- Takeda Pharmaceuticals (Cambridge, MA)
- …techniques in complex situations and leading strategic initiatives + Independently applies managed care concepts in routine situations, with a comprehensive ... best of my knowledge. **Job Description** **About the role:** The Associate Director , **Access Marketing Strategy and Experience,** offers a unique opportunity to… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …techniques in complex situations and leading strategic initiatives + Independently applies managed care concepts in routine situations, with a comprehensive ... of my knowledge. **Job Description** **About the role:** The Associate Director , **Access Marketing Capabilities and Development,** offers a unique opportunity to… more
- Prime Therapeutics (Boston, MA)
- …work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description**… more
- Evolent (Boston, MA)
- …least 5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care , or related healthcare consulting ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Sanofi Group (Cambridge, MA)
- **Job Title** : Senior Director , Transplant Access Strategy and Provider Accounts **Location:** Cambridge MA or Morristown, NJ **About the Job** The Sr Director , ... support services. The candidate will utilize portfolio expertise and managed markets experience to build an integrated market access...w/ knowledge of US and Global market access & payer environment + Knowledge of disease market access desirable,… more
- Pfizer (Boston, MA)
- …as appropriate. The individual may be involved in presentations to payers, managed care organizations, formulary decision makers and regional medical advisory ... of the following: + Clinical, formulary, and/or other management experience + Managed Care , pharmaceutical industry, and/or Quality Improvement + Data Analytics… more
- Highmark Health (Boston, MA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Beth Israel Lahey Health (Woburn, MA)
- …International Classification of Diseases (ICD-10) o reimbursement theories to include RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health ... you're making a difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP) at the… more
- Cognizant (Boston, MA)
- …Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in health ... management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical… more
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