- Merck & Co. (North Wales, PA)
- …needs and strive to provide solutions to meet them. The Director, US Pharma Payer Marketing Ophthalmology leads a team of payer marketers dedicated to developing ... - This role will report directly to the US Pharma Payer Marketing Lead as a member of the Payer Marketing leadership team and will actively participate in all… more
- Geisinger (Scranton, PA)
- …a tool to ensure that patients meet appropriateness of the setting. Actively involves payer liaison role in any case that has potential of not meeting medical ... necessity guidelines. Supports payer liaison role to resolve barriers through appropriate administrative...appropriate administrative and medical channels to avoid third party payer denials. Maintains awareness of all concurrent denials through… more
- Eisai, Inc (Boston, MA)
- …implement account specific strategies to meet objectives for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, ... role serves as the primary point of contact between Eisai and Regional Payer Accounts representing Eisai's product portfolio across all payer channels.The… more
- Insmed Incorporated (NJ)
- …teamLaunch Planning & ReadinessLead integrated US launch readiness for HCP and payer channels in PH-ILD, IPF, and PPF.Oversee tactical planning, sequencing, KPIs, ... with global and regional colleagues to ensure professional and payer strategies are locally relevant while globally aligned.Cross-Functional LeadershipPartner with… more
- Eisai, Inc (Houston, TX)
- …until appropriate resolution. This role will have a keen understanding of payer coverage at the customer and regional level and strong communication skills ... to appropriately educate on payer policies. This role will support the Neurology business unit, providing compliant access and reimbursement education to support an… more
- CoxHealth (Lake Spring, MO)
- …records, reviewing hospital charges and documentation to ensure compliance with payer regulations, coding conventions, and hospital policies. RN auditors are also ... responsible for educating employees, physician, and patients and others for billing compliance.Education: ▪ Required: Graduate of an accredited nursing program ▪ Preferred: Bachelor's Degree in Nursing Experience: ▪ Required: 2 years' related experience… more
- Genmab (NJ)
- …of the HEOL TeamPartner effectively with Market Access Leadership, both for the Payer and Corporate Accounts Teams, to ensure aligned execution of the value and ... ensure compliant partnership with other customer-facing teams (ie: Corporate Accounts, Payer team, TLEs, MSLs, etc.) across Genmab product life-cyclesLead various… more
- Merck & Co. (Boston, MA)
- …segmentation, targeting and business analysis.Articulate the complexities of the HIV payer environment, recognizing the role each stakeholder plays in the ability ... inter-dependencies and build partnerships with key stakeholders/departments.Experience with complex payer environments, recognizing the role each stakeholder plays in… more
- Daiichi Sankyo, Inc. (New York, NY)
- …settings including managed care organizations, pharmacy benefit management companies, payer groups, or at company-sponsored advisory board meetingsIdentifying and ... and cultivating direct relationships with identified opinion leaders and payer influencers in practice and/or academia to discuss therapeutic areas… more
- Lundbeck (Massapequa, NY)
- …and collaboration based on customer needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes ... portfolio to key internal and external partners and effectively addresses payer access issues (Medicare, Medicaid, Commercial) using Lundbeck resources. Local Market… more
- Insmed Incorporated (NJ)
- …aligned as appropriate.Lead integrated US launch readiness for HCP and payer channels and represent brensocatib in go-to-market and organizational design ... years in pharmaceutical/biotech industry, with at least 8 years in HCP, payer , or market access marketing roles.Proven success in developing and executing launch… more
- Eisai, Inc (Nutley, NJ)
- …of all Company policies.4. Collaboration with critical internal business partners ( Payer Account Executives, Area Business Leaders, Brand and Sales management, ... of coverage/reimbursement issues impacting Eisai products, existing and emerging payer policies, competitive reimbursement landscape, trends, pricing, contracting strategies,… more
- Taiho Oncology (Boston, MA)
- …and business plan which consider unique characteristics of region (geography, payer landscape, customer mix, etc.). Proactively develops, reviews, and modifies the ... macro-environment. Understanding of oncology reimbursement, including orals, and the payer customer segment. Experience in assessing and communicating oncology… more
- Daiichi Sankyo, Inc. (Orlando, FL)
- …environment (including but not limited to pharmacy economics, payer reimbursement landscape, and patientflow/influence between academic institutions, hospitals, ... and community practices).Demonstrate understanding of current or pending clinical pathways in assigned accounts, and how they influence patient treatment.Analyze customer needs and interests, territory performance, program outcomes, and business trends;… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …relationships, and differentiates Novo Nordisk products in the marketplace, with targeted payer accounts that influence patient access and care. Targets include a ... range of influential stakeholders and decision makers, including but not limited to: National Payers/PBMs and other Customers, as defined by the role. Account activities include, but are not limited to, formulary placement/consideration for Novo Nordisk… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …of twelve (12) years of experience in market access strategy, payer /PBM relationships, account management, digital healthcare companies, healthcare providers, and ... relevant technology firms. Experience in consumer-packaged goods (CPG) and retail is beneficial, especially concerning customer engagement strategies and sales channel / value chain optimization Proven ability to identify, negotiate, and manage strategic… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …rapidly evolving factors influencing US market access, including reimbursement trends, payer concerns and healthcare policy Creative and entrepreneurial thinking is ... required Have strong interpersonal, communication, analytical and project management skills Requires leadership skills with the ability to develop and communicate a vision and engage people in that vision, including in a fluid, rapidly changing environment… more
- Lundbeck (Orlando, FL)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... Pharmaceutical Environment/Compliance - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products.… more
- Seattle Children's (Seattle, WA)
- …well as information or escalations from leaders and front line staff, payer communications and internal account reviews, the Revenue Cycle Analyst identifies trends ... where outcomes differ from what is expected, then proactively recommends or initiates countermeasures within their operational team(s). **Required Education and Experience** High school diploma or equivalent experience. Minimum three (3) years of relevant… more
- Lundbeck (Schenectady, NY)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... Pharmaceutical Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and… more
