- Atlantic Health System (Morristown, NJ)
- …preparedness. + Support and evaluate delegated credentialing contracts and relationships with managed care organizations and insurers, if requested. + Lead ... The Executive Director of Medical Staff Services provides strategic leadership...and licensure boards, and support compliance with NCQA and payer credentialing requirements. + Create, lead and manage the… more
- IQVIA (Parsippany, NJ)
- …+ Familiarity with revenue management systems (eg, Model N, Vistex), government pricing, managed care contracting, and the Inflation Reduction Act. + Expertise ... Position Summary The Business Development Director will play a pivotal role in driving...areas such as Master Data Management, Chargebacks, Government Pricing, Managed Care Contracting, Medicaid, Commercial Contracting, 340B… more
- Sanofi Group (Morristown, NJ)
- **Job Title** : Senior Director , Access Strategy Established Products **Location:** Morristown, NJ or Cambridge, MA **About the Job** The Sr Director , Access ... 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
- Bausch + Lomb (Bridgewater, NJ)
- …strategic contracting options to optimize the net profitability of company products in managed care segment. Ensure that strategies are integrated into and ... to continue leading the advancement of eye health in the future. The ** Director , Pricing & Contracting** will lead the development of pricing and contracting… more
- Highmark Health (Trenton, NJ)
- …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
- J&J Family of Companies (Titusville, NJ)
- …Pharmaceutical portfolio. External customers can include, but are not limited to, Managed Care Organizations (MCOs), large physician groups, Group Purchasing ... Scientific Account Lead, V&ESE Field** Reports to: Regional Field Director , V&ESE Field Department/Division: Scientific Affairs Value and Evidence Scientific… more
- Cognizant (Trenton, NJ)
- …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