- HCA Healthcare (Brentwood, TN)
- …Parallon/HCA on all underpayments, overpayments and denial activity resulting from contract and payer policy interpretation variances, as well as rate load model ... join an organization that invests in you as a Director of Payer Engagement? At HCA Healthcare,...those that involve healthcare reform, managed care, ERISA and health insurance. + The Director will practice… more
- Merck (Cambridge, MA)
- **Job Description** **Associate Director , Pulmonary Arterial Hypertension (PAH) Payer Marketing & Access Strategy** As Associate Director , PAH & Rare ... the following:** + Develop customer segment strategy and promotional initiatives for US Payer & PBM ( Health Plan, PBM, Medicaid, Medicare, Federal, Employer) to… more
- Organon & Co. (Grand Forks, ND)
- …The Regional Payer Account Executive (RPAE) reports directly to the Executive Director , Regional Payer Accounts. The RPAE will develop and manage business ... The primary customer/account responsibilities include key Regional Commercial and Medicare Health Plan accounts. The primary goal is to achieve desired formulary… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do Join the Health & Wellness Payer team as a Director , Analytics supporting Pharmacy and Clinical business. In this role, you ... role will: + Provide data and modeling for all Payer contracts + Collaborate with Teams across Payer...analytics in Pharmacy and Medical with PBMs, Retail, and/or Health Plans, managing complex projects cross-functionally. + You possess… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do As a Director , Operations and Implementation for the Payer Relations team, you will be responsible for developing and maintaining ... to have experience managing and overseeing aspects of provider or payer operations, contracting, claims management, enrollment, and/or provider databases. **You'll… more
- HCA Healthcare (Brentwood, TN)
- …Parallon/HCA on all underpayments, overpayments and denial activity resulting from contract and payer policy interpretation variances, as well as rate load model ... join an organization that invests in you as a Payer Engagement Senior Analyst? At HCA Healthcare, you come...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Philips (Alpharetta, GA)
- …National Accounts Manager - Focused on Regional MCO's as well as evolving health care models/integrated payer provider models (IHNs, ACOs, PCMHs, Medical Groups, ... VP of Care Management, Contracting, Director of Provider Network, Sr. Medical Director , Head of Medical Policy , Quality Directors etc. + Understand and build… more
- Amgen (Thousand Oaks, CA)
- …in Health Economics and Outcomes Research, Operational Pricing, Advocacy, Health Policy , and Government Affairs and their respective Therapeutic Area ... specific market or product assessments, or attempt to influence payer policy development. Examples include Payer...qualitative and quantitative pricing studies and to formulate price policy recommendations + Formulate health policy… more
- Amgen (Washington, DC)
- …studies and to formulate price policy recommendations + Ability to formulate health policy strategy and implement these strategies to shape external pricing ... assumptions in global revenue forecasts for select products. The Director must also oversee and conduct relevant payer...and reimbursement, pricing, health technology assessment, and health care policy , with emphasis on general… more
- Novo Nordisk (Plainsboro, NJ)
- …creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? The Position Develops ... to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and processes to ensure attainment of market… more
- Arvinas (New Haven, CT)
- …access. + Knowledge and experience in Medicare Part A-D, Medicaid, and commercial payer policies, reimbursement process, health policy , areas of coverage ... As a key member of the Market Access Leadership team, the Executive Director , National and Strategic Accounts develops the Market Access Payer strategic… more
- College of American Pathologists (Washington, DC)
- …pathologists to deliver pathology/laboratory services; + Educating CAP members on private payer policy developments, private sector trends, and related CAP ... benefits package, 401K, and more Brief Description The Assistant Director , Economic and Regulatory Affairs is responsible for: +...timely manner. Education/Experience Education + Master degree in Public Health , Health Policy or similar… more
- Pfizer (New York, NY)
- …Ability to manage earnings growth risk due to threats such as competitor pricing, payer policy changes, and the success of replacement earnings through new ... **ROLE SUMMARY** The Director Global Access Strategy & Pricing (GASP), Oncology...development team, this colleague will: conduct/design and synthesize global payer insights to provide early access and pricing recommendations,… more
- Amgen (Washington, DC)
- …senior management. + Strategic planning and/or experience in product commercialization + Direct payer experience and/or health policy experience desirable + ... leadership, and Brand leadership teams. This role is highly visible, with the Director accountable for setting, achieving, and maintaining payer coverage and… more
- Merck (Rahway, NJ)
- …Requirement:** + Bachelor's degree + Preferred: Master's Degree in business administration, health policy , or health economics. **Required Experience and ... Director , Global Market Access, Immunology:** + Develop global payer value proposition and access strategy for assigned assets,...one or more of these areas: market access, pricing/reimbursement, health policy and/or health economics,… more
- Sanofi Group (Columbus, OH)
- …market updates to sales management and other internal teams regarding important payer and health care reform trends and issues. **Role Responsibilities** ... Position Summary This position reports to the Senior Director , Value & Access and Provider Accounts, Transplant...and or IDNs + Knowledge and experience with medical policy and medical benefit clientele within the payer… more
- AbbVie (Mettawa, IL)
- …industry experience and/or payer experience. * Strong interest in clinical and health economic data. * Proven track record of being able to successfully interact ... is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …and external stakeholders + Identify and engage KOL support + Identify and develop payer advisors/advocacy to address policy and business issues + Develop and ... evidence, and creating hope for all facing illness. The Director , Government Accounts will be responsible for the development...and Coverage Articles), ASP pricing + In-depth understanding of Health Care Reform, Medical Policy and the… more
- Vera Therapeutics (Brisbane, CA)
- …specialty pharmacies, formulary management, health technology assessment and payment policy ). Direct experience in payer negotiations desirable. * Strong ... * Partner on labelling strategy with regulatory, clinical, and health outcomes to meet payer needs and...time off, and a number of paid holidays. COVID-19 Policy Vera's top priority is the health … more
- Merck (Rahway, NJ)
- …Implementation Team, Policy , and the US & ex-US Regional Oncology Payer Strategy teams, to provide critical market access viewpoints across stakeholder work ... our customers' needs and provide solutions to meet their needs. The ** Director , Market Access Oncology** (Hematology) will be accountablefor the launch and life… more