- Central Maine Medical Center (Lewiston, ME)
- …and for each other every day. Position Summary: Reporting to the Nursing Director , the Nurse Leader is responsible for the day-to-day operations of assigned ... evaluating the operation of their assigned department. In conjunction with the Director , the Nurse Leader is responsible for overseeing implementation of patient… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …to our current Market Access landscape (ie IRA and its impact on Amneal products for Medicare Part D ). Manage to a market access budget throughout the year, ... Description: The Senior Director of Market Access Strategy is responsible for...Pharmacy benefit formularies, across all lines of business (Commercial, Medicare , & Managed Medicaid), as well as monitoring and… more
- The Cigna Group (Washington, DC)
- Reporting to the Senior Director of Public Policy for PBM and Drug...Cigna as a thought leader on issues related to Medicare Part D , MA-PD and ... on public policy priorities contained in the Government Affairs Strategic Plan on Medicare Advantage, Part D and Part B issues. * ENGAGEMENT WITH… more
- Arvinas (New Haven, CT)
- …providers/organizations, with a strong preference for knowledge of national and regional payers, Medicare Part D , and Medicaid. + National payer experience ... Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts… more
- The Cigna Group (Morris Plains, NJ)
- …of Regulated Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D , Medicaid, Marketplace or Healthcare Reform ... **Job Description: Director for Regulated Markets - CDAG/ODAG** **Excited to...of technical requirements to ensure ongoing compliance, Center for Medicare and Medicaid (CMS) Audit support and end-to-end ownership… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …points into clear, actionable contract language + Deep experience within Commercial GPO/PBM/MBMs, Medicare Part D /B and Medicaid contracting channels + ... Director , Managed Care Payer Contracting (V&A) Date: Jun...people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a key leadership… more
- Sanofi Group (Morristown, NJ)
- …conducting analytics for select regional accounts. + Oversee development and negotiation of Medicare Part D , Managed Medicaid, and Commercial GPO/PBM ... **Job Title** : Director Market Access Contracting **Location** : Morristown, NJ...diseases and blood disorders, cancers, and neurological disorders. From R& D to sales, our talented teams work together, revolutionizing… more
- Banner Health (Phoenix, AZ)
- …a knowledge and background working with ACOs, managed care, provider contracting, incentives, Medicare , and CMS would all be helpful. **Schedule: Monday - Friday. 8 ... may be eligible for our Management Incentive Program as part of your Total Rewards package. Within Banner Health...care facilities, (b) provider groups, (c) insurance division or ( d ) ancillary services or business areas (collectively referred to… more
- Lumeris (New York, NY)
- …create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. ... **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and...or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties… more
- Takeda Pharmaceuticals (Boston, MA)
- …including 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 ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the… more
- Bristol Myers Squibb (Tampa, FL)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more
- Bristol Myers Squibb (Tampa, FL)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more
- BrightSpring Health Services (Louisville, KY)
- …PBM and 3rdParty Payor contracting process for LTC PharMerica business unit. This includes Medicare Part D , Commercial and Managed Medicaid. + Manage and ... negotiate national 3rdParty Payor and PBM contracts to ensure company's objectives are met in a timely manner. + Develops and executes a dynamic and strategic PBM and Payor strategy to support annual plan and business objectives. This includes effectively… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... with other constituents, including but not limited to: Pharmacy Director , Chief Medical Officer, Medical Director , Pharmacy...for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …(PDE), pharmacy performance guarantees, security audits, and other Production Operations duties + Oversee Medicare Part D Claims audits to ensure that all ... your true colors to blue. Reports to the Associate Director of Project Portfolio Management. The Program Manager of...changes, and industry trends impacting Medicare including Medicare Part D program +… more
- BAYADA Home Health Care (Orlando, FL)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more
- ChenMed (Richmond, VA)
- …+ Network Management experience/understanding. + Understanding of cost as it relates to Medicare part A and B. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: + ... meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepare...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D +… more
- State of Colorado (Denver, CO)
- …with associated paperwork, picking up pharmaceuticals and paperwork from the units, process Medicare Part D claims, coordinates pickup and removal of ... follow: Deliver medications to treatment units, fill prescriptions, process Medicare part D claims, and...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- BAYADA Home Health Care (Orlando, FL)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more