- AbbVie (New York, NY)
- …and not limited to, sales, marketing, medical affairs, legal, compliance, and, and managed care . Collaborate with brand to ensure speaker bureau fully ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...in Philadelphia-PA, New York City-NY, or Boston-MA* The Thought Leader Liaison, Hematology - Northeast is a remote-based, hybrid… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …techniques in complex situations and leading strategic initiatives + Independently applies managed care concepts in routine situations, with a comprehensive ... key member of the Dermatology brand team, you will lead strategies that enhance Takeda's capabilities to meet the...with agility and sensitivity in plaque psoriasis, a highly managed and competitive therapeutic area. You will report to… more
- AmeriHealth Caritas (Detroit, MI)
- …Administration, or a related field is required. + Minimum 5 years of experience in managed care or healthcare setting. + 3 to 5 years of provider contracting ... + 3 or more years of supervisory or leadership experience, preferably in managed care . **Licensure:** + Valid driver's license and current auto insurance… more
- Methodist Health System (Dallas, TX)
- …response claims, denied claims, and billing correspondence. Knowledgeable with payors; Managed Care , Commercial, Medicare, and Medicaid Strong leadership skills ... of America) **Job Description :** **Your Job:** The Team Lead (AR III) specializing in Professional Billing to join...years college with credit hours in Business Administration, Health Care Administration, or related field Or High school diploma… more
- Houston Methodist (Houston, TX)
- …with third party recovery vendors to ensure their understanding and interpretation of the managed care contract terms and intent. Reviews and approves any monies ... are appropriately addressed and analyzed. Supervisor should take the lead role in providing education to key stakeholders. +...preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling + Three… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- Molina Healthcare (Nampa, ID)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,...cleaning of data. + 3+ Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (Lincoln, NE)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Centene Corporation (Sacramento, CA)
- …implementation of strategic sales and go-to-market plans for California large group managed care clients, ensuring alignment with organizational goals and market ... long term and short term sales objectives. + Oversee the pipeline of managed care /commercial market opportunities to enhance sales. + Ensure successful sales… more
- Beth Israel Lahey Health (Needham, MA)
- …to accommodate patient and provider needs. Inputs patient insurance and managed care plans, including prior authorizations, referrals, and pre-certifications. ... with input from assigned physicians, nurses or other health care providers. Acts as a team leader ,...health care providers. Acts as a team leader , resource and mentor. **Job Description:** **Essential Responsibilities:** 1.… more