• Director , Regional Operations

    CareOregon (Portland, OR)
    …+ Minimum 10 years' operational and/or clinical work experience, including 3 years in managed care or innovative care models/quality improvement Preferred + ... Job Title Director , Regional Operations Exemption Status Exempt Management Level...in change management of a clinical delivery system or managed care organization + Experience in Medicaid,… more
    CareOregon (07/25/25)
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  • Corporate Director Network Strategy

    AmeriHealth Caritas (Newtown Square, PA)
    …progressively responsible experience in healthcare with a minimum of five (5) years managed care network related experience + Proven experience interpreting and ... + Must be able to travel **Responsibilities** + TheCorporate Director , Network Strategy is responsible for developing and managing...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
    AmeriHealth Caritas (07/27/25)
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  • Director Provider Network Management

    AmeriHealth Caritas (Manchester, NH)
    …business experience is preferred. + A minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including in-depth ... Physician Practice Chief Executive Officers, Chief Financial Officers, Directors of Managed Care , and other high-level executives. **Work Location:** Manchester,… more
    AmeriHealth Caritas (07/18/25)
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  • National Director Market Access and Payer…

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best...fee-for-service and rental reimbursement methodology as applicable to manage care contracting , various market rates and tactics… more
    BD (Becton, Dickinson and Company) (05/03/25)
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  • Business Development Director - Market…

    IQVIA (New Providence, NJ)
    …+ Familiarity with revenue management systems (eg, Model N, Vistex), government pricing, managed care contracting , and the Inflation Reduction Act. + ... 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… more
    IQVIA (07/25/25)
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  • Senior Director , Access Strategy Oncology

    Sanofi Group (Cambridge, MA)
    **Job Title:** Senior Director , Access Strategy Oncology **Location:** Cambridge, MA **About the Job** The Sr. Director of Access Strategy, Oncology is ... elements of access for a particular brand or franchise inclusive of pricing/ contracting strategy and GTN management, channel strategy, patient copay and other… more
    Sanofi Group (06/11/25)
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  • Director , MIG Operations - Michigan…

    McLaren Health Care (Flint, MI)
    …(5) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (eg accounting/finance, reinsurance, EDI, marketing, administration, medical ... We are looking for a Director , MIG Operations, to join us in leading...(MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren… more
    McLaren Health Care (07/29/25)
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  • Director Financial Services Physician…

    Catholic Health (Buffalo, NY)
    …Additionally, in collaboration with CH, the Director Financial Services collaborates with managed care to ensure accurate managed care pricing ... from Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4p Summary: The Director Financial Services, Physician Enterprise serves as the finance executive for… more
    Catholic Health (06/28/25)
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  • Director of Provider Services - Medicaid

    Humana (Raleigh, NC)
    …systems, and practice transformation. + Ensure team's compliance North Carolina's Managed Care Contractual requirements for provider relations, such as ... IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is accountable for growing...7+ years of management experience. + Working knowledge of managed care health plan and provider operations… more
    Humana (07/29/25)
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  • Senior Director Federal National Accounts…

    Teva Pharmaceuticals (Parsippany, NJ)
    …Medicaid/Federal Account experience + Sales Management, Marketing, Account Management (Trade or Managed Care ), or marketing support. + Advance Business or ... Senior Director Federal National Accounts & Medicaid - Remote...the account, leveraging cross-functional teams (to include Pricing & Contracting , Medical, Value & RWE as appropriate) + Collaborate… more
    Teva Pharmaceuticals (07/24/25)
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