- Merck & Co. (North Wales, PA)
- Job DescriptionRole SummaryUnder the guidance of a senior leader, an Associate Principal Scientist/Associate Director, has primary responsibility for ... economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers for use… more
- CenterWell (Trenton, NJ)
- …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... pharmacy claims and network composition to identify contracting needs to provide adequate coverage for… more
- The Cigna Group (Trenton, NJ)
- **Job Description** POSITION SUMMARY The Senior Advisor, Provider Contracting is responsible for the renewal and ongoing management contracting ... plan initiatives including but not limited to network development, provider contracting /re- contracting . Provide ...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- CenterWell (Trenton, NJ)
- …our CenterWell Pharmacy payer agnostic business. This role will support senior leaders in developing our pricing methodologies and sales to external payers. ... our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every… more
- The Cigna Group (Philadelphia, PA)
- … pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary, utilization management, SafeGuard, and ... and ensure alignment with clinical guidance within our trend solutions and contracting efforts. Meet with clinical leadership and SMEs to support efforts to… more
- The Cigna Group (Philadelphia, PA)
- …offered include medical network, medical management, LifeSOURCE transplant network, pharmacy , Out-of-Network Savings Program, dental, Embarc Benefit Protection and a ... more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract… more
- The Cigna Group (Philadelphia, PA)
- …evaluation and reporting on potential risk risks in connection with commercial contracting ; meeting with senior management concerning key risk issues + ... The Associate Senior Counsel - Procurement Law Team position provides...provides enterprise wide support and guidance for global commercial contracting activities, with an emphasis on health, wellness and… more
- The Cigna Group (Philadelphia, PA)
- …as part of Evernorth's national fee-for-service, fully-delegated network development and provider contracting efforts. + Lead exploratory analytics and financial ... market competitiveness and adequacy measures. + Effectively partner with actuarial, finance, provider contracting , and market teams to ensure all network… more
- The Cigna Group (Philadelphia, PA)
- …goals, and objectives of programs and products offered to Cigna Healthcare integrated Pharmacy clients and customers. The Product Management Senior Advisor will ... partners across the enterprise including Express Scripts and Evernorth partners, contracting , pharmacy pricing/finance, clinical, operations, sales, pharmacy … more
- Elevance Health (Wilmington, DE)
- …required with understanding of health insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** + ... **Investigator Senior ** **Supports the Payment Integrity line of business**...and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying and developing… more
- The Cigna Group (Philadelphia, PA)
- …consultants. + Strong financial skills including understanding of PBM pricing and contracting to support sales growth. + Ability to create and execute annual ... through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload....Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- CVS Health (Trenton, NJ)
- …in a healthcare strategy role (ie, BU or Corporate strategy role at a payor, provider , pharmacy , other healthcare sector) + Experience working on a digital team ... key success measures + Manage all partnership-related activities, including: legal, contracting , patient safety, security and technology reviews To be successful you… more
- United Therapeutics (Trenton, NJ)
- …form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical ... You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential...the training and development activities as directed by the Senior Director of Trade and Channel Management. + Support… more
- CenterWell (Trenton, NJ)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... 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… more
- The Cigna Group (Philadelphia, PA)
- The primary function of this role is to provide strategic oversight of ESIs Key Account new sales division. Key Accounts are mid-sized prospective employers (up to ... Presentation Development and Delivery (finalist or other), Negotiations, Closing and Contracting and Incentive Compensation. Success will be measured by achievement… more
- Merck (North Wales, PA)
- **Job Description** **Role Summary** + Under the guidance of a senior leader, an Associate Principal Scientist/Associate Director, has primary responsibility for ... economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers for use… more
- Prime Therapeutics (Trenton, NJ)
- …Posting Title** Sr Director Rebate Analytics - Remote **Job Description** The Senior Director Rebate Analytics is responsible for the development and execution of ... and meeting market and business objectives for Prime and its clients. + Provide leadership to a team responsible for rebate analytics including both internal and… more
