- CVS Health (Hartford, CT)
- …**Position Summary** Provides strategic leadership and actuarial oversight for Aetna's Individual Medicare Part D business by coordinating bid development ... with stakeholders to align financial goals with business objectives. Ensures Medicare Part D bids are actuarially sound, drives process development… more
- Henry Ford Health System (Troy, MI)
- …related to pharmacy benefits at Health Alliance Plan (HAP), with a primary focus on Medicare Part D and broader enterprise pharmacy strategy. This role ... external consulting support to meet urgent Part D and pharmacy analysis needs. This new Director...Responsibilities + Lead the development, submission, and validation of Medicare Part D bids, ensuring… more
- CVS Health (Hartford, CT)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... at home) based anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part C appeals… 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
- Molina Healthcare (Caldwell, ID)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… 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 NAD will develop and ... 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
- Bristol Myers Squibb (Princeton, NJ)
- …Uses Market Access technical expertise (ie, coding, reimbursement and payer policies related to Medicare , Medicare Part D , Medicaid, and private ... their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director , PASS Program Strategy and Marketing will play a critical role… more
- Trinity Health (Pensacola, FL)
- …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
- Gilead Sciences, Inc. (Foster City, CA)
- …agencies). + **Experience with Commercial and Government rebate operations** , including Medicaid, Medicare Part D , and Managed Care contracting. + ... lives of patients with life-threatening illnesses worldwide. We are hiring a **Senior Director Contracting Operations** to report to the Executive Director . This… more
- HCA Healthcare (San Antonio, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Director of Nursing Operations today with Methodist Hospital Landmark. **Benefits** Methodist ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...vary by location._** Come join our team as a(an) Director of Nursing Operations. We care for our community!… more
- Option Care Health (Trenton, NJ)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... talent in healthcare. **Job Description Summary:** The Area Sales Director will develop and implement the Chronic business sales...and objectives of Option Care Health. The Area Sales Director will be responsible for the execution of sales,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …in healthcare contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D , Medicare Part B, ... The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing… more
- Robert Half Finance & Accounting (New Orleans, LA)
- …billing disputes, accounts receivable, and participant billing. * Ensure adherence to Medicare Part D regulations, including bid preparation, reporting, ... Description We are looking for a skilled Director of Finance to lead and manage the...analysis. * Experience with healthcare administration and audits, including Medicare and Medicaid compliance. * Strong knowledge of regulatory… more
- Bristol Myers Squibb (Washington, DC)
- …healthcare policies. Develop and refine BMS positions on key issues including IRA implementation, Medicare Part B and D , 340B, and PBM reform. Oversee ... work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director , Policy and Research will lead the development and execution of US… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Sep 21, 2025 Requisition ID: 463226 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve… more
- Sanofi Group (Cambridge, MA)
- …+ Demonstrated experience in working in specialty pharmacy + Understanding of Commercial, Medicare Part D and Medicaid + Experience identifying trends ... **Job Title:** Director , Access Strategy - Dupixent Rhinology Allergy and...diseases and blood disorders, cancers, and neurological disorders. From R& D to sales, our talented teams work together, revolutionizing… more
- Takeda Pharmaceuticals (Boston, MA)
- …including HTA trends and guidance (eg, NICE, CADTH, PBAC, EU JCA) along with knowledge of US Medicare ( Part D ), ICER in the US and trends in Emerging Markets ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- Omnicell (Watertown, NY)
- …+ Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A thorough understanding of ... **ASSOCIATE DIRECTOR , PHARMACY OPERATIONS** Omnicell Specialty Pharmacy is looking...**1308 Washington St. Watertown, NY 13601.** **BASIC QUALIFICATIONS:** + Pharm. D . or BS Pharmacy degree from an accredited college… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The **Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** reports to the ... + Extensive understanding of hematology / oncology clinical landscape, Medicare A & B, and the business of cell...compensation information of other employees or applicants as a part of their essential job functions cannot disclose the… more