- Humana (Olympia, WA)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- Humana (Little Rock, AR)
- …of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage the ... changes, market dynamic forces, and new competitive threats around Medicare revenue and risk adjustment + Assess new proposals...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
- Commonwealth Care Alliance (Boston, MA)
- …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director of Risk Adjustment Data and Analytics is responsible for developing ... the Medicare and Merged Market segments. The Associate Director of Risk Adjustment Data and...Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross… more
- Ascendis Pharma (Princeton, NJ)
- …to grow and develop their skills. Ascendis Pharma is looking to hire an Associate Director , Strategic Pricing to join our team. This individual will play ... pricing decisions that optimize patient access, profitability, and long-term growth. The Associate Director will work closely with internal stakeholders across… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …researching on real-world evidence, and creating hope for all facing illness. The Associate Director of Market Access Services will be a key contributor ... and PAP. This role will report directly to the Director of Trade & Market Access Strategy and be...liaison between market access and sales leadership on HUB, commercial copay, and provider network performance. **Responsibilities** + Developing… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting Date: Jul 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... defining the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Associate Director , Technology Solutions devises an effective strategy for executing and ... delivering on IT business initiatives. The Associate Director , Technology Solutions requires a solid...and Procurement to ensure alignment on sourcing, renewals, and commercial terms. **Use your skills to make an impact**… more
- Takeda Pharmaceuticals (Lexington, MA)
- …is true to the best of my knowledge. **Job Description** ** Associate Director , Access Marketing, Entyvio** **Takeda Pharmaceutical** **Lexington, MA** ... and empower you to shine? Join us as the Associate Director , Access Marketing, Entyvio. This position...preferred. + **Industry Experience:** Minimum of 8+ years in commercial pharma market access. + **Market Knowledge:** Strong understanding… more
Recent Jobs
-
Medical Customer Service - Paid Training
- BioLife Plasma Services (Waterloo, IA)
-
Business Execution Consultant 4
- ManpowerGroup (Minneapolis, MN)
-
Sub Satellite Senior Dining Coordinator
- Catholic Charities of the Diocese of St. Cloud (Milaca, MN)
-
Community Liaison - Trinity Health LIFE
- Trinity Health (Pennsauken, NJ)