- Walgreens (Ironton, MO)
- …pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (Adverse event reporting, data and… more
- Guidehouse (Philadelphia, PA)
- …which include evaluating clinical literature, health economic and outcomes literature, payer medical policies, and payer formularies + Conducting market ... sizing, segmentation, and penetration analyses + Creating corporate- and product-level commercialization strategies for technologies in the early stages of the product development cycle + Building Excel-based financial models to evaluate product development… more
- Amgen (Washington, DC)
- …appropriately earned by customers. + Maintain a comprehensive understanding of the payer and provider landscape with respect to Amgen's current and future products ... payers - facilitate multiple account formulary validation teams that include Payer Contracting, Market Access, Legal, and Contract Pricing Execution + Support… more
- Amgen (Thousand Oaks, CA)
- …Scientist): a **semantic architect** who can define domain entities (eg, payer , provider, patient, product, site, indication) and the relationships between them, ... Skills** + Experience in **biotech/pharma** and healthcare commercial concepts ( payer /provider dynamics, formulary/coverage). + Familiarity with agentic/tool-using LLM patterns,… more
- Masonicare (Wallingford, CT)
- …care that are accurate and measurable. + Responsible for identifying the appropriate payer for services in keeping with payer qualifications and conditions, and ... for providing appropriate notification in situations of non-coverage. + Responsible for the admission of patients to services in keeping with required productivity standards + Participates in-service/continuing education as required + Participates in the… more
- University of Southern California (Los Angeles, CA)
- …versus clinical-related denials, evaluating claims deemed inappropriately paid by the payer /external auditors, and determining the need for appeal. Performs all 1st ... claims. Prepares appeals and rebuttals letters/packages in responses to payer 's reason for coding-related 'claims denials' and 'claims rejections'-including… more
- Takeda Pharmaceuticals (Boston, MA)
- …for clarity on coding, support coverage and value demonstration (eg, PIE, Payer and Strategic Account Value Proposition), and reimbursement with focus on field ... dynamics) + 7+ years of experience in US access strategy, analytics, payer marketing, and/or consulting related experience with both Pharmacy and Medical benefit… more
- Walgreens (Minneapolis, MN)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- R1 RCM (Salt Lake City, UT)
- …Presence** * Maintain a deep understanding of healthcare revenue cycle trends and payer dynamics * Represent R1 as an industry expert through conferences, executive ... of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare… more
- United Therapeutics (IL)
- …center / HUB services, market access, and/or other matrix field partners. Serve as the payer expert for a defined geography and communicate payer changes to key ... stakeholders in a timely manner. + Ensure understanding of the reimbursement process, specialty pharmacies, field reimbursement services, and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and… more
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