- Gilead Sciences, Inc. (Santa Monica, CA)
- …CA headquarters. **Key Responsibilities** _Strategic Leadership_ + Partner with payer and provider leads to develop and execute contracting strategies across ... balance customer demand and long-term revenue potential + Track provider responses to various contracting options to...+ Extensive understanding of hematology / oncology clinical landscape, Medicare A & B, and the business of cell… more
- Providence (Irvine, CA)
- …New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider , our commitment to providing compassionate care to all lives on ... the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating as a team… more
- Humana (Springfield, IL)
- …understanding of how organization capabilities interrelate across segments and/or enterprise-wide. ** Regional VP of Health Services, Humana Medicare Advantage** ... and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider Strategy: + Cultivate and maintain trusted relationships with CMOs and… more
- Humana (Baton Rouge, LA)
- …relationships related to profitability. *Assist with network development and provider contracting with various providers and ancillary providers. ... how organization capabilities interrelate across segments and/or enterprise-wide. The Medicaid Regional VP, Health Services will provide medical leadership and… more
- SSM Health (St. Louis, MO)
- …employers in every community it serves. This position is located on-site at our regional headquarters in St. Louis, Missouri and is not remote work eligible. To ... Angela Jones Executive Talent Partner ###@ssmhealth.com \#LI-Onsite **Job Summary:** The Regional Chief Financial Officer (CFO) is a key leadership team member… more
- Humana (Springfield, IL)
- …and procedures and Cardinal Care programmatic updates. + Coordinate periodic regional provider townhalls and/or trainings. + Attend Network Meetings/Conferences. ... & referrals). + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide Exceptional Experience in all provider … more
- AbbVie (Mettawa, IL)
- …& financial impacts of pharmacy and/or medical contracting with National & Regional payers. + Provide insights into the Payer customer contracting ... of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. The role is a meld...help to ensure AbbVie has the appropriate pricing and contracting analytics for our current products, as well as… more
- Humana (Dover, DE)
- …Staff + Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting , and Provider ... Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead...and leaders, as well as some visibility to external provider partners + Advises regional leadership of… more
- CommonSpirit Health (Phoenix, AZ)
- …Ensures complex payer information and reports are analyzed and summarized to provide timely operationaland contracting recommendations for key internal leaders. ... the development, implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include:… more
- Rhythm Pharmaceuticals (Boston, MA)
- …payers. The NAD will develop and maintain relationships with national and regional Medicare payers, third-party administrators (TPAs), PBMs, employers and ... + Lead all market access and reimbursement strategies for assigned national and regional accounts within the commercial self-insured and Medicare Part D… more