- MetroPlusHealth (New York, NY)
- …every day.About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten ... Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan , etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the… more
- Genmab (Berkeley Heights, NJ)
- …and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including both private and government payer ... a global workplace where individuals' unique contributions are valued and drive innovative solutions to meet the needs of our patients, care partners, families and… more
- NTT DATA North America (Newark, NJ)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Healthcare Payer / Plan Solution Executive to join our ... in Newark, New Jersey (US-NJ), United States (US). **NTT DATA** is seeking a ** Healthcare Plan / Payer Industry Solutions Executive** to lead strategic… more
- NTT DATA North America (Newark, NJ)
- …high-quality work. NTT DATA's Launch business unit is looking for a Launch Industry Solution Expert for Healthcare Payer industry. Check us out: Launch ... solution team and practice experts to develop customized solutions that address client-specific challenges * Define the client...with proven track record of exceeding quota within the Healthcare Payer industry * 3+ years' experience… more
- IQVIA (New Providence, NJ)
- …data solutions , actionable insights, and innovative technology across the healthcare ecosystem. **IQVIA's Healthcare Payer team** is currently ... solutions , technology, and strategic services for both regional and national healthcare payer clients.** This **individual contributor** role requires a savvy… more
- Guidehouse (New York, NY)
- …Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health ... The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek...to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises… more
- Guidehouse (New York, NY)
- …Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health ... The regulatory environment and the market dynamics in the healthcare industry are constantly evolving, and our clients seek...to develop a strategy to improve their outcomes in payer negotiations. Our approach is founded in analytical exercises… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …with focus on client and product implementation. + 4+ in Healthcare Payer with Business and IT Solutions across these domains for self-funded client ... The ideal candidate is an experienced program manager with healthcare payer / TPA experience who excels...Internal and external teams preferred. About At Brighton Health Plan Solutions , LLC, our people are committed… more
- Ankura (New York, NY)
- …in the healthcare industry including but not limited to provider, payer , and pharmacy clients. We bring the deep industry knowledge and experience necessary ... practices focused on client delivery services across the Firm. Practice Overview: The Healthcare & Life Sciences practice focuses on assisting healthcare and… more
- Merck (Rahway, NJ)
- …drive sustainable patient access through innovation in patient access models and solutions . The **Director, Global Market Access, PAP (Pharma Access & Pricing) ... will lead the development and execution of global market access strategies, payer value proposition, pricing strategy, and payer /stakeholder communication tools… more
- J&J Family of Companies (New York, NY)
- …MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...expert regarding education and insights on access and affordability solutions across multiple payer types and plans… more
- NTT DATA North America (Newark, NJ)
- …in Newark, New Jersey (US-NJ), United States (US). **NTT DATA** seeks a **Health Plan / Payer and Life Science Sales Leader** to drive our go-to-market strategy ... experience, including sales and leadership responsibilities + **10+ years** of Health Plan / Payer and/or Life Sciences industry knowledge with a solid… more
- Molina Healthcare (Yonkers, NY)
- …**R** **I** **E** **N** **C** **E:** + 1-3 years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and ... problems and issues using data from internal and external sources to provide solutions to the decision-makers supporting the vendor and the vendor management team.… more
- Molina Healthcare (Yonkers, NY)
- …analytic results working within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising employees ... Providers to serve the health care needs of the Plan 's membership and to meet all state and federal...+ Capitalize on opportunities to cross-sell Analytic Tools and Solutions to existing Internal Customers, market the value of… more
- Mount Sinai Health System (New York, NY)
- …to provide high-quality care for millions of patients each year. Mount Sinai Solutions (MSS) is a unique business unit within Mount Sinai created to assemble ... centers, navigation) and sell the product offerings to individuals, plan sponsors or companies via multiple channels (eg, direct...* Seek to improve the status quo Mount Sinai Solutions seeks a Senior Manager who will support the… more
- Elevance Health (Woodbridge, NJ)
- … solution research, design, development, and conceptualizing innovative payment solutions for healthcare providers thru provider collaboration and strategy, ... documents, creates business case and ROI analysis. + Creates and initiates business solution development, works with other business partners to guide and support … more
- Sanofi Group (Jersey City, NJ)
- …than 100,000 people in 100 countries, Sanofi is transforming scientific innovation into healthcare solutions around the globe. Discover more about us visiting ... DC **About the Job** **About Sanofi:** We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges,… more
- BGB Group (New York, NY)
- …Define and communicate the commercial vision, ensuring alignment with BGB's overall strategic plan . Serve as a thought leader in healthcare communications and ... jobs) (http://www.bgbgroup.com/careers.html) New York, NY Our Agency BGB Group is a healthcare communications agency that offers a wide range of services, including… more
- BGB Group (New York, NY)
- …and Resource Management to develop appropriate staff plans + Creates risk mitigation plan (when needed) with possible scenarios and solutions for projects based ... York, NY BGB Group Project Manager Our Agency BGB Group is a healthcare communications agency that offers a wide range of services, including traditional… more
- Robert Half Finance & Accounting (Parsippany, NJ)
- …financial direction of the organization. As part of a leading global pharmaceutical/ healthcare company, this role offers the opportunity to make a meaningful impact ... and Strategic Pricing. * Provide financial insights on Gross-to-Net programs, payer mixes, product launches, and contract structures to inform strategic decisions.… more
