- Merck & Co. (North Wales, PA)
- Job DescriptionAssociate Director, Pulmonary Arterial Hypertension (PAH) Payer Marketing & Access Strategy As Associate Director, PAH & Rare Disease Payer ... and Policy to incorporate market/customer insights in the development of payer customer segment strategies, promotional resources, and value evidence planning. As… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …G3 decision-making for the NASH franchise Leads assessment of investments in payer contracts and develops patient copay program strategy in collaboration with ... innovative contracting concepts and customer programs Leads the development of key payer engagement tools, programs, and execution plans that will drive long-term… more
- Merck & Co. (Rahway, NJ)
- …market access and pricing activities, including asset access strategy work, development of payer value proposition messages as well as payer value tools leading ... Team, Policy, and the US & ex-US Regional Oncology Payer Strategy teams, to provide critical market access viewpoints...in the target product profile and deliver a reimbursable payer value proposition. -Plan for various landscape and pricing… more
- Merck & Co. (Rahway, NJ)
- …will lead the development and execution of global market access strategy, payer value proposition, pricing strategy, and payer stakeholder communication tools ... Your key assignments as Director, Global Market Access, Immunology:Develop global payer value proposition and access strategy for assigned assets, ensuring access… more
- Option Care Health (Columbus, OH)
- …updated knowledge of industry, regulatory and reimbursement issues and of payer requirements. Keeps AVA team abreast of key changes.Assists with roll ... year customer service preferred.Home infusion experience on the provider or payer side preferred. Basic QualificationsAbility to multi-task and support numerous… more
- Accounting Now (Tampa, FL)
- …activity to appropriate stakeholders and report suspected or emerging trends related to payer denials to Leadership. This position anticipates and responds to a wide ... with minimal direction or intervention from Leadership.Reviews account history, remit, payer history, and state requirements to determine appropriate challenge and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …strategy decisions by conducting longitudinal patient-level data analyses, including payer control impact on patient abandonment, adherence and persistence. ... critical decisions. Create advanced longitudinal analyses, integrating formulary and payer /HCP level utilization databases to identify unexploited areas of… more
- Accounting Now (Pinellas Park, FL)
- …of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on ... payer contracts or government regulations. In addition, the medical...adjudicationResponsible for correcting, completing, and processing claims for all payer codesAnalyze and interpret that claims are accurately sent… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …cross-functionally / regionally for follow-on indications Lead in the creation of payer value messaging and payer support materials.- Lead and conceptualize ... the development and implementation of global pricing policies providing global payer insights to internal stakeholders- Enhance information exchange and best… more
- Novo Nordisk Inc. (El Paso, TX)
- …basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer ... gain commitment to utilize NNI products for appropriate patient types utilizing payer opportunities, brand/sales strategies and objectives in order to meet territory… more
- Lundbeck (St. Louis, MO)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues specific to promoted portfolio using Lundbeck resources. Utilize ... deep understanding of Medicare payer landscape in addition to other payer ...Medicare payer landscape in addition to other payer channels including Medicaid and Commercial. Pharmaceutical Environment/Compliance -… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …environment, processes, and policies of key global markets- Conduct pricing payer market research in collaboration with key markets/regions Stakeholder Engagement- ... to provide innovative PRA approaches- Collaborate with Clinical (RD) to ensure that Payer and KOL reimbursement requirements for key markets are included in the… more
- Lundbeck (Philadelphia, PA)
- …tactics and messaging are aligned with core brand strategy In collaboration with Payer Account team, discuss payer coverage policies and system protocols with ... including other functional areas (Customer Engagement Team, Patient Acquisition/Support, Payer Account Directors and Field Access Specialists, Trade and… more
- Merck & Co. (OH)
- …a deep understanding of regional and local health care delivery, influencers and payer systems by the oncology account team . - Knowledgeable on health economics ... in business operations affecting Oncology practice management such as payer initiatives, approved patient financial assistance offerings, EMR capabilities, and… more
- Southeast Georgia Health System (Brunswick, GA)
- …be responsible for: Coordinates concurrent and retro precertification processes. Assesses payer denials for appropriateness of appeal and initiates the appeal ... denial appeals. Maintains denial spreadsheet report-keeps it current & accurate by payer . Works congenially with Patient Financial Services department to ensure open… more
- Blanchard Valley Health System (Findlay, OH)
- …with the Denial Avoidance and Education Team to resolve A/R and payer issues, avoid timely claim consideration/filing, failed appeals, and/or increased denials & ... experience with denial management or the ability to interpret payer explanation of benefits required Knowledge of payer... payer explanation of benefits required Knowledge of payer edits, rejections, rules, and how to appropriately respond… more
- Lundbeck (Evansville, IN)
- …and collaboration based on customer needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes ... portfolio to key internal and external partners and effectively addresses payer access issues (Medicare, Medicaid, Commercial) using Lundbeck resources. Local Market… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and integration with all field teams (Sales, Field Access, and Payer ), Brand Marketing, Training, Market Access, Trade, Legal, Compliance, Finance, HEOR, ... reimbursement issues impacting Novo Nordisk's products, existing and emerging payer policies, competitive reimbursement landscape, trends, pricing, contracting strategies… more
- Option Care Health (Sacramento, CA)
- …the account's objectivesWorks with Area counterparts in Operations and Sales to ensure payer pull-thru of opportunities, payer messaging for field teams, conduct ... teams.Work with the marketing team in the development of tools and collateral on payer messaging for various segments, as well as support in tools and resources for… more
- Creative Financial Staffing (Mounds View, MN)
- …refund request or credit balance Identify, report and participate with resolving payer processing challenges Process payer correspondence Other duties as ... the Collections Manager and others, including one person who solely works on all of payer credit who they will be working closely with. They will also work with… more
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