- CenterWell (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, ... implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve… more
- CenterWell (Annapolis, MD)
- …our CenterWell Pharmacy payer agnostic business. This role will support senior leaders in developing our pricing methodologies and sales to external payers. ... establishes market level financial metrics to align with CenterWell Pharmacy profitability goals, analyzes market level results and projections, and… more
- Elevance Health (Hanover, MD)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying and ... **Investigator Senior ** **Supports the Payment Integrity line of business**...insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** + Claim… more
- Amgen (Washington, DC)
- …organization, responsible for developing and executing pricing and payer coverage contracting strategies to achieve OBU's objectives for both in-line and pipeline ... and qualitative analyses, partnering with finance to evaluate the impact of contracting strategies on sales volume, discount rates, and long-term planning. By… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …to address business questions through exploratory data analysis. + Support specialty pharmacy contracting and performance tracking through targeted data and ... and optimizing patient experience and reimbursement processes, particularly in specialty pharmacy and hub services analytics. This role requires a strong background… more
- CenterWell (Annapolis, MD)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more