- 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
- Sanofi Group (Morristown, NJ)
- …than 100,000 people in 100 countries, Sanofi is transforming scientific innovation into healthcare solutions around the globe. Discover more about us visiting ... Assess the need to implement an unbranded and branded payer media plan supporting the Dupixent strategic... value drivers and ability to develop and implement payer value propositions + Understanding of macro-US Healthcare… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …optimize long-term brand value, seeking governance approval. + Monitor and interpret healthcare policy and payer environments, providing strategic guidance to ... to improving health and increasing access to quality health solutions worldwide. Our employees are at the core of...collaborate across global markets to ensure commercial success and payer alignment. This key leadership role will be a… 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
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... a patient's network status (in or out-of-network) with their plan and communicate to the patient in advance if...in advance if an out-of-network status applies. + Ensure payer requirements including the following are met: + Verify… 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
- IQVIA (Parsippany, NJ)
- …in the same country where the job is located._ **Consultant - Commercial Solutions & Insights Hub (CSIH), Analytics Pillar** IQVIA CSIH is a market-leading, ... delivery-oriented division within IQVIA Commercial Solutions . CSIH team members consult with manufacturers in the...to meet the challenges of today's complex and evolving healthcare landscape. The Analytics department leverages the power of… more
- Publicis Groupe (Morristown, NJ)
- …with tackling a labyrinth of payers and organized customers, with limited resources, payer marketers can sometimes feel trapped between a rock and-well you know. ... to rock in a hard space. Since day one, Payer Sciences has approached managed markets from a different...efficiently + Conduct secondary research on a range of healthcare related topics + Support day to day client… 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
- J&J Family of Companies (Raritan, NJ)
- …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...cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine… more
- WMCHealth (Hawthorne, NY)
- Credentialing Specialist-ONSITE Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business ... position is responsible for providing administrative support for the process of payer enrollment credentialing for the medical staff at Westchester Medical Center… more
