- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Huron Consulting Group (Chicago, IL)
- …Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + Lead complex healthcare ... consulting experience is essential. + Demonstrated expertise in fee-for-service payer contracting and reimbursement, including Traditional ("Original") Medicare… more
- Insight Global (Fountain Valley, CA)
- …and building Enrollment File and Capitation R&R workflows. Knowledge of managed care operations and payer provider contracting Familiarity HL7, X12, XML, ... and/or other interface or Electronic Data Interchange (EDI) standards Strong understanding of HIPAA transaction sets High-level project management experience Minimum 5 years of experience in EDI operations within a healthcare environment. more
- Intermountain Health (Billings, MT)
- …Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting , Finance and Accounting, and Patient ... **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership...enhance open and effective communication among providers, management teams, Care Site, and Intermountain Health + Ensure that all… more
- Cardinal Health (Providence, RI)
- …business objectives + Gather, synthesize, and disseminate market intelligence related to managed care trends, payer policies, and competitor actions ... results related to negotiation, contracting strategies, and payer account management within the managed ...strategies, and payer account management within the managed care industry + Experience cultivating strategic… more
- Cardinal Health (Atlanta, GA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... be focused on expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is… more
- Ascendis Pharma (NM)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... Research strategies that support Medical and Commercial health system and payer engagement across Ascendis's entire pipeline and product portfolio, leveraging deep… more
- Sumitomo Pharma (Harrisburg, PA)
- …- Rare Disease, who will act as the face of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and market access partners, while ... decisions and help remove barriers to access. **Job Duties and Responsibilities** ** Payer Strategy and Engagement** + Develop and implement strategies aligned with… more
- Takeda Pharmaceuticals (Boston, MA)
- …pharmacy, etc.) + Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels + ... future products. You will also be responsible for value story development, payer /PBM contracting strategy, pricing, specialty pharmacy and distribution plans,… more
- Cardinal Health (Hartford, CT)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... and cultivate relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer… more