- CVS Health (Hartford, CT)
- …and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid , will collaborate with Aetna ... for Aetna LTSS members. This position will also lean heavily into the Medicaid cost reduction initiatives such as Scorable action items (SAI'S) and be responsible… more
- Novo Nordisk (Plainsboro, NJ)
- …and Public Affairs, Commercial, Marketing, Finance, and Marketing. Relationships Reports to Senior Director , Market Access Channel Strategy. Interacts ... role is based in Plainsboro, NJ. The Position The Director Market Access Channel Strategy is part...and/or stakeholders + Track trends and events impacting the market access landscape, particularly Medicaid channel and… more
- Humana (Columbus, OH)
- …peer to peer and appeals as needed. + Provide weekend and holiday Medical Director coverage in collaboration with other market Medical Directors on a rotating ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- CVS Health (New York, NY)
- …make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider/Network Relations ... representatives (approximately 4) and reports to the local Lead Director . Oversees the maintenance of working relationships with the existing network and assists in… more
- Providence (Irvine, CA)
- **Description** The Senior Director , Individual Market Sales & Broker Strategy, is responsible for developing and executing a sales and broker strategy to ... Group membership across the Division. In this role, the Senior Director will lead a team who...marketing to assure all deadlines are met. + Conduct market analysis to evaluate trends and provide insight into… more
- Humana (Richmond, VA)
- …are in significant conflict with Humana IT's development timelines. + Serves as the ' Senior Business Architect' for Medicaid , with a strong understanding of how ... focused meetings as determined by each market + Participate in Market President's senior leadership meetings, as appropriate + Ensure documentation is… more
- Abbott (Alameda, CA)
- …a high-performing team, please take a look at qualifications below. The Sr. Director , Payor Marketing & Patient Support Program Strategies is responsible for setting ... the teams that deliver tactical implementation of activities that drive and support market access expansion for people living with diabetes in a manner that… more
- College of American Pathologists (Northfield, IL)
- …+ We offer a generous compensation and benefits package, 401K, and more The Senior Director , Strategic Sourcing and Procurement (the Senior Director ... under deemed authority from the Centers for Medicare & Medicaid Services (CMS). The CAP's standards have been called...College of American Pathologists (CAP). The departments under the Senior Director 's leadership serve as strategic partners… more
- Arvinas (New Haven, CT)
- …Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and ... This position reports to the SVP, Global & US Market Access and can be located at our headquarters...role include, but are not limited to: + Provides senior management and cross functional team members with relevant… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Senior Director , Federal Government Affairs will manage BCBSMA activities to achieve ... Health and Human Services, the Center for Medicare and Medicaid Services, the US Department of Labor, the US...in an integrated and highly effective manner. + The Senior Director , Federal Government Affairs will have… more
- Gilead Sciences, Inc. (Foster City, CA)
- …that will improve the lives of patients with life-threatening illnesses worldwide. As a ** Director US Market Access Strategy HIV,** you are responsible for three ... internal organization/processes, mobilize key stakeholders, and engage both colleagues and Senior Leadership *Experience managing and executing complex market … more
- Elevance Health (Columbus, OH)
- …Carelon Medical Benefits Management Clinical Operations team is looking to hire a ** Senior Medical Director ** to manage a team of physicians performing clinical ... Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance, support, and leadership… more
- Brookdale Senior Living (Jacksonville, FL)
- …guidance. Contact sources include legal and financial professionals, senior organizations, appropriate special interest groups, hospital discharge planners, ... basis. Provides information and conducts presentations about services and programs, market advantages, availability, and other relevant information to meet the needs… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Health Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and ... market team. The Medical Director 's primary responsibilities...and implements programs that improve the health of the senior dual eligible and MAPD population, including for dementia,… more
- Elevance Health (Grand Prairie, TX)
- **Medicare Duals Management Director -West** **Grand Prairie, TX, Denver, CO, or Seattle, WA** **Location** : This position will work a hybrid model (remote and ... or Seattle, WA** Elevance Health PulsePoint locations. The **Medicare Duals Management Director ** is responsible for developing and ensuring the implementation of a… more
- Elevance Health (Columbus, OH)
- **Medicare Duals Management Director -Ohio** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... **Columbus, OH** Elevance Health PulsePoint location. The **Medicare Duals Management Director ** is responsible for developing and ensuring the implementation of a… more
- CSL Behring (King Of Prussia, PA)
- …Corporate Accounts is a member of an account team that reports to the Senior Director , Corporate Accounts in Healthcare Systems to establish strategic and ... The Associate Director , Corporate Accounts is responsible for managing all...Pharmacies, Commercial Payors (MCOs), Pharmacy Benefit Managers (PBMs) and Medicaid FFS. This includes acting as the primary point… more
- Conviva (Daytona Beach, FL)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across department(s). The… more
- J&J Family of Companies (Raritan, NJ)
- …people, process and systems administering contracts for Government Programs such as Medicare, Medicaid , 340B, SPAPs, and ADAPs. The Director will also provide ... Director , Government Contracting - 2406183955W **Description** The Government...**Key Responsibilities** **:** **Business Knowledge:** + Government Programs: Medicare, Medicaid , 340B, SPAPs, ADAPs + Business Processes, Policies and… more
- Bausch Health (Bridgewater, NJ)
- …responsible for leading compliance in regulated government/federal programs and price calculations ( Medicaid AMPs, BPs, Medicare Part B ASPs, PHS 340B pricing & ... submissions by required due dates and certification requirements. Oversight of Medicaid claims, Tricare and Coverage Gap processing operations with Third Party… more