- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. What We Need The Medicare Advantage Network Performance Manager , as a member of a cross-functional team, ... and coding, and product management and marketing. To accomplish this work, the Medicare Advantage Network Performance Manager will work closely with Provider… more
- BlueCross BlueShield of North Carolina (NC)
- …to pharmacy network, formulary, and Medicare Part D topics + Manage relationship with external Pharmacy Benefits Manager as primary point of contact ... **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The ... model, the Account Management Lead Associate must collaborate with the Account Manager , Operations Sr. Manager , Account Executive, and Clinical Account Executive… more
- CVS Health (Irving, TX)
- …and document redlining in Microsoft Word as well as familiarity with the pharmacy benefit management space. Someone who is detail oriented, can think critically, and ... and all current regulatory requirements. This position reports to the Senior Manager - Contract Operations helping to implement and coordinate various team… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. Position Summary: Caremark is the nation's leading pharmacy benefit manager (PBM). We work to ensure the path to ... who is responsible for end-to-end delivery of Aetna's Medicaid, Medicare , and SSI EGWP Pharmacy Benefits Operations...7+ years of experience in extensive understanding of the relationship between the supporting functions of the PBM -… more
- Walgreens (Worcester, MA)
- …of patients, and growing the business at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer service best ... of claims to government- sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well...authorizations on behalf of prescribers. + Works with the Pharmacy Manager toward the success of the… more
- Bausch + Lomb (St. Louis, MO)
- …Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with Medicare ... advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive… more
- Bausch + Lomb (Seattle, WA)
- …Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with Medicare ... advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive… more
- J&J Family of Companies (OH)
- Field Reimbursement Manager (Oncology)- Network Accounts- Ohio - 2406165058W **Description** **Field Reimbursement Manager (Oncology)- Network Accounts- Ohio** ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is committed to setting the… more
- J&J Family of Companies (Winston Salem, NC)
- Field Reimbursement Manager (Oncology)- Network Accounts- Carolinas - 2406165047W **Description** Field Reimbursement Manager (Oncology)- Network Accounts- ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is committed to setting the… more
- J&J Family of Companies (Gaithersburg, MD)
- …experience working in the provider office setting, building strong customer relationship + Demonstrated expertise with both pharmacy and medical/buy ... Field Reimbursement Manager Immunology GI-Gaithersburg/Blackburg - 2406165119W **Description** **Field Reimbursement Manager Immunology… more
- Prime Therapeutics (Columbus, OH)
- …compromising quality + Strong systems aptitude **Preferred Qualifications** + Client relationship management experience + Knowledge of Stars, Medicare Quality ... our passion and drives every decision we make. **Job Posting Title** Client Quality Manager Star Ratings - Remote **Job Description** The Client Quality Manager … more
- Bristol Myers Squibb (Madison, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Manager of Access Support Program Operations & Above Brand Strategy will ... launches and additions into the BMS Access Support program. The Senior Manager will incorporate a patient-centric approach in their commitment to help minimize… more
- Lumeris (OH)
- …Thank you for your interest in Lumeris. **Position:** Population Health Manager - Hybrid - Ohio **Position Summary:** Responsible for improving Accountable ... quality and cost & utilization. Plays a critical role in fortifying the collaborative relationship we seek to establish with our physicians at the practice or clinic… more
- Access Dubuque (Dubuque, IA)
- Manager Quality and Safety - Clinton, Dubuque and Dyersville **MercyOne** 1 Positions ID: TRHEUS00485384MERCYO Posted On 04/17/2024 **Job Overview** **Employment ... time **Shift:** **Description:** **Position Purpose** The purpose of the Manager of Quality and Safety is to manage at...Quality and Safety of Hospitals with an indirect reporting relationship to the local CMO (President in the absence… more
- Conviva (San Antonio, TX)
- …our caring community and help us put health first** The Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and ... individualized care and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with clinical-operational market… more
- University of Utah Health (Murray, UT)
- …mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of ... with all departments and providers throughout the state. The Manager of Provider Contracting must be highly collaborative and... of Provider Contracting must be highly collaborative and relationship oriented with a commitment to ACO concepts and… more
- Centerwell (Phoenix, AZ)
- …understanding of Best Practice in coordinated care environment in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + ... Practice in coordinated care environment in a value based relationship environment. + Knowledge of Medicare guidelines...largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more
- Molina Healthcare (Troy, MI)
- …may include counseling providers diplomatically, while retaining a positive working relationship . * Independently troubleshoots problems as they arise, making an ... would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and… more
- CVS Health (Austin, TX)
- …clinical operations plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and ... of clients + Proven leadership skills + Commitment to client service and relationship building Education + Bachelor Degree in Pharmacy required, PharmD preferred… more