- WelbeHealth (Los Angeles, CA)
- …financial modeling tools + Deep understanding of CMS risk adjustment, Medicaid rate-setting, and Medicare Advantage/ Part D payment models + Must be willing ... seniors with better quality and compassion in a value-based model. The Director , Actuary is accountable for all actuarial functions related to PACE revenue,… more
- Bristol Myers Squibb (Washington, DC)
- …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 ... lives. Read more: careers.bms.com/working-with-us . **Summary:** We are currently seeking a Director , IRA Project Management to join the US Pricing, Analytics and… 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
- UNC Health Care (Morrisville, NC)
- **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities ... we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for designing,… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Jul 25, 2025 Requisition ID: 463226 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve… more
- Sanofi Group (Morristown, NJ)
- …conducting analytics for select regional accounts. + Oversee development and negotiation of Medicare Part D , Managed Medicaid, and Commercial GPO/PBM ... **Job Title** : Director Market Access Contracting **Location** : Morristown, NJ...diseases and blood disorders, cancers, and neurological disorders. From R& D to sales, our talented teams work together, revolutionizing… more
- Takeda Pharmaceuticals (Boston, MA)
- …including HTA trends and guidance (eg, NICE, CADTH, PBAC, EU JCA) along with knowledge of US Medicare ( Part D ), ICER in the US and trends in Emerging Markets ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and… more
- Bristol Myers Squibb (Tampa, FL)
- …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to ###@bms.com .… more