- Humana (Topeka, KS)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... and medical necessity. ** Please note that this Medical Director position is non-benefitted, and compensated hourly** The Medical...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … more
- BlueCross BlueShield of North Carolina (NC)
- …Finance, Finance Strategy, Financial Modeling, Health Insurance, Leadership, Medicare Advantage, Medicare Part D , Medicare Plans, People Management, ... **Job Description** Join our team as Director , Actuarial Services - Medicare Pricing...forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part D … more
- CVS Health (Hartford, CT)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... at home) based anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part C appeals… more
- Humana (Jacksonville, FL)
- …must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work ... **Become a part of our caring community and help us...The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,… more
- Rhythm Pharmaceuticals (Boston, MA)
- …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop ... record of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP,… more
- AbbVie (San Francisco, CA)
- …and/or managing Buy & Bill, Specialty Pharmacy, Medicare Part B, and Medicare Part D products is highly preferred + Experience selling and/or ... distance to a major airport within this region. The Neuroscience Regional Sales Director leads the sales performance and professional development of a team of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …lead the evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on ... Associate Director , HCP and Market Access Marketing Date: Oct...Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable strategies that align… more
- State of Colorado (Grand Junction, CO)
- Behavioral Site Director (Health Professional V): Grand Junction Regional Center (WESTERN SLOPE) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5117526) Apply Behavioral Site Director (Health Professional V): Grand Junction Regional Center (WESTERN… more
- Gilead Sciences, Inc. (Foster City, CA)
- …agencies). + **Experience with Commercial and Government rebate operations** , including Medicaid, Medicare Part D , and Managed Care contracting. + ... lives of patients with life-threatening illnesses worldwide. We are hiring a **Senior Director Contracting Operations** to report to the Executive Director . This… more
- Novo Nordisk (Plainsboro, NJ)
- …accurately forecast gross to net components including but not limited to Managed Care, and Medicare Part D , Medicaid as well as current and future Healthcare ... experience in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D , Coverage Gap, and Medicaid + Demonstrated… more
- State of Massachusetts (Boston, MA)
- …(DDS) seeks a dynamic, highly organized, mission-driven individual to fill the Director of Community, Life, and Engagement role. The selected candidate will serve ... all things Transition/Turning 22 related with internal and external stakeholders. The Director of Community, Life, and Engagement will report to the Assistant… more
- Gilead Sciences, Inc. (Foster City, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. The Associate Director of US Virology Strategy and Policy will support the development, ... proposals and messaging development. The US Virology Strategy and Policy Associate Director will support the implementation of GA's strategies and be responsible for… more
- Robert Half Finance & Accounting (New Orleans, LA)
- …billing disputes, accounts receivable, and participant billing. * Ensure adherence to Medicare Part D regulations, including bid preparation, reporting, ... Description We are looking for a skilled Director of Finance to lead and manage the...analysis. * Experience with healthcare administration and audits, including Medicare and Medicaid compliance. * Strong knowledge of regulatory… more
- Hartford HealthCare (Hartford, CT)
- **Medical Director - Hospice and Palliative Care** **Get MORE from your career with Hartford HealthCare** There are no limits to what you can achieve when you join ... Certify (re-certify when necessary) patients eligible for hospice care under the Medicare Hospice Benefit . Consult with attending physicians regarding pain and… more
- UNC Health Care (Morrisville, NC)
- **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities ... we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for designing,… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Nov 18, 2025 Requisition ID: 463226 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve… more
- Sanofi Group (Cambridge, MA)
- …+ Demonstrated experience in working in specialty pharmacy + Understanding of Commercial, Medicare Part D and Medicaid + Experience identifying trends ... **Job Title:** Director , Access Strategy - Dupixent Rhinology Allergy and...diseases and blood disorders, cancers, and neurological disorders. From R& D to sales, our talented teams work together, revolutionizing… more
- Takeda Pharmaceuticals (Boston, MA)
- …including HTA trends and guidance (eg, NICE, CADTH, PBAC, EU JCA) along with knowledge of US Medicare ( Part D ), ICER in the US and trends in Emerging Markets ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- Omnicell (Watertown, NY)
- …+ Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A thorough understanding of ... **ASSOCIATE DIRECTOR , PHARMACY OPERATIONS** Omnicell Specialty Pharmacy is looking...**1308 Washington St. Watertown, NY 13601.** **BASIC QUALIFICATIONS:** + Pharm. D . or BS Pharmacy degree from an accredited college… more
- Health Care Service Corporation (Richardson, TX)
- …that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. ... revenue optimization. **JOB REQUIREMENTS** **:** + Registered Pharmacist + Pharmacy degree (Phar. D . or Bachelor) + 15 years' experience in a Pharmacy environment +… more