- Commonwealth Care Alliance (Boston, MA)
- …Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting , the Senior Provider Contract Manager is ... negotiations and management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations,… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... , operations, and analytics teams to monitor network performance against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …include the entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement ), HEOR, Marketing, Commercial Sales, Medical ... product pipeline can only be as effective as our ability to provide information to healthcare providers, key stakeholders and policymakers. Our Market Access… more
- Eisai, Inc (Tampa, FL)
- …and emerging payer policies, competitive reimbursement landscape, trends, pricing, contracting strategies, and potential barriers to provider and patient ... management teams, Field Sales Management, Value & Access Group, Pricing and Contracting , and Marketing. Responsibilities could also include management of GPOs. This… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Network Management staff to ensure an adequate and appropriate provider network. Participate in contracting strategy discussions around potential ... 011230 CA- Provider Engagement & Performance **Position Summary** The ...service recovery; Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies… more
- Commonwealth Care Alliance (Boston, MA)
- …providers. This individual serves as a key liaison, proactively addressing provider needs, ensuring regulatory compliance, and supporting operational excellence ... cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory Affairs, Marketing) to resolve … more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …communications are understood and executed locally Design and execute on field reimbursement , training and other initiatives to elevate provider engagement and ... for managing and leading execution of the Patient Support Field Reimbursement teams across all NNI therapeutic areas. Responsibilities include delivering… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From healthcare provider interactions and developing and implementing regulatory strategies with ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one...as appropriate Understands Patient Safety case processing and NNI contracting operations including tool and systems used, exceptions processes,… more
- Merck & Co. (Upper Gwynedd, PA)
- …evidence needs of clinicians, payers, policymakers, health technology assessment (HTA)/ reimbursement agencies and health systems globally.Types of studies executed ... is defined and developed to achieve optimal market/patient access and reimbursement . The incumbent is expected to work cross-functionally with clinical development,… more
- Merck & Co. (North Wales, PA)
- …departmental/divisional initiatives.- This position will also support strategic priorities and contracting in other channels as management deems appropriate.- - Core ... system upgrades, 3PL Distribution Transitions, Key Product Launch Initiatives, Legal/ Regulatory (340B) Adherence Initiatives).- Required - Bachelor's degree Master's… more
