- AbbVie (Houston, TX)
- …on patient prescription status, program eligibility, and educating offices on payer processes and procedures. Specific Responsibilities: + Educate HCPs on patient ... subject matter expert on relevant local, regional, and national payer policies to appropriately educate providers on payer... payer policies to appropriately educate providers on payer requirements. + Effectively work in a high cross-matrix… more
- Merck (Cheyenne, WY)
- …with internal stakeholders to support seamless patient access to therapy * Monitor payer trends to address access barriers * Provide access information to HCP ... design (Commercial, Medicare, Medicaid) * Answer questions about coverage, including payer -specific access questions * Maintain deep knowledge of regional and… more
- Merck (Rahway, NJ)
- …will lead the development and execution of global market access strategy, payer value proposition, pricing strategy, and payer stakeholder communication tools ... Director, Global Market Access, Immunology. **Responsibilities:** + Develop global payer value proposition and access strategy for tulisokibart for assigned… more
- Merck (North Wales, PA)
- …activities for the Early Bladder indications, including access strategy work, development of payer value proposition messages as well as payer value tools ... Team, Policy, and the US & ex-US Regional Oncology Payer Strategy teams, to provide critical market access viewpoints...in the target product profile and deliver a reimbursable payer value proposition. + Plan for various landscape and… more
- Hartford HealthCare (Farmington, CT)
- …patients. The Financial Counselor role is to review accounts via work queues; verify payer information, review payer filing order, initiate and document payer ... authorization information, complete notification of admission and discharge within established payer requirements, provide cost of care estimates and collection of… more
- J&J Family of Companies (Raritan, NJ)
- …Design, develop and implement an integrated approach to all aspects of the payer value proposition from early development through to appointment of a dedicated ... indications. + Responsible for the early strategic planning and implementation of the payer value generation and access strategies. + Serve as the leading resource… more
- J&J Family of Companies (Raritan, NJ)
- …brand. + Be responsible for the strategic planning and implementation of the payer value generation and access strategies aiming for an accelerated path to market. ... the disease area strategy groups. + Be responsible for integrating pricing, payer research, health economic and epidemiology information to develop the optimal value… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and ... Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and… more
- Help at Home (Chicago, IL)
- …Contract Specialist** plays a vital role in supporting provider credentialing, payer enrollment, and contract management across the organization. This position ... ensures providers and entities remain compliant with payer and regulatory requirements while supporting contract accuracy, renewals, and market growth. The… more
- Omaha Children's Hospital (Omaha, NE)
- …supports the interdisciplinary team in aligning treatment goals with payer expectations and evidence-based standards. **Essential Functions** + Utilization ... + Maintain accurate and detailed documentation in the EMR consistent with payer and regulatory standards. + Track utilization metrics and collaborate with leadership… more
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