• Manager of Price and Gross-to-Net (GTN)…

    Takeda Pharmaceuticals (Cambridge, MA)
    …is true to the best of my knowledge. **Job Description** Join Takeda as the Manager of Price and Gross-to-Net (GTN) Forecasting within the US Business Unit. For this ... GTN discounting components for your portfolio products - including Medicare, Medicaid , payer and incentive rebates, chargebacks, and government pricing calculations… more
    Takeda Pharmaceuticals (11/22/25)
    - Related Jobs
  • Regional Manager , Value-Based Programs…

    Molina Healthcare (WA)
    …quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...value-based program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare… more
    Molina Healthcare (11/09/25)
    - Related Jobs
  • Revenue Integrity Provider Insights & Reporting…

    CVS Health (Raleigh, NC)
    …years Government Programs experience including Medicare,** **Commercial ACA, and/or Medicaid ** + **Risk adjustment working knowledge and understanding** + ... **Education Requirements** + **Bachelor's degree in Business Administration/Management, Finance, Economics , Statistics, Mathematics, Data Science, HIM, Information Systems, Computer… more
    CVS Health (11/19/25)
    - Related Jobs
  • Manager , Contract Development…

    Boehringer Ingelheim (Ridgefield, CT)
    …(BIPI) across channels and customers, including MCO, Part D, LTC, GPO, Medicaid and other Government markets through the analysis, negotiation, and execution of ... from an accredited institution required + Advanced degree certification in, marketing, economics , finance, or related field is strongly preferred. + Requires five to… more
    Boehringer Ingelheim (11/20/25)
    - Related Jobs
  • Executive Director, Chief Actuary

    Banner Health (Phoenix, AZ)
    …CFO and is responsible for overseeing all healthcare related actuarial and healthcare economics needs. This role will partner with other executives to establish the ... in support of audits of health care liabilities, communicating ROI for medical management and other health plan initiatives to leadership, preparing and delivering… more
    Banner Health (11/22/25)
    - Related Jobs
  • Regional Reimbursement Economic Consultant

    Medtronic (CA)
    …site of service. **Cross-Functional Collaboration** + Collaborate with Market Access, Health Economics , Medical Affairs, and Compliance teams. + Provide field ... In this role, you will report to the Director, Reimbursement and Health Economics for the Neurosciences. You will work independently with sales teams, healthcare… more
    Medtronic (11/25/25)
    - Related Jobs
  • Chief Health Actuary - Director, Actuarial…

    State of Minnesota (St. Paul, MN)
    …annually + **Classified Status** : Classified + **Bargaining Unit/Union** : 220 - Manager /Unrep + **FLSA Status** : Exempt - Professional + Designated in Connect 700 ... review for health insurance products including large group and grandfathered major medical , conversion, short term medical , limited benefit plans, dental… more
    State of Minnesota (11/18/25)
    - Related Jobs
  • Senior Analyst, Market Research

    AbbVie (Mettawa, IL)
    …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders including Finance,… more
    AbbVie (11/14/25)
    - Related Jobs
  • Associate Director, Revenue Cycle Management…

    ChenMed (Miami, FL)
    …process. The incumbent also serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue related products and ... cost-saving methods and techniques demonstrating strategic impact + Expertise in Medical Economics and clinical informatics + Expertise with risk-adjustment… more
    ChenMed (11/06/25)
    - Related Jobs
  • Director, Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    …engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network ... Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs