- BlueCross BlueShield of North Carolina (NC)
- …Description** Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is seeking a Medical Director , Medicare Strategy to join our Health Care ... to further healthcare strategies and leverage provider services and capabilities. The Medical Director , Medicare Strategy will utilize clinical knowledge… more
- CVS Health (Salem, OR)
- …(work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily work on ... Management Strategy support. * Develop subject matter expertise on Medicare policy for the enterprise. * Provide ongoing education regarding Medicare… more
- Elevance Health (Washington, DC)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid model ... 50 miles of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Point32Health (Canton, MA)
- …support annual assessment of new product strategies in collaboration with Product Strategy counterparts; and 2) lead key aspects of product implementation and ... information to inform product decisions. The Senior Manager will participate in product strategy /bid planning meetings led by Product Strategy team to provide… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and State incented health outcomes. 4. Participates in and supports the corporate Medical Management Strategy . 5. Directs the case management activities to ... us at www.amerihealthcaritas.com **Responsibilities:** Under the supervision of the Director of Care Management, the Manager of Care Management...comply with the Medicare Model for case management. 6. Develop and recommend… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Join Gilead and help create possible, together. **Job Description** As the ** Director of US** **Pricing** **&** **Contracting** ** Strategy ** , within Gilead's ... This position is based in Foster City, CA and reports to the Sr. Director , Contracting and Pricing Strategy , Virology, Managed Markets. As ** Director … more
- Elevance Health (Woodbridge, NJ)
- …care. CarelonRx's Pharmaceutical Rebates Org is looking to hire a ** Director , Formulary Strategy Development.** This high-performing individual contributor will ... clients) by partnering with internal and external stakeholders to drive formulary strategy and rebate optimization. This Director will collaborate with… more
- Gilead Sciences, Inc. (Foster City, CA)
- …This position is based in Foster City, CA and reports to the Sr. Director , Contracting and Pricing Strategy , Virology, Managed Markets. As **Associate** ** ... Director of US** **Pricing** **&** **Contracting** ** Strategy ** **, Virology,** you will: + Develop pricing, payer coverage, and GTN assumptions for near-term… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …diseases, researching on real-world evidence, and creating hope for all facing illness. The Director of Trade and Market Access Strategy is a pivotal member of ... respected - is a research-driven pharmaceutical company that has tirelessly pursued medical breakthroughs with global reach. MTPC has discovered and produced several… more
- Elevance Health (Norfolk, VA)
- ** Director II, Reporting & Data Analytics** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ... within 50 miles of one of our Elevance Health PulsePoint locations. The ** Director II, Reporting & Data Analytics** will be responsible for leading the strategic… more