- MetroPlusHealth (New York, NY)
- …committed to building strong relationships with its members and providers.Position OverviewThe Director of State Product Compliance, reporting to the Vice ... not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus...Compliance, plays an integral role in the oversight and management of product regulatory compliance activities, for… more
- MetroPlusHealth (New York, NY)
- …team (PNO) Attend all needed HRP meetings through a phased roll out by product which includes prep, testing and post go live meetings Maintain PNO issue tracker ... convey HRP changes or updates Represent PNO VP or Director at HRP or other operational meetings as needed...education, training, and experience. Good understanding of provider network management and health system hierarchy set up at a… more
- CVS Health (New York, NY)
- …6 million members on its core administrative platforms. The Lead Director , Technology Product Management for our Medicare Enrollment & Billing will lead ... day. **Position Summary** Aetna is one of the largest Medicare plan carriers in the United States and supports... claims platform. You will lead a team of product management colleagues, creating a positive team… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... CPHL sites located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare ... or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The… more
- Ascendis Pharma (Princeton, NJ)
- …ability to be both strategic and tactical, demonstrating strong leadership, project management , and communication skills. As the Director , Market Access Contract ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Director , Government Pricing **Location:** Morristown, NJ **About the job** **Job Summary:** The Director will lead the team responsible for ... Average Selling Price ("ASP") and state price reporting requirements. The Director will interpret complex government pricing regulations and oversee system… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the largest ... We are accelerating a transition to a business model focused on population health management - our goal is to keep entire communities healthy and out of the… more
- Ascendis Pharma (Princeton, NJ)
- …dynamic workplace for employees to grow and develop their skills. The Director , Government Pricing will lead the development, execution, and oversight of government ... 340B/PHS, FSS/VA, ASP, NFAMP, FCP, IFF, and URA. + Oversee the management of GP models, including calculation, validation, documentation, and submission of monthly,… more
- Insight Global (New York, NY)
- Job Description About the Role: As Director of Payer Enrollment, you will play a crucial role in the leadership of our Payer Enrollment team. Our PE Team is core to ... plans. The role will report directly to the Senior Director of Operations. Responsibilities: * Develop and manage Payer...insights on renewal forecasts, customer health, customer surveys, and product usage. * Serve as the primary point of… more
- Sanofi Group (Morristown, NJ)
- …MicroStrategy/Power BI, and RMGP/Model N from a master data user functionality ( product management , contract setup & pricing, and adjudications & settlements) ... the VA FSS Sales and Industrial Fee (IFF) and Medicare Part D Manufacturer Discount Program. + Day-to day...audit requests by the required deadlines. + Support the Director , Government Accounts on various account management … more
- Ascendis Pharma (Princeton, NJ)
- …organization. This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and ... GPOs, and other stakeholders. The role will focus on contract lifecycle management , operations execution, and process improvement to ensure compliant and efficient… more
