- Elevance Health (Atlanta, GA)
- …acumen strongly preferred. + Prior experience with managed care, trend & healthcare analytics, provider networks, claims , finance, and operations strongly ... **Business Strategy Plan Director (Business Stat Plan Dir)** Location: This role...identification of potential cost of care savings opportunities through complex analytics, development of action plans, benefits and risk… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health ... and nutraceutical products for the maintenance of everyday health. As an Associate Director , Biostatistician, you will be a champion of Otsuka's culture and values… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and ... Access, or payer experience + Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- The Executive Director , US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of US market access ... reimbursement strategy, and payer marketing + Strong understanding of the complex and rapidly evolving factors influencing US market access, including reimbursement… more
- Humana (Atlanta, GA)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- CVS Health (Atlanta, GA)
- …we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- Oracle (Atlanta, GA)
- …Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient accounting, and revenue cycle management (RCM). This is a ... architecture and design of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial… more
- Evolent (Atlanta, GA)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Ascendis Pharma (GA)
- …workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing ... RWE and HEOR research activities (including retrospective/prospective research concepts, claims analyses, and economic modeling, etc) to support HEOR objectives.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job… more