- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... biosimilars, crafting cutting-edge contracting strategies that navigate a complex landscape.** The Director , Managed Care Payer Contracting is a key… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director of Payer Contracting Analytics is responsible for leading the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Data & Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... next generation of pharmaceutical access in a high-growth environment.** The Director of Payer Contracting Analytics is a key leadership role responsible for… more
- Merck (North Wales, PA)
- …**Preferred Experience and Skills** + Associate Director level of Marketing or Managed Care / Payer Marketing experience + Experience in Oncology/Oncology ... of (5) years combined experience in Pharmaceutical Marketing, Marketing Customer Management, Managed Care or Sales + Demonstrated strategic thinking, problem… more
- CommonSpirit Health (Rancho Cordova, CA)
- …for someone to be located in California and have California managed care experience. The Regional Director , Payer Strategy and Relationships (PSR), ... working with California health plans and IPAs. The Regional Director is primarily focused on payer relationships...payer relationships and health plan contracting for all managed care lines of business and collects… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual...Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the… more
- Fairview Health Services (Minneapolis, MN)
- …in strategy development and account management, in the PBM, specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience performing ... Overview** Lead the strategy, planning, and execution of cutting-edge payer programs and services that position Fairview Specialty Pharmacy...analytics in the PBM, specialty pharmacy, and/or managed care industry. + 10+ years of… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... and actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between … more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and ...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- Scripps Health (San Diego, CA)
- …care administration or related field. * Five (5) years of management experience in managed care or health plan analytics, including two (2) years in health ... industry-leading development programs and empower yourself to deliver innovative care . Be a part of an extraordinary team, impacting...your overall career. *About the role:* Join Scripps as Director , Payer Analytics where you will be… more
- Ascension Health (Brentwood, TN)
- …for assigned geographic market(s) or assigned business segment(s) in government managed care , specialty/horizontals, or value-based contracting. + Oversee the ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...design and implementation of value based care models and plans. + Lead or… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Responsibilities** Strongly prefer candidates with California managed care experience and in the West Coast or Mtn time zone. This is a remote position with a ... preference for someone to be located in California. Implements managed care policies, goals and objectives related to contract language and reimbursement,… more
- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an Executive Director , Managed ... Care Operations to work at our offices in Medley, Florida. The Executive Director , Managed Care Operations develops, implements, and optimizes the… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Analytics & Innovation team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary ... and experience in reimbursement of the financial aspects of contracting and managed care operations. + Additionally effective negotiation skills project… more
- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...Axiom, HPM, Power BI preferred Knowledge of standard health care metrics for payer and provider reporting… more
- Baystate Health (Springfield, MA)
- …of contract modeling, risk-based agreements, and financial forecasting Under the direction of the Director of Managed Care , the Managed Care ... and issues. **Required Work Experience:** **1)** 5 years of Healthcare, Managed Care , Provider, or payer expertise **Preferred Work Experience:** **1)**… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- BeOne Medicines (San Mateo, CA)
- …+ Experience in an HTA market is required. + Extensive knowledge of US managed care is required. + Launch experience is required. + Detailed understanding ... **General Description:** The position will report directly to the Executive Director (ED), Global Value, Access & Pricing (GVAP) Lead, Hematology, and will be… more