- Prime Therapeutics (Trenton, NJ)
- …department. Works to ensure established rules, policies, and procedures are implemented so that Medicare Part D operations are successful, efficient, ... drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs...Provides the technical and leadership skills that ensure successful Part D pharmacy operations and… more
- CVS Health (Trenton, NJ)
- …years of experience in Medicare Advantage actuarial pricing, bid development, and CMS Part C/ D operations . + 5+ years' experience working with CMS ... on enhancing pricing accuracy, optimizing bid strategies, and supporting Medicare operations through advanced analytics and actuarial...the development and execution of actuarial analytics strategies for Medicare Advantage and Part D … more
- Ascendis Pharma (Princeton, NJ)
- …customers including private and public payers, national and regional health plans, state Medicaid, Medicare Part B and D , VA/DOD, PBM's, Employers, IDNs, ... skills. Ascendis Pharma is looking to hire a Senior Manager, Contract Operations to join our team. Responsibilities will include implementing and executing… more
- Ascendis Pharma (Princeton, NJ)
- …and managing BPO service providers. + Familiarity with government pricing implications (Medicaid, 340B, Medicare Part D ) is a plus. + Excellent project ... seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access organization. This individual will be… more
- Bristol Myers Squibb (Princeton, NJ)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... the team to operationalize the BMS 340B strategy for Managed Care Rebate Operations and understand broader 340B landscape + Lead team and work collaboratively with… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member...on driving scalable, innovative initiatives with local market operations , clinical, and finance leaders that improve members health… more
- Bristol Myers Squibb (Princeton, NJ)
- …role will lead our efforts in existing and future expected negotiations for products that span Medicare Parts D and B. The role will also be a key SME advisor ... to the Inflation Reduction Act (IRA) in the US Medicare business. The successful candidate will work cross functionally...Federal and State levels, and the Pricing and Contracting Operations teams within MAx. **Responsibilities:** + Work with the… more
- WelbeHealth (Trenton, NJ)
- …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... all aspects of our revenue recognition model under ASC 606, revenue operations , control environment, and all required state and federal reporting requirements.… more
- Prime Therapeutics (Trenton, NJ)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... responsible for the strategic leadership and operational direction of Member Operations solutions related to interaction with Prime Therapeutics clients to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …points into clear, actionable contract language + Deep experience within Commercial GPO/PBM/MBMs, Medicare Part D /B and Medicaid contracting channels + ... The Director will collaborate closely with the Account Management, Legal, Finance, Operations , and Compliance teams to drive efficiency and consistency across the… more