• Associate Director , Payer

    AbbVie (Mettawa, IL)
    …innovative - and we'd love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and ... developing 2 direct reports to ensure timely and accurate responses to Payer contract bids/ RFPs. + Conduct pre and post-deal analytics and provide… more
    AbbVie (09/17/25)
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  • Associate Director , Managed Care…

    Teva Pharmaceuticals (Parsippany, NJ)
    Associate Director , Managed Care Payer Contracting Date: Sep 18, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer ... language + Deep understanding of commercial and government payer environments and regulations + Proficiency in contract more
    Teva Pharmaceuticals (07/23/25)
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  • Associate Director , Managed Care…

    Teva Pharmaceuticals (Parsippany, NJ)
    Associate Director , Managed Care Payer Analytics (V&A) Date: Sep 28, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... people to make a difference with. **The opportunity** The Associate Director , Managed Care Payer ...accounts. The role requires strong collaboration with Account Management, Contract Development, Payer Marketing, Finance, Legal, and… more
    Teva Pharmaceuticals (08/08/25)
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  • Associate Director , Global Health…

    Takeda Pharmaceuticals (Boston, MA)
    …leadership at LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support ... Appraisal (HTA; including the EU Joint Clinical Assessment [JCA]) and payer assessments to optimize rapid, broad patient access, achieve value-based prices… more
    Takeda Pharmaceuticals (09/30/25)
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  • Associate Director - Immunology,…

    Bristol Myers Squibb (Princeton, NJ)
    …and in their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director , PASS Program Strategy and Marketing will play a ... to medications and treatment. As a key contributor, the Associate Director will lead complex and high-volume...Uses Market Access technical expertise (ie, coding, reimbursement and payer policies related to Medicare, Medicare Part D, Medicaid,… more
    Bristol Myers Squibb (10/03/25)
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  • Associate Director , Trade Marketing…

    AbbVie (Irvine, CA)
    …seek to reinvent themselves to meet the evolving needs of their patients. The Associate Director , Trade Strategy and Marketing, will play an important role in ... treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in...to partner with to navigate this complex environment. The Associate Director , Trade Strategy and Marketing is… more
    AbbVie (09/17/25)
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  • Director of Managed Care Contracting

    Stony Brook University (Commack, NY)
    …and ancillary services. + Proven ability to independently lead complex payer contract negotiations, draft redline agreements, perform reimbursement analysis, ... Director of Managed Care Contracting **Position Summary** Stony...affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract more
    Stony Brook University (08/08/25)
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  • Associate Director , Regional…

    CSL Behring (PA)
    The Regional Account Associate Director (RAAD) is responsible for leading market access initiatives across a diverse portfolio of accounts within the regional ... deliver improved patient outcomes. You will report into the Senior Director of Regional Accounts (IDN / Regional Payers.) Responsibilities: + Demonstrate… more
    CSL Behring (10/03/25)
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  • Director II Medical Cost Intelligence AI…

    Elevance Health (Miami, FL)
    ** Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering)** Location: This role requires associates to be in-office **3** **days per week** , ... if candidate resides within a commutable distance from an office._ The ** Director II Medical Cost Intelligence AI & Engineering** is responsible for strategic… more
    Elevance Health (10/03/25)
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  • Director , Innovation & Strategy (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Director , Innovation & Strategy is responsible for the implementation of care management, communication, analytics, ... and oversight of relationship with any additional consultants/vendors CareFirst may contract with for analysis on work executed in key relationships; direction… more
    CareFirst (08/26/25)
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  • Payment Compliance Analyst - REMOTE

    Community Health Systems (Franklin, TN)
    …review. + Collaborates with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations. + Maintains knowledge ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing...clinical teams to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community… more
    Community Health Systems (10/03/25)
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  • Collections Specialist I - Managed Medicaid

    Community Health Systems (Franklin, TN)
    …ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, ... policies and standards. **Qualifications** + HS Diploma or GED required + Associate Degree in Business, Finance, Healthcare Administration, or a related field… more
    Community Health Systems (10/04/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
    Commonwealth Care Alliance (08/31/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …week that offers a flexible schedule Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading ... client advocate, ensuring services are delivered in alignment with contract terms and evolving client needs. Candidates should have...surgical cases. + Conduct regular meetings with the Coding Director and Team Leads. + Collaborate with the Coding… more
    MedKoder (08/10/25)
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  • Manager, Quality and Risk Adjustment

    OhioHealth (Columbus, OH)
    …are not limited to: PHS Provider & Practice Engagement, PHS Value-based Contract team, Care Management, CIN Medical Directors & Quality Enhancement Council, ... Quality & Patient Safety, Revenue Cycle, etc. * Report to the Director of Value-Based Performance **Responsibilities And Duties:** 40% Responsible for the daily… more
    OhioHealth (09/27/25)
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  • Chief Medical Officer of Revenue Cycle and Billing…

    University of Michigan (Ann Arbor, MI)
    …Officer of Revenue Cycle and Billing Compliance position reports to the Executive Director University of Michigan Medical Group (UMMG) and Senior Associate Dean ... and a high level of performance; be familiar with payer medical policies. + Utilize detailed performance management reports...(RIF) benefits. This term-limited appointment does not create a contract or guarantee of employment for any period of… more
    University of Michigan (10/02/25)
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