- Sanofi Group (Morristown, NJ)
- …select regional accounts. + Oversee development and negotiation of Medicare Part D, Managed Medicaid, and Commercial GPO/PBM agreements, while leveraging expert ... **Job Title** : Director Market Access Contracting **Location** : Morristown, NJ **About the Job**...responsible for negotiating contractual language with national and regional managed care customers and conducting analytics for… more
- Ascendis Pharma (Princeton, NJ)
- …application process, managed market customers including private and public payers, national and regional health plans, state Medicaid, Medicare Part B and D, ... to join our team. Responsibilities will include implementing and executing contracting operations and tactics across all relevant customer segments for products… more
- BrightSpring Health Services (Louisville, KY)
- …more years of related PBM + Required: Ten (10) or more years of health-plan contracting or provider experience + Desired: Fifteen (15) or more years of ... Responsible for strategic development and execution of PBM and 3rdParty Payor contracting for PharMerica LTC Pharmacy business units. Responsibilities + Oversees all… more
- Elevance Health (Nashville, TN)
- …is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to ... Medicaid plans in partnership with blue cross blue shield plans. ** Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee… more
- Providence (Irvine, CA)
- …New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider , our commitment to providing compassionate care to all lives on ... the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating as a team… more
- CVS Health (Nashville, TN)
- …insurance regulatory and contractual requirements. + Knowledge of value and risk-based provider contracting . + Knowledge of current health care marketplace ... ways every day. Aetna is recruiting for a VP, Medicare Territory Leader who will have overall accountability for...in various strategic meetings and committees (eg, Emerging Trend, Regional Council, Final Rule, etc.) as identified and/or directed… more
- Trinity Health (Des Moines, IA)
- …the Regional Health Ministry (RHM) Vice Presidents of Finance and the Regional Ambulatory Services Leadership to provide them with an understanding of their ... **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** The Regional Director of Reimbursement serves as the primary contact to the … more
- CareOregon (Portland, OR)
- Job Title Director, Regional Operations Exemption Status Exempt Management Level Director Direct Reports Sr Planning & Operations Specialist, Network Support Manager ... Organization (CCO). Work is focused on enterprise-wide engagement, as well as regional operations. Primary duties include operational planning and oversight, as well… more
- SSM Health (St. Louis, MO)
- …employers in every community it serves. This position is located on-site at our regional headquarters in St. Louis, Missouri and is not remote work eligible. To ... Angela Jones Executive Talent Partner ###@ssmhealth.com \#LI-Onsite **Job Summary:** The Regional Chief Financial Officer (CFO) is a key leadership team member… more
- Humana (Columbus, OH)
- …work experience. + 8 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + 2 or ... of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians,… more
- MetroLink (Los Angeles, CA)
- …with the Code of Federal Regulations (2 CFR 200) + Prior contracting experience under Federal Transit Administration (FTA) regulations KNOWLEDGE, SKILLS AND ... ABILITIES Knowledge of: + Public procurement and contracting principles + California and Federal laws applicable to contracts used by public agencies. + Cost/price… more
- CVS Health (Hartford, CT)
- …- HCA is responsible for leading the strategic relationship and national contracting efforts with the Hospital Corporation of America (HCA). This role drives ... optimization, local market performance, and operational excellence across our Commercial, Medicare , and Medicaid lines of business. It ensures alignment with CVS… more
- AbbVie (Mettawa, IL)
- …& financial impacts of pharmacy and/or medical contracting with National & Regional payers. + Provide insights into the Payer customer contracting ... of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. The role is a meld...help to ensure AbbVie has the appropriate pricing and contracting analytics for our current products, as well as… more
- CommonSpirit Health (Phoenix, AZ)
- …Ensures complex payer information and reports are analyzed and summarized to provide timely operationaland contracting recommendations for key internal leaders. ... the development, implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include:… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …proven leadership skills. + Demonstrates excellent organization skills. + Knowledge of Regional and National Commercial Payers, Medicaid, Medicare , and GPOs + ... respective account in Pricing Committee and other pricing and contracting discussions + Assesses contract performance and proactively provides input/insights… more
- CVS Health (Lincoln, NE)
- … systems or groups. + 3 to 5 years of experience with VBC, Commercial and Medicare contracting + 3 to 5 years of stakeholder management experience - experience ... with hospital systems and groups + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options,… more
- MetroLink (Los Angeles, CA)
- …not to be interpreted as an exhaustive list of responsibilities. + Provide oversight and evaluate the day-to-day maintenance and inspection activities performed by ... graffiti abatement, debris, and drainage. + Ensure Maintenance Contractor (Herzog Contracting Corp) performs right of way and drainage maintenance in conformance… more
- Rhythm Pharmaceuticals (Boston, MA)
- …payers. The NAD will develop and maintain relationships with national and regional Medicare payers, third-party administrators (TPAs), PBMs, employers and ... + Lead all market access and reimbursement strategies for assigned national and regional accounts within the commercial self-insured and Medicare Part D… more
- embecta (Parsippany, NJ)
- …Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions within US Sales Channels and Canada, as required. Primary ... PBMs and payers for AOP/LRP and quarterly financial projections. Additional contracting responsibilities across the embecta North America commercial teams, including… more
- CommonSpirit Health (Phoenix, AZ)
- …Ensures complex payer information and reports are analyzed and summarized to provide timely operational and contracting recommendations for key internal leaders. ... the development, implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care… more