• Merck & Co. (North Wales, PA)
    …to provide solutions to meet them. The Associate Director, US Pharma Payer Marketing, Immun, is responsible for developing market access strategies and solutions ... individual will collaborate across functions in the development of payer customer segment strategies, value evidence plans, and forecasts....with Hybrid work model (3 days per week onsite); Remote will be considered with expectations of travel (up… more
    HireLifeScience (09/17/24)
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  • 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
    HireLifeScience (09/11/24)
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  • Merck & Co. (North Wales, PA)
    …and as such, is a critical partner to the US marketing teams, access and payer marketing as they develop and evolve their US Market Access product strategies. The ... in the monitoring of trends and landscape assessments to inform IAM and Payer Marketing/OCAR on segment trends, customer point of view, and related implications in… more
    HireLifeScience (09/07/24)
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  • Merck & Co. (North Wales, PA)
    …direct account and contract responsibility across the entire US health care system: Pharmacy Benefit Managers, Health Plans, State Medicaid agencies, Integrated ... mutually beneficial customer contracts. In close partnership with IAM Field Teams, Payer Marketing, and other key stakeholders, this role relies on deep customer… more
    HireLifeScience (09/10/24)
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  • Merck & Co. (Rahway, NJ)
    …opportunities that result in unique and differentiated solutions.Knowledge of evolving payer and reimbursement environment: Educate the asset teams on impact of ... discuss in more detail, please contact your HRBP or Talent Acquisition Advisor . Employees working in roles that the Company determines require routine collaboration… more
    HireLifeScience (09/18/24)
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  • Care Advisor ( Payer

    Sharecare, Inc. (Columbus, OH)
    …visit www.sharecare.com . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is ... hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure...solver + Ability to work in a distraction free remote work environment + Professional, confident, outgoing demeanor +… more
    Sharecare, Inc. (08/21/24)
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  • Associate Director, US Pharma Payer

    Merck (North Wales, PA)
    …to provide solutions to meet them. The Associate Director, US Pharma Payer Marketing, Immun, is responsible for developing market access strategies and solutions ... individual will collaborate across functions in the development of payer customer segment strategies, value evidence plans, and forecasts....with Hybrid work model (3 days per week onsite); Remote will be considered with expectations of travel (up… more
    Merck (09/17/24)
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  • Healthcare Policy Analyst Advisor

    General Dynamics Information Technology (Fairfax, VA)
    …Contractor (MAC) or Private Payer edits experience + Medicaid and Managed Care policy and data experience LOCATION: Remote CLEARANCE: Ability to pass CMS ... make a personal impact as a Healthcare Policy Analyst Advisor supporting the Program Integrity Modeling and Analytic Support...and medical coding support for Medicare, Medicaid, and Managed Care models and studies. WHAT YOU'LL NEED TO SUCCEED:… more
    General Dynamics Information Technology (09/18/24)
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  • Data Management Strat And Gov Senior…

    Randstad US (Denver, CO)
    …(related to Clinical Data Domain) - Serves as Data Steward dedicated to health care payer Clinical data operations & initiatives - Works collaboratively with ... data management strat and gov senior advisor . + denver , colorado ( remote ) + posted 7 days ago **job details** summary + $56.08 - $66.08 per hour + contract +… more
    Randstad US (09/12/24)
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  • Data Management Strat And Gov Senior…

    Randstad US (Denver, CO)
    …5pm education: Bachelors responsibilities: - Serves as Data Steward dedicated to health care payer Client data operations & initiatives - Works collaboratively ... data management strat and gov senior advisor . + denver , colorado ( remote ) + posted 8 days ago **job details** summary + $56.08 - $66.08 per hour + contract +… more
    Randstad US (09/11/24)
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  • Principal Strategic Advisor , Analysis…

    BlueCross BlueShield of North Carolina (NC)
    …insights through organizing, analyzing, and translating internal and external provider and payer data for care delivery partners, subsidiaries, the diversified ... Business Group (DBG) is focused on driving improvements in health care , affordability, access and equity through investments and partnerships with innovative… more
    BlueCross BlueShield of North Carolina (09/07/24)
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  • Principal Strategic Advisor , Healthcare

    BlueCross BlueShield of North Carolina (NC)
    …new forms of healthcare reimbursement, healthcare redesign consultation, payer /provider engagement and market offer opportunities. Leverages extensive industry ... divisional operations, provider reimbursement, medical expense strategy and overall payer -provider dynamics. * Utilizes extensive expertise to identify and drive… more
    BlueCross BlueShield of North Carolina (09/14/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Columbus, OH)
    …with payers. They are responsible to implement strategic initiatives related to payer contracts. The Director, Managed Care contributes to practice growth ... coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts and payer relation activities. This role's primary… more
    Cardinal Health (08/14/24)
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  • Director, Global Market Access, Immunology

    Merck (North Wales, PA)
    …will lead the development and execution of global market access strategy, payer value proposition, pricing strategy, and payer stakeholder communication tools ... key assignments as Director, Global Market Access, Immunology:** + Develop global payer value proposition and access strategy for assigned assets, ensuring access… more
    Merck (09/11/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …if required documentation is present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for ... and serve as a leader of positive change. The ** Care Management, Care Coordinator, Utilization Management** is...New Jersey regulations for Nursing **.** **This is a remote , night shift position. The schedule for this role… more
    Hackensack Meridian Health (08/16/24)
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  • Director, US Market Access Contracting

    Merck (North Wales, PA)
    …direct account and contract responsibility across the entire US health care system: Pharmacy Benefit Managers, Health Plans, State Medicaid agencies, Integrated ... mutually beneficial customer contracts. In close partnership with IAM Field Teams, Payer Marketing, and other key stakeholders, this role relies on deep customer… more
    Merck (09/10/24)
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  • Manager Clinical Documentation Integrity

    Fairview Health Services (St. Paul, MN)
    …**Position Details:** + **Position:** Manager Clinical Documentation Integrity + **Location:** remote + **Employment Type:** Full-time (1.0 FTE, 80 hours per pay ... supports a compliant and accurate representation of the clinical care provided to the patients served. Is responsible for...appropriate + Leverages national data and remains current with payer trends needed to educate and lead teams to… more
    Fairview Health Services (07/30/24)
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  • Virology Customer Representative - Richmond, VA

    Merck (Columbus, OH)
    …targeting and business analysis. + Articulates the complexities of the HIV payer environment, recognizing the role each stakeholder plays in the ability to ... teamwork with extended members of the Virology Account Team (CLs, CTLs, Managed Care , Marketing) in the development of long-term account plans and customer centric… more
    Merck (08/31/24)
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  • Strategy Advancement Lead - Clinical Outcomes

    Humana (Columbus, OH)
    …leading the end-to-end project of strategy development for key priorities. **Location:** remote The Strategy Advancement Advisor will drive initiatives to ... and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address...and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on… more
    Humana (09/04/24)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    …promotes a positive, team-oriented work environment. Develops relationships and influences payer policies and procedures as well as facilitating strong working ... relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments and leadership to promote effective… more
    Kaleida Health (08/26/24)
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