- Eisai, Inc (Phoenix, AZ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... access partners. Key job activities include territory and market analysis, strategic business planning, self-driven execution of plans, meeting with key… more
- Astellas Pharma, Inc. (Northbrook, IL)
- …data scientist to join our Real-World Data Science (RWDS) team. As an Associate Director of RWDS, you will be an analytic researcher informing and conducting Real ... our RWD and analytics offerings. RWDS is multidisciplinary and provides RWE strategic input, study design, statistical and programming support to projects. Team… more
- PMA Companies (Anaheim, CA)
- Reports directly to the Director , Risk Control Services. The Strategic Risk Control Consultant will apply risk management techniques in the selection, management ... and retention of clients. The Strategic Risk Control Consultant will focus on evaluating client...regional and corporate projects at the direction of the Director , Risk Control Services including supporting regional marketing efforts… more
- Rhythm Pharmaceuticals (Boston, MA)
- …Vice President of Financial Planning and Analysis, Rhythm Pharmaceuticals is seeking a strategic and experienced Director of Financial Planning and Analytics for ... for previously untreatable or undertreated diseases and provide meaningful support for healthcare providers and patients and their families. We recognize the courage… more
- Mom's Meals (Ankeny, IA)
- The Senior Director - Compliance and Privacy is a strategic and experienced leader responsible for independent management and direction of the day-to-day ... regulatory affairs or program management Experience in working with federal and state healthcare regulations, including HIPAA, HITECH, the False Claims Act, the… more
- Johnson and Johnson (Raynham, MA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- MedStar Health (Washington, DC)
- …care arrangements, planning, directing, organizing and evaluating the implementation of strategic objectives to ensure access to a quality cost efficient ... contracting and retention activities. Develops contract negotiation strategy to meet Strategic Goals. Manages Provider Relations department to include day to day… more
- Kyowa Kirin North America (Princeton, NJ)
- …of Prescription Drug Promotion (OPDP), as applicable. Essential Functions: *The Associate Director is responsible for providing strategic and tactical regulatory ... California, North Carolina, and Mississauga, Ontario. Summary: The Associate Director , Regulatory Affairs, Advertising and Promotion Compliance will independently… more
- Aeroflow (Asheville, NC)
- …Manager to Director level leadership at health plans to address claims , policy updates, and service improvements. Act as a liaison between Aeroflow's sales, ... with internal teams. This role is ideal for a strategic and resourceful professional who thrives in a dynamic... and resourceful professional who thrives in a dynamic healthcare environment and is ready to take full ownership… more
- Inizio Engage (New York, NY)
- The Field Reimbursement Manager ("TAM") will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and ... and Inizio Engage Patient Solutions teams. This role reports to the Director , Field Reimbursement. What's in it for you? Competitive compensation Excellent Benefits… more
- MIMEDX (Houston, TX)
- …addressing the unmet medical needs for patients across multiple areas of healthcare . Possessing a strong portfolio of industry leading advanced wound care & ... SUMMARY: The Field Reimbursement Associate will report to the Regional Reimbursement Director and provide support to the Field Reimbursement Managers (FRMs) in a… more
- UnitedHealth Group (Joplin, MO)
- …responsibilities of this position include capabilities in the following areas: strategic planning and analysis; understanding of HEDIS, Star ratings, accurate ... provider orientations and ongoing education to provider and their staff on healthcare delivery products, health plan partnerships, processes, and tools Use and… more
- HCA Healthcare (Nashville, TN)
- …in territory assigned. + Oversight and administration of special projects as assigned by the Claims Director , HCI President and VP of Claims . + Have strong ... an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare , you come...the larger Risk & Insurance Department reporting to a Director of Claims . As the Senior … more
- Healthfirst (NY)
- **Duties & Responsibilities:** + Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with ... and claims processing + Prior experience with claims and provider payment operations in a healthcare... claims and provider payment operations in a healthcare payor setting + Experience setting departmental strategy, communicating,… more
- Prime Healthcare (Farmers Branch, TX)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/201654/corporate- director %2c-pfs-outsourcing-%26- strategic ... actively seeking new members to join our corporate team! Responsibilities The Corporate Director PFS Outsourcing and Strategic Initiatives is responsible for the… more
- Atlantic Health System (Morristown, NJ)
- …the identification of a claim through the resolution of the claim . Principal Accountabilities: Reviews new claims with in-house counsel regarding liability ... + Responsible for overseeing the claims function, ensuring the timely and proper disposition...Reviews quarterly defense counsel litigation reports and assists in strategic defense of the case. + Possesses the overall… more
- Beth Israel Lahey Health (Boston, MA)
- …defined projects for HMFP Revenue Cycle, supports enterprise-wide projects and strategic initiatives, working with the Director , Revenue Cycle Optimization ... with HMFP's Claims clearinghouse to complete payer enrollment for electronic claims submission. + Lead EDI Strategic Initiatives working with HMFP's… more
- Billings Clinic (Billings, MT)
- …regional affiliate locations to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists in coordination of the ... claims at the direction of the Risk Management Director and/or the Risk and Claims Coordinator...Patient Safety to fulfill the organization's and affiliate sites strategic initiatives for patient safety management and improvement. *… more
- J&J Family of Companies (Horsham, PA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Hartford HealthCare (Hartford, CT)
- …financial risk within HHC's tolerance for risk * Lead all functions and strategic operation of Hartford Healthcare Indemnity Services Ltd. (HHCISL), HHC's ... And this is*your moment*. **Job:** **Management / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Director of Insurance & Risk… more
