- Corewell Health (Grand Rapids, MI)
- … pharmacy , Rx profiles, medical policies, and plan documents for all non- Medicare product lines (Commercial Group, Commercial individual, PH Insurance Company ... of the member appeal and fair hearing review processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills,… more
- Henry Ford Health System (Traverse City, MI)
- …is required. GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Health Care Service Corporation (Chicago, IL)
- …performance. The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, ... invest in your professional development. **Job Summary** The Executive Director , Medicare Part D Actuarial will lead...as a key strategic partner to senior leaders across Pharmacy , Product , Finance, Compliance, and Operations. The… more
- Humana (Miramar, FL)
- …purchasing coordinator. + Performs other duties as assigned by direct supervisor, Sr. Pharmacy Director and/or Clinical Pharmacists **Use your skills to make an ... a part of our caring community and help us put health first** The Pharmacy Fulfillment Technician/ Care Management Support Assistant 2 works as a liaison between… 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
- AbbVie (Irvine, CA)
- …health plans, Medicare , Medicaid, VA/DoD, Employer, Health System, and Specialty Pharmacy . The purpose of Payer Strategy is to provide overarching direction and ... financial plan, resource investment, internal and external Senior Executive alignment, and product positioning management. The Director , US Payer Strategy is… 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
- Bayer (Jersey City, 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
- 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
- Merck (Rahway, NJ)
- …messaging for all US payer customer segments (health plan, PBM, ADAP, Medicaid, Medicare , federal, pharmacy , hospital and GPO) + Develop pricing and contracting ... Leadership, Market Access, Marketing, Market Research, Market Trends, Medicaid, Medicare , Payer Marketing, Pricing Strategies, Product Management, Promotions… more
- Bausch + Lomb (Charleston, SC)
- …changes to issues affecting Managed Markets including contracting, formulary access, product distribution, Medicaid/ Medicare , Chain Drug Store stocking & ... **Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of… 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
- CVS Health (Minneapolis, MN)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... a proud member of the CVS Health family of companies. In this non-supervisory Director level position, you will assume a highly visible and large impact role and… 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
- 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
- Sumitomo Pharma (Lansing, MI)
- …pharmaceutical secondary analytics and financial modeling + Understanding of Commercial and Medicare Part D pharmacy benefit designs + Understanding of ... financial modeling, and decision support + Preference towards previous experience with product level forecasting The base salary range for this role is $183,360… 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 (Minneapolis, MN)
- …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
- 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