- Commonwealth Care Alliance (Boston, MA)
- …Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting , the Senior Provider Contract Manager is ... negotiations and management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations,… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... , operations, and analytics teams to monitor network performance against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Network Management staff to ensure an adequate and appropriate provider network. Participate in contracting strategy discussions around potential ... 011230 CA- Provider Engagement & Performance **Position Summary** The ...service recovery; Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies… more
- Commonwealth Care Alliance (Boston, MA)
- …providers. This individual serves as a key liaison, proactively addressing provider needs, ensuring regulatory compliance, and supporting operational excellence ... cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory Affairs, Marketing) to resolve … more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …include the entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement ), HEOR, Marketing, Commercial Sales, Medical ... product pipeline can only be as effective as our ability to provide information to healthcare providers, key stakeholders and policymakers. Our Market Access… more
- Eisai, Inc (West Palm Beach, FL)
- …and emerging payer policies, competitive reimbursement landscape, trends, pricing, contracting strategies, and potential barriers to provider and patient ... management teams, Field Sales Management, Value & Access Group, Pricing and Contracting , and Marketing. Responsibilities could also include management of GPOs. This… more
- BeOne Medicines (Emeryville, CA)
- …Compliance to ensure contracts and pricing strategies meet all federal and state regulatory requirements. + Provide policy and pricing insights to senior ... dynamics and pricing landscapes, including a deep understanding of pricing and provider economics, reimbursement models, and government pricing regulations. +… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …communications are understood and executed locally Design and execute on field reimbursement , training and other initiatives to elevate provider engagement and ... for managing and leading execution of the Patient Support Field Reimbursement teams across all NNI therapeutic areas. Responsibilities include delivering… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From healthcare provider interactions and developing and implementing regulatory strategies with ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one...as appropriate Understands Patient Safety case processing and NNI contracting operations including tool and systems used, exceptions processes,… more
- Stanford Health Care (Palo Alto, CA)
- …to not-for-profit healthcare, required. + Knowledge of accounting, healthcare reimbursement , financial forecasting, operations analysis, managed care contracting ... for the system-wide and subsidiary financial reporting cycle, month-end closing, regulatory financial compliance, tax matters, and other financial functions. The… more
- Merck & Co. (Upper Gwynedd, PA)
- …evidence needs of clinicians, payers, policymakers, health technology assessment (HTA)/ reimbursement agencies and health systems globally.Types of studies executed ... is defined and developed to achieve optimal market/patient access and reimbursement . The incumbent is expected to work cross-functionally with clinical development,… more
- Terumo Medical Corporation (Somerset, NJ)
- …**Job Details/Responsibilities** + Works with other Medical Groups, Marketing, Sales, Regulatory and Compliance to assure business objectives are aligned and ... market, industry, competitor, and health care compliance, legal, and regulatory knowledge. Understands the external marketplace including competitor offerings and… more
- Sallie Mae (Sterling, VA)
- …highly regulated industry is strongly preferred, including familiarity with bank regulatory frameworks relevant to contracting principles. + Experience advising ... Virginia office. **What You'll Do** + Procurement and Vendor Management + Provide legal advice and strategic advisory support for the day-to-day operations of… more
- Henkel (Warren, MI)
- …business unit - where we empower our people to transform industries and provide our customers with a competitive advantage through adhesives, sealants and functional ... training operators and supervisors in the new processes and procedures. + Provide support for safety improvement opportunities that require engineering expertise. + … more
- Henkel (Greenville, SC)
- …business unit - where we empower our people to transform industries and provide our customers with a competitive advantage through adhesives, sealants and functional ... of capital projects through project cost estimating, PHA's, procurement, contracting , construction oversight, commissioning and start-up as needed. Plans and… more
- Energy Northwest (Richland, WA)
- …role, you'll be at the heart of innovation-managing critical contracting operations, championing continuous improvement, and leading business process compliance. ... position is encouraged to identify new opportunities for ES&D to provide technical and other professional services to outside entities. **PRINCIPAL… more
- BeOne Medicines (Emeryville, CA)
- …access topics, such as value assessment, health technology appraisal, pricing and reimbursement systems, or payer perspectives that drive the achievement of the ... Team. Collaborating with Market Access Leadership, Market Access Marketing, Medical, Contracting , and Legal to develop, enhance and deliver training curriculum for… more
- FM (Johnston, RI)
- …drafting and negotiating large, complex and international commercial agreements. + Possess contracting knowledge sufficient to provide guidance to business teams ... and tasks efficiently. The role requires the development of solutions in order to provide successful guidance to the business. The individual in this role must be… more
- Stony Brook University (Stony Brook, NY)
- …professional references. + Successfully complete a 4 panel drug screen * + Meet Regulatory Requirements for pre employment screenings. + Provide a copy of any ... + Confirms primary and secondary payers and identifies which contract/plan(s) will provide payment throughout the phases of the transplant care and obtain… more
- Williams Companies (Houston, TX)
- …customer requirements + Develops project charters including cost estimates, contracting strategies, and engineeing designs + Analyzes project-specific flow studies ... design engineering and construction + Preferred: Familiarity with industry regulatory practices and permitting requirements About Houston (Williams Tower Location):… more
