- Regal Medical Group, Inc. (Northridge, CA)
- Position Summary: The role of the Director , Prior Authorization Clinical RN is to manage the prior authorization nurse case managers and support staff ... medical groups for which this position has oversight. The Director coordinates, plans and manages staff activities; develops with...state, and federal regulatory requirements (eg, DMHC, Medicaid, CMS Medicare Part C & D, NCQA where applicable) to… more
- Vertex Pharmaceuticals (Boston, MA)
- Job Description Reporting to the Director , Contract Operations, this role is responsible for the lifecycle management process of agreements within the US Market ... Access Organization (Commercial and Government (ex: Medicare Advantage and Part D)) Full Line Wholesalers, Specialty Distributors, Specialty Pharmacies, Group… more
- BioSpace (San Diego, CA)
- …will do The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the ... at multiple touch points and levels within complex partner organizations. Key account strategic lead; Develops and executes innovative strategies to reach difficult… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Commercial & Medicare Channel Lead will manage forecasting and analytics for the ... Commercial and Medicare channels. This role coordinates inputs from various teams...(based on eligibility). The starting pay rate takes into account characteristics of the job, such as required skills… more
- Humana (Hartford, CT)
- … pharmacy budgets through deep knowledge of pharmacy trends, taking into account regulatory changes in the Medicare Part D space + Work with actuarial ... experienced and strategic leader to fill the position of Director of Internal Pharmacy Forecasting and Performance...leader will need deep understanding of the complexities of Medicare Part D benefit design and regulatory changes to… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …benefits, as well as unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr. Director is a cross-functional ... Description: The Senior Director of Market Access Strategy is responsible for...of Specialty and Biosciences products with the major national Pharmacy Benefit Managers and Health Plans in the US… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …organization skills. + Knowledge of Regional and National Commercial Payers, Medicaid, Medicare , and GPOs + Understanding of Medical, Pharmacy , and Specialty ... Director National Accounts, ESI/Ascent Lead - Remote Date:...be responsible for developing long-term, strategic relationships with key account stakeholders and implementing brand messages & tactics to… more
- Walgreens (Deerfield, IL)
- …Sarasota in the west.** Responsible for the promotion of Walgreens Specialty Pharmacy services to drive Rx volume growth from targeted healthcare providers, nurses, ... region. The RAE/RAE-H serves as a resource for other Account Managers, Field Operations, and plays a lead role...complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/D, ACOs, ASOs, GPOs, Hospitals, etc.). **Job… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …National pharmacy and medical benefit payer contracts, including Commercial, Medicare and Managed Medicaid + Assess contract language risks and opportunities ... Associate Director , Managed Care Payer Contracting Date: Jul 22,...or assignments. Contract Strategy and Development: + Collaborate with Account Management, Payer Contracting Analytics, Payer Marketing, Legal, Finance,… more
- The Cigna Group (St. Louis, MO)
- **Job Description: Director for Regulated Markets - CDAG/ODAG** **Excited to grow your career?** We value our talented employees, and whenever possible strive to ... the difference in our success. **Role Summary** : The Director of Regulated Markets is responsible for Coverage Review...Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid, Marketplace or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …compliant with regulatory requirements, and effectively support revenue goals. The Director will collaborate closely with the Account Management, Legal, ... Director , Managed Care Payer Contracting (V&A) Date: Jul...understanding of how contractual language impacts financial modeling; support Account Management in customer meetings and negotiations as needed… more
- AbbVie (Mettawa, IL)
- …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... a matrixed environment and partner with cross-functional partners including AbbVie's Account Management team, Payer and Brand Marketers, Finance, & Business… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Summary:** We are currently seeking a Director , IRA Project Management to join the US Pricing, Analytics and ... work related to the Inflation Reduction Act (IRA) in the US Medicare business. The successful candidate will work cross functionally with internal and… more
- Whitney Young Health Center (Albany, NY)
- Director of Accounting (Req 100943) Albany, NY (http://maps.google.com/maps?q=4+Airline+Drive+Albany+NY+USA+12205) Apply Description Be a part of the mission at ... to safeguard assets and ensure proper accountability. + Oversees 340B pharmacy collections, reconciliations, accounting and payments. + Monitors operations to ensure… more
- Amgen (Nashville, TN)
- …will do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the ... multiple touch points and levels within complex partner organizations. + Key account strategic lead; Develops and executes innovative strategies to reach difficult… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... (based on eligibility). The starting pay rate takes into account characteristics of the job, such as required skills...then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …This position will work with other constituents, including but not limited to: Pharmacy Director , Chief Medical Officer, Medical Director , Pharmacy ... progress seen with pharmacy cost-saving initiatives. + Provide feedback to the Pharmacy Director and other key players in the organization. + Review… more
- Highmark Health (Phoenix, AZ)
- …Manage individual projects for timely review with the Director , Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive contribution ... and development, member facing outreach initiatives + Develop and implement physician, pharmacy , account , and member educational initiatives that promote the… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …Suite Nurse, Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account -based selling skills (including group ... on sales performance and engagement with the prescribers, office decision makers and account targets. SSR will focus on a multi-channel strategy and is responsible… more
