- Somatus (Mclean, VA)
- …to enhance contract and member performance. + Use analytics to identify healthcare cost trends and drivers. + Partner with **teams** to evaluate initiatives ... + **Payment Integrity Product Areas:** Clinical Claim Review, Payment Analytics, Fraud Capture, Utilization Review **Product Management** + **Build** business cases… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …Access, or payer experience + Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and ... value chain and its business processes + Extensive experience in healthcare contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job ... ensuring optimized performance. + Agile skills and experience + Experience in Healthcare (esp. US) industry is a plus. **Competencies** **Accountability for Results… more
- CVS Health (Harrisburg, PA)
- …plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing ... Aetna business. + Keep current with new and emerging fraud , waste, and abuse schemes and trends through training...3-5 years of data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
- Stryker (Fort Lauderdale, FL)
- …and marketing of medical devices/technologies including matters related to anti-trust, fraud and abuse, HIPAA, and anti-kickback (including applicable safe harbors) ... experience required + 3+ years applicable experience required **Preferred** + 2+ fraud and abuse, anti-kickback experience is highly desirable + Direct work with… more
- Micron Technology, Inc. (Manassas, VA)
- …enabling team members to select the plans that best meet their family healthcare needs and budget. Micron also provides benefit programs that help protect your ... AI to fabricate or misrepresent qualifications will result in immediate disqualification. Fraud alert: Micron advises job seekers to be cautious of unsolicited job… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …Design and optimize engagement models for key external stakeholders including healthcare professionals (HCPs), scientific experts, and advocacy groups + Develop ... in medical engagement + Strong understanding of the US & Global healthcare landscape, including payer and policy environments + Excellent communication, leadership,… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- …Skills: **Qualifications** + 5+ years of relevant legislative experience, primarily in healthcare , including working with the federal branch and/or Congress ; or 5+ ... with shouldering and assessing risk. + In depth understanding of healthcare , pharmaceutical and biotechnology industry issues required + Demonstrated track record… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health ... the purposes of documentation and reporting + Pharmaceutical/biotech and/or healthcare industry experience is preferred + Strong interpersonal, writing,… more