- Conviva Senior Primary Care (Tampa, FL)
- Become a part of our caring community and help us put health first Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Our care team consists of doctors, advanced practice professionals, pharm D , care coach nurses, medical assistants, behavioral health, specialists, quality-based… more
- CenterWell Senior Primary Care (Fort Worth, TX)
- Become a part of our caring community and help us put health first At CenterWell Senior Primary Care, we want to help those in the communities we serve, including ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… 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
- Humana (Lincoln, NE)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … 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
- Hospice Of San Joaquin (Stockton, CA)
- …are the focus of everything we do. We seek a Dynamic, self-motivated Director of Quality and Compliance who thrives in a fast-paced environment and supports ... our mission. JOB SUMMARY AND SCOPE The Director of Quality and Compliance (DQC) develops, implements, and...performance improvement projects, based on QAPI and benchmarking data. d ) Facilitates comprehensive chart audits for ALL teams and… more
- AbbVie (Savannah, GA)
- …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
- Abt Global Inc. (Rockville, MD)
- …overseeing complex data analysis projects. + At least 5 years of experience working with Medicare , including Part D and Medicare Advantage, and Medicaid ... work? Now's your chance. **The Opportunity** As a Project Director you will lead and manage a large and...government stakeholders. + Ensure alignment of project goals with Medicare and Medicaid program and payment policy frameworks. **What… more
- Ankura (NC)
- …firm or large to mid-size consulting firm in the payer and government programs ( Medicare Advantage and Part D , ACA, Medicaid, etc.) with experience ... Disputes and Economics Healthcare practice is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services.… 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: Dec...Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable strategies that align… more
- Trinity Health (West Springfield, MA)
- …of Directors. + Ensure compliance with CMS regulations. Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Assure ... the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director , Quality Improvement and Compliance, in collaboration with the Medical … more
- HCA Healthcare (Live Oak, TX)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Director of Nursing Operations with Methodist Hospital Northeast you can be a ... part of an organization that is devoted to giving...in our organization. We are looking for an enthusiastic Director of Nursing Operations to help us reach our… more
- Bayer (Jersey City, NJ)
- …the influence/impact and decision drivers of US commercial and government payers (Commercial, Medicare Part B/ D , Medicaid) and channel customers (eg, ... make a real difference, there's only one choice.** **Executive Director Access Business Partner** The Access Business Partner (ABP)...better life, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer. To… more
- Option Care Health (Madison, WI)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... and brightest talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales plan that… 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: Dec 17, 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
- Bristol Myers Squibb (Madison, NJ)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... and New Years Day. All global employees full and part -time who are actively employed at and paid directly...should be directed to Chat with Ripley. R1597489 : Director , Managed Care Rebate Operations **Company:** Bristol-Myers Squibb **Req… more
- Sanofi Group (Morristown, NJ)
- …+ 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...the goal of profitable access. **About Sanofi:** We're an R& D -driven, AI-powered biopharma company committed to improving people's lives… more
- Takeda Pharmaceuticals (Boston, MA)
- …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 ... purpose and be empowered to deliver your best. As part of the Global Health Economics team, you will...cross-functional and cross-regional stakeholders at all enterprise levels, including R& D , Market Access, and local operating companies (LOC), to… more
- Atlantic Health System (Morristown, NJ)
- …governance, and data risk classification; (iv) accountable care organization compliance; (v) Medicare C & D / Medicare Advantage compliance program ... Care Organization Compliance guidance and regulatory requirements; and (vi) Medicare C & D / Medicare Advantage...(22.5 hours per week or above for full-time and part -time team members) + Life & AD& D … more
