- Health Care Service Corporation (Chicago, IL)
- …purpose-driven company that will invest in your professional development. **Job Summary** The Executive Director , Medicare Part D Actuarial will lead the ... actuarial function for Medicare Part D products, including Individual MAPD and...for product strategy, pricing, and financial performance. The Executive Director provides actuarial leadership across product strategy, benefit design,… more
- Bristol Myers Squibb (Washington, DC)
- …will lead policy development and strategy related to drug pricing policy and legislation (eg IRA, Medicare Part D ) for BMS as a member of a highly ... Analyze legislative and regulatory developments impacting the IRA and Medicare Part D and develop...R1598071 : Director , US Policy - Drug Pricing/ Part D **Company:** Bristol-Myers Squibb **Req Number:**… more
- Humana (Jacksonville, FL)
- …must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work ... **Become a part of our caring community and help us...The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,… more
- Humana (Lincoln, NE)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … more
- Rhythm Pharmaceuticals (Boston, MA)
- …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop ... record of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP,… more
- CareFirst (Baltimore, MD)
- …activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid guidelines and requirements. + ... **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Services is responsible for implementing the...Maryland Medicaid, Dual Prime Special Needs Plan (DSNP), and Medicare Advantage products. This role has oversight of pharmacy… more
- TEKsystems (Martinez, CA)
- …a large public health plan, has a need for a contract to hire Director of Claims. The group includes 20 direct reports including 2 managers, Claims supervisor, ... Description: Contra Costa Health is offering an excellent opportunity for a Claims Director . The Claims Director plays a leadership role within CCGP, providing… more
- UNC Health Care (Morrisville, NC)
- …Strategic - The HCS Director of Managed Care Contracting is a key part of the executive team that leads the development and implementation of system-wide Managed ... of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting serves as one of...billion in annual system revenue that could cover any part of the managed care spectrum (commercial, Medicare… more
- Hospice Of San Joaquin (Stockton, CA)
- …are the focus of everything we do. We seek a Dynamic, self-motivated Director of Quality and Compliance who thrives in a fast-paced environment and supports ... our mission. JOB SUMMARY AND SCOPE The Director of Quality and Compliance (DQC) develops, implements, and...performance improvement projects, based on QAPI and benchmarking data. d ) Facilitates comprehensive chart audits for ALL teams and… more
- AbbVie (Savannah, GA)
- …and/or managing Buy & Bill, Specialty Pharmacy, Medicare Part B, and Medicare Part D products is highly preferred + Experience selling and/or ... distance to a major airport within this region. The Neuroscience Regional Sales Director leads the sales performance and professional development of a team of… more
- Ankura (NC)
- …firm or large to mid-size consulting firm in the payer and government programs ( Medicare Advantage and Part D , ACA, Medicaid, etc.) with experience ... Disputes and Economics Healthcare practice is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services.… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …lead the evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on ... Associate Director , HCP and Market Access Marketing Date: Dec...Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable strategies that align… more
- Trinity Health (West Springfield, MA)
- …of Directors. + Ensure compliance with CMS regulations. Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Assure ... the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director , Quality Improvement and Compliance, in collaboration with the Medical … more
- Bausch + Lomb (Charleston, SC)
- …PBM, GPO, Mail Service, VA/DOD, Drug Stores) + Pharmacy Benefit Contracting and Part D experience + Experienced in customer negotiation, financial analysis, ... **Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of… more
- University of Southern California (Los Angeles, CA)
- …of third-party claims billing, particularly rules and requirements for Medicare Part B DMEPOS and Medi-Cal. The Director of Pharmacy Services will ... USC School of Pharmacy is accepting applications for a Director of Pharmacy Services at USC Pharmacy and Wellness...federal and state laws and regulations. Required Credentials: + Pharm. D . + State of California Registered Pharmacist License +… more
- HCA Healthcare (Live Oak, TX)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Director of Nursing Operations with Methodist Hospital Northeast you can be a ... part of an organization that is devoted to giving...in our organization. We are looking for an enthusiastic Director of Nursing Operations to help us reach our… more
- Bayer (Jersey City, NJ)
- …the influence/impact and decision drivers of US commercial and government payers (Commercial, Medicare Part B/ D , Medicaid) and channel customers (eg, ... make a real difference, there's only one choice.** **Executive Director Access Business Partner** The Access Business Partner (ABP)...better life, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer. To… more
- Gilead Sciences, Inc. (Washington, DC)
- …will improve the lives of patients with life-threatening illnesses worldwide. The Director of US Virology Strategy and Policy will support the development, ... and messaging development. The US Virology Strategy and Policy Director will support the implementation of GA's strategies and...deep knowledge of US federal and state healthcare policy ( Medicare and Medicaid) and the US HIV/AIDS landscape; and… more
- Option Care Health (Madison, WI)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... and brightest talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales plan that… more
- UNC Health Care (Morrisville, NC)
- **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities ... we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for designing,… more