Director contributes to the development of drug management strategy for the designated clinical product domain (ie Utilization ... and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or… more
- Merck (North Wales, PA)
- **Job Description** We are currently recruiting for a Director , Global Oncology Market Access. The Director will be developing and executing the market access & ... health care systems. Responsibilities in understanding Centers for Medicare & Medicaid Services (CMS)and US policies, Food and Drug Administration Modernization Act… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. **Job Description** + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
- Public Consulting Group (Trenton, NJ)
- …the important points of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly ... to efficiently and effectively implement, support, and optimize clients.Collaborate with Product to identify system improvements and opportunities for automation +… more
- Public Consulting Group (Trenton, NJ)
- …must effectively integrate capabilities in client management and project management , collaborating with Operations, Product , Program Integrity, and other ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the… more
- Prime Therapeutics (Trenton, NJ)
- …within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Penn Medicine (Philadelphia, PA)
- …The Joint Commission (TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee on Quality Assurance (NCQA) which ... on the privilege forms. Reviews changes with CVO Medical Director as necessary to ensure that criteria and privileges...accountability for focus on delivery of a high quality product , with the greatest efficiency, in the least amount… more