- CVS Health (Columbus, OH)
- …guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director ... and regulations pertaining to both pharmacy practice laws and Managed Medicaid /PBM regulations. The Pharmacy Director stays updated on changing regulations,… more
- Elevance Health (Grand Prairie, TX)
- …close collaboration with cross-functional partners-including Clinical Pharmacy, Formulary, Actuary , Pricing /Underwriting, and other key business leaders. ... therapeutic options leveraging clinical and analytic data for Commercial, Medicare, and Medicaid lines of business. + Refine model estimates based on real-time… more
- Somatus (Mclean, VA)
- …strategies to position the company for a successful IPO. + **Collaborate** with Actuary and MedEcon to structure pricing and contract terms for profitability ... health regulations, bonus methodologies, and financial structures across Medicare, Medicaid , and commercial payers. + **A clear communicator and collaborative… more