- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: Aug 1, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... a difference, and new people to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key leadership role within Value &… more
- Aston Carter (Los Angeles, CA)
- …and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state ... contract changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization and compliance, producing… more
- MaineGeneral Health (Augusta, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Soarian...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Prime Healthcare (Lynwood, CA)
- …seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing and collections, ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Cardinal Health (Santa Fe, NM)
- …in defining, developing, and executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. ... positioning, promotion, and lifecycle marketing. The ideal candidate brings expertise in the managed care landscape-paired with the ability to translate data and… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate strategy evaluation. The...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …+ Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- Regeneron Pharmaceuticals (Los Angeles, CA)
- …history of high sales performance + Experience with reimbursement programs, government programs, managed care , formulary and contract negotiation To be ... assigned geography as well as nurses, office staff and other important health care personnel and key patient advocacy support groups as directed. A core… more