- CSL Behring (King Of Prussia, PA)
- …group of Specialty Pharmacies, Commercial Payors (MCOs), Pharmacy Benefit Managers (PBMs) and Medicaid FFS . This includes acting as the primary point of contact ... member of an account team that reports to the Senior Director , Corporate Accounts in Healthcare Systems...+ Prior experience managing Commercial Payors (national or regional), Medicaid ( FFS and MCO), and/or Specialty Pharmacies… more
- Serco (Washington, DC)
- …medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services ( FFS ) and managed care claims; and ... **Position Description** Serco is seekinga motivated Senior Project Consultant/Advisor to join our talented and fast-paced Public Sector Solutions team in supporting… more
- Fallon Health (Worcester, MA)
- …Provider Relations, etc.). + Researches, analyzes and presents recommendations to Senior Director regarding contractual and financial decisions. + Manages ... provider network; physician, hospital, ancillary, and/or carve out vendor as assigned by Senior Director or Manager. + Prepares, updates and maintains files and… more