- Lundbeck (Waco, TX)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - ... Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and… more
- Lundbeck (Fort Wayne, IN)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic ... Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease state… more
- Lundbeck (Joliet, IL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - ... Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION,… more
- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …of all channels of managed care environment in the US (commercial, Medicare , Medicaid, etc.); preferredSufficient understanding of financial matters to challenge and ... pressure-test assumptions (eg pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% | Some limited travel for meetings and/or conferences.Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive… more
- Novo Nordisk Inc. (WA)
- …Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid, Reference Pricing, Pricing / Price Increases, Reimbursement, Privacy, ... Labor / Employment Develop NNI's policy positions, in line with Enterprise Strategy Clearly communicate with federal agencies on NNI's positions Educate and enable broader Market Access and Public Affairs Teams, Corporate Tax team, and other NNI colleagues, on… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial ... a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with...role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to;… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- TEKsystems (Chesapeake, VA)
- Medicare Patient Account Specialist You'll enjoy Full Time...the area A day in the role . Submit Medicare / Medicare Advantage plan claims both electronic and ... payers . Submit shadow bill (Information only claims) to Medicare . Understand how to resolve Medicare / Medicare MA billing edits and/or warnings and billing… more
- Molina Healthcare (St. Petersburg, FL)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will develop a presence in the… more
- Molina Healthcare (Tacoma, WA)
- …in the Compliance, Regulatory and Government Relations functional areas for Molina Medicare . Serves as Molina Medicare 's liaison to federal regulatory and ... staff. The Director is responsible for regulatory filings related to Molina Medicare (existing and new). The Director is responsible for implementation and… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of ... not listed above. + Planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of Corporate… more
- Wider Circle (Newark, NJ)
- …dynamic boutique insurance agency that's transforming the way people navigate their Medicare benefits! At Ask Claire, we are passionate about empowering underserved ... while growing your career in a thriving, impactful organization. Medicare Sales Representative At Ask Claire, a subsidiary of...communities through our "LOVE, LEARN, GROW" approach. As a Medicare Sales Representative, you'll play a vital role in… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Specialist to join our fast-paced team to connect with Medicare beneficiaries and help them schedule appointments with our… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... for casual work attire, jeans are our norm! The Medicare Exhaust Specialistsupports the accounts of patients who have...Specialistsupports the accounts of patients who have exhausted their Medicare benefits during their stay in our facility. They… more
- Centene Corporation (Charleston, WV)
- …Centene is seeking a motivated, experienced, and self-driven actuary to join our ** Medicare Duals** team. This role offers a unique opportunity to contribute to ... high-impact Medicare Duals analysis while playing a key role on the ** Medicare Bid Team** . The ideal candidate will take ownership of bid assumptions, conduct… more
