- Merck & Co. (Boston, MA)
- …collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts ... providers on access processes, reimbursement issues, and support patient assistance programs , all while ensuring compliance with healthcare regulations.The FAM role… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... and verbal. Builds Relationships/contributes to team performance Adhere to all DOI, State , and Federal guidelines **_Pay Range Disclosure:_** _In accordance with the… more
- Commonwealth Care Alliance (Boston, MA)
- 011110 CCA-Public Affairs **Position Summary:** The Director of State Government Affairs ("Director") sits within The Government Affairs team and reports to ... of CCA's membership. + Knowledge of inner workings of the Massachusetts state government , policymaking, and budgetary processes. + Excellent collaboration,… more
- Molina Healthcare (Cambridge, MA)
- …and monitoring of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid , duals (MMP) and Marketplace ... contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government -sponsored ...ensure prompt and timely resolution + Conducts research on government programs and state requirements… more
- CenterWell (Boston, MA)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Elevance Health (Hingham, MA)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Elevance Health (Hingham, MA)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...: + Accounting degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …including AMP, Best Price, ASP, and 340B, as well as federal health care program contracting (eg, Medicaid , VA, etc.). + Understanding laws impacting the ... aspects of the PVA function, including pricing, payor and GPO contracting, government price reporting, co-pay programming and patient services for inline and launch… more
- Fallon Health (Worcester, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
