• Senior Actuarial Analyst, Commercial…

    Providence (OR)
    …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Commercial Pricing who will:** + Analyze the financial ... Lead the rate development and filing efforts including competitive analysis, network analysis, risk adjustment, trend, actuarial benefit value analysis, rate… more
    Providence (05/12/24)
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  • Senior Manager, Network Management…

    CVS Health (Des Moines, IA)
    …solutions to make health care more personal, convenient and affordable. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for… more
    CVS Health (04/18/24)
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  • Senior Manager, Network Management…

    CVS Health (Houston, TX)
    …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... convenient and affordable. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
    CVS Health (04/24/24)
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  • Senior Manager, Network Manager…

    CVS Health (Houston, TX)
    …affordable. Position Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high ... group/system providers.* Recruit providers as needed to ensure attainment of network expansion and adequacy targets. * Responsible for identifying and managing… more
    CVS Health (04/24/24)
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  • Senior Network Optimization…

    Healthfirst (New York, NY)
    …DSE. + Partner with Analytics, Med Econ, Actuarial, and Cost Containment areas on healthcare trend, cost and pricing related initiatives. + Serve as an advocate ... The Sr. Network Optimization Specialist is the point person responsible...Minimum Requirements: + A Bachelor's Degree in business, economics, healthcare administration, or a related field + At least… more
    Healthfirst (05/16/24)
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  • Senior Manager, Specialty Healthcare

    Commerce Bank (Kansas City, MO)
    …including new trends and developments in the industry + Strong internal and external network in the Healthcare industry + Ability to make appropriate changes and ... range for some roles. This compensation range is for the Senior Manager, Specialty Healthcare Sales job and contemplates a wide range of factors that… more
    Commerce Bank (03/25/24)
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  • Senior Financial Modeling Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …Structure** + Reports to Manager, Director, or Senior Director in the Network Management or Pricing Planning & Analysis department Potential pay for this ... It fuels our passion and drives every decision we make. **Job Posting Title** Senior Financial Modeling Analyst - Remote **Job Description** The Senior Financial… more
    Prime Therapeutics (05/18/24)
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  • Director, Network Strategy

    CVS Health (Springfield, IL)
    …Strategy team under the Pharmacy Benefits Management (PBM) business unit. The Director, Network Strategy will partner with senior executives on developing how we ... get the best value from our pharmacy network and drive negotiation strategy. This position will also...and adapted appropriately for the target audience, whether a senior executive or peer. A successful director will develop… more
    CVS Health (05/07/24)
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  • Senior Specialist, Corporate Services…

    Organon & Co. (Jersey City, NJ)
    …strong supplier performance management, to drive improved business outcomes. The Senior Specialist, Corporate Services Procurement, reporting to the Head of Global ... be responsible for executing all steps of the sourcing process, pricing negotiations, supplier onboarding and evaluation/recommendation for awards. This role will… more
    Organon & Co. (04/12/24)
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  • Senior Clinical Pharmacy Specialist *Remote

    Providence (OR)
    …economic data + Collaborate with analytics, nurse case managers, medical directors, network physicians and senior pharmacy leadership in identifying, developing ... must empower them._** **Providence Health Plan is calling a Senior Clinical Pharmacy Specialist who will:** + Serve as...care driven for members + Support pharmacy rebate and network programs through pricing and contracting strategies… more
    Providence (04/03/24)
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  • Network Services Coordinator

    Zelis (St. Petersburg, FL)
    …suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments company, we ... Position Overview: The Zelis Network Services Coordinator - Provider Support position requires...Verify and maintain accurate provider demographic information for optimal re- pricing + Ability to interpret and implement proprietary client… more
    Zelis (05/17/24)
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  • Senior Information Systems Analyst…

    The County of Los Angeles (Los Angeles, CA)
    SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply  SENIOR ... can: Be part of a project team or provide expertise in healthcare information systems analysis, including the definition of user requirements, feasibility studies,… more
    The County of Los Angeles (03/29/24)
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  • Mechanical Service Senior Sales OR Account…

    Siemens (Plano, TX)
    **Job Family:** Sales **Req ID:** 421243 **Mechanical Service Senior Sales OR Account Executive - Dallas, TX** Here at Siemens, we take pride in enabling sustainable ... perfect places that improve people's lives. The **Mechanical Service Senior Sales OR Account Executive.** The primary responsibility of...such as ASHRAE, AEE or USGBC to build a network of contacts and to represent Siemens in the… more
    Siemens (05/23/24)
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  • Senior Director- Global Medical Affairs,…

    Lilly (IN)
    …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... for products; new and updated labels, documents and tools supporting product pricing , reimbursement, and access (PRA), grant submissions and contracts; contacts with… more
    Lilly (05/19/24)
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  • Senior Director Actuarial Analytics

    Providence (Portland, OR)
    …of business. Responsible for the management and oversight related to pricing formulas, trend analytics, forecasting, revenue and benefit expense budgeting, ... and conflicting business priorities. ESSENTIAL FUNCTIONS + Direct commercial group pricing , individual (both ACA and Medicare) rate setting, valuation (eg reserves),… more
    Providence (04/24/24)
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  • Mechanical Service Senior Sales OR Account…

    Siemens (Lenexa, KS)
    …about creating perfect places that improve people's lives. The ** Mechanical Service Senior Sales OR Account Executive. ** The primary responsibility of this role is ... our established guideline. **Why is this so important?** Our Senior Sales Executives are the face of Siemens, and...such as ASHRAE, AEE or USGBC to build a network of contacts and to represent Siemens in the… more
    Siemens (03/03/24)
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  • Senior Application Engineer - Medium…

    Siemens (Wendell, NC)
    …proposals and solutions that best fits our customer needs, while ensuring competitive pricing . The Engineer will work closely with Siemens Sales to prepare offers ... the quotation using product configurators and secure approvals from the senior management. + Prepare Customer-facing proposal (proposal document) for Medium Voltage… more
    Siemens (03/15/24)
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  • Senior Reimbursement Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …analysis to support modifications to reimbursement programs and monitor effectiveness of pricing logic. + Provides statistical reports to Network Administration, ... with:All levels of internal personnel, with primary contacts in Network Administration, IT, Medical Management, Benefits Administration, Actuarial, Legal, Executive,… more
    Blue Cross and Blue Shield of Louisiana (04/22/24)
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  • Senior Pre-Construction Manager

    Adolfson & Peterson Construction (Richardson, TX)
    healthcare , hospitality, industrial, multifamily, municipal, data center, and senior living markets with offices across Arizona, Colorado, Minnesota, Texas, and ... Construction, one of the nation's top contractors, is recruiting for an experienced Senior Pre-Construction Manager for our Gulf States region. We combine more than… more
    Adolfson & Peterson Construction (05/16/24)
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  • Security Systems Senior Sales Executive…

    Siemens (Rolling Meadows, IL)
    …creating perfect places that improve people's lives. The **Security Systems** ** Senior Sales Executive** is committed to supporting our new construction business, ... facilitate a safe, emergency-ready workplace. **As a Security Systems Senior Sales Executive, you will:** + Develop a comprehensive...and local chapters of similar organizations to build a network of contacts and to represent Siemens in the… more
    Siemens (05/21/24)
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