- Sanofi Group (Cambridge, MA)
- …eg Payers, that inform value to decision makers. This role will leverage payer interactions to identify strategies that will improve the impact of research and ... recommendations to clinical development programs aimed at ensuring differentiation for payer value demonstration + _Has US product launch experience, understand US… more
- Northwell Health (Lake Success, NY)
- …reimbursement methodologies. * Strong understanding of state, federal, and payer -specific regulations related to billing, collections, and compliance. * Bilingual ... insurance verification, benefits investigation, prior authorizations, and re-authorizations using payer portals, electronic systems, and direct payer … more
- Amgen (Washington, DC)
- …lead development and implementation of reimbursement strategies for federal (US) payer issues across multiple therapeutic areas and the company's biosimilar ... independently, he/she may also conduct research and integrate clinical, market and payer data to inform engagement on reimbursement objectives. The Health Policy… more
- AbbVie (Mettawa, IL)
- …Value & Access Teams, they coach their team to influence access strategies, payer value propositions, and deliverables for both marketed and pipeline assets, while ... of integrated Value & Access teams, providing direction for access strategy, payer value propositions, and critical deliverables. + Support business development by… more
- Carle Health (Champaign, IL)
- …Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities ... party payers. Acts as a billing and reimbursement expert for a defined payer product line. Qualifications Education: High School diploma or GED Work Experience:… more
- Amgen (Washington, DC)
- …cycle management The HEOR Book of Work comprises generating global-impact payer -relevant evidence, patient reported outcomes (PRO) and clinical outcomes assessment ... execution. The HEOR Senior Manager must have experience in developing payer -relevant evidence generation, PRO/COA strategy, evidence synthesis and HTA requirements.… more
- University of Miami (Miami, FL)
- …+ Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer ... the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options + Ensures… more
- AbbVie (Irvine, CA)
- …ideal candidate will have a strong understanding of US private and public payer segments, pharmacy and medical benefit reimbursement, buy and bill models, and the ... across several roles is preferred. + Expertise in developing compelling early payer value propositions preferred. + Experience leading primary and secondary payer… more
- NTT DATA North America (Boston, MA)
- …NTT DATA's and partner capabilities to deliver high-value propositions for Health Plan/ Payer & Life Sciences + **Client Engagement:** Support sales efforts with a ... in client engagements + **Industry Thought Leadership:** Represent the Health Plan/ Payer brand in the market by creating thought leadership pieces, participating… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …pharmacoeconomic and real-world data needs across various departments, defining the payer value proposition of Otsuka's product portfol + **Study Management:** ... Communications personnel. + **Advisory Meetings:** Support preparation of medical or payer advisory meetings to solicit feedback on Otsuka products and therapeutic… more