- Baylor Scott & White Health (Temple, TX)
- …pharmacy-related initiatives. Oversee performance tracking and analytics for HEDIS, CAHPS, HOS, and Part D measures. * Monitor CMS updates and ensure compliance ... based on position type and/or level **Job Summary** The Director of Quality for MA Stars will lead strategic...will lead strategic initiatives to achieve and sustain exceptional Medicare Advantage Star Ratings performance across the health plan.… more
- Centene Corporation (Queens, NY)
- …performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans ( D -SNPs). The Manager will serve as a subject matter expert in Medicare ... position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as...strategic advisor on contract structure and payment methodologies for Medicare Advantage and D -SNP providers, supporting new… more
- Molina Healthcare (Kenosha, WI)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… more
- Humana (Olympia, WA)
- …us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work ... to support optimal value based care in accordance with Medicare and Humana policy. The Medical Director ...and clinical literature as appropriate. Medical Directors will learn Medicare Part D and … more
- Rhythm Pharmaceuticals (Boston, MA)
- …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The NAD will develop and ... record of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP,… more
- HCA Healthcare (San Antonio, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Director of Nursing Operations today with Methodist Hospital Landmark. **Benefits** Methodist ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...vary by location._** Come join our team as a(an) Director of Nursing Operations. We care for our community!… more
- State of Colorado (Grand Junction, CO)
- Behavioral Site Director (Health Professional V) - Grand Junction Regional Center (WESTERN SLOPE) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5049612) Apply Behavioral Site Director (Health Professional V) - Grand Junction Regional Center… more
- J&J Family of Companies (Titusville, NJ)
- …models, processes, and data, with a focus on major reimbursement channels such as MCO / Medicare Part D / Medicaid/ as well as provider (IDNs, clinics, LTC, ... Description:** Johnson & Johnson Innovative Medicine (JJIM) is recruiting for an Associate Director , Market Access and Gross to Net Analytics to work in Titusville,… 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 + ... Director , Managed Care Payer Contracting (V&A) Date: Aug...people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a key leadership… more
- Prime Therapeutics (Richmond, VA)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... and drives every decision we make. **Job Posting Title** Director of Service Delivery **Job Description** The Director...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
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