- CenterWell (Richmond, VA)
- …a part of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and ... maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work... pharmacy claims and network composition to identify contracting needs to provide adequate coverage for… more
- The Cigna Group (Jefferson City, MO)
- **Job Description** POSITION SUMMARY The Senior Advisor, Provider Contracting is responsible for the renewal and ongoing management contracting ... plan initiatives including but not limited to network development, provider contracting /re- contracting . Provide ...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- CenterWell (Columbus, OH)
- …our CenterWell Pharmacy payer agnostic business. This role will support senior leaders in developing our pricing methodologies and sales to external payers. ... our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report the financial performance for ... research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year...all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include:… more
- The Cigna Group (Bloomfield, CT)
- … pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary, utilization management, SafeGuard, and ... and ensure alignment with clinical guidance within our trend solutions and contracting efforts. Meet with clinical leadership and SMEs to support efforts to… more
- Dr. Reddy's Laboratories (Princeton, NJ)
- …Immunology/Oncology space. Advanced understanding of market access dynamics, pricing and contracting levers across payers, pharmacy benefit managers, GPOs, ... pricing and contracting strategies for products straddled across medical and pharmacy benefit highly desired. + Good understanding of provider reimbursement… more
- The Cigna Group (Franklin, TN)
- …offered include medical network, medical management, LifeSOURCE transplant network, pharmacy , Out-of-Network Savings Program, dental, Embarc Benefit Protection and a ... more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract… more
- BrightSpring Health Services (Louisville, KY)
- …value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, ... strategic development and execution of PBM and 3rdParty Payor contracting for PharMerica LTC Pharmacy business units....+ Required: Ten (10) or more years of health-plan contracting or provider experience + Desired: Fifteen… more
- Vera Therapeutics (Brisbane, CA)
- …managing our pricing and price reporting as required by law and will provide oversight to contracting partners and external vendors. Responsibilities: * Create ... Title: Executive Director, Pricing, Contracting and Government Location: Remote About Us: Vera...requirements. * Initiate and complete all state board of pharmacy and distribution licenses required for Vera. * Monitor… more
- State of Minnesota (St. Paul, MN)
- …is voluntary. In this leadership role, you will direct and lead MMCAP's pharmacy contracting strategy by managing and administering MMCAP's Pharmacy ... **Working Title: MMCAP Pharmacy Contracts Manager** **Job Class: Pharmacist Senior...National Drug Code (NDC), pharmaceutical wholesale pricing strategies, and pharmacy contracting pricing nomenclature. **Preferred Qualifications** +… more