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This role leads contract negotiations with commercial payers, Medicare, Medicaid, concierge benefit managers, employers, provider networks, and health systems to maximize revenue, strengthen market position, and support practice growth. Success in this role requires building strong relationships with payer partners, practice leadership, and key stakeholders while supporting managed care strategies across multiple practices and service areas.

Alliance Cancer Specialists

Managed Care Director

[AW]-iCims

This leader, working closely with Strategic Market Access, Payer Channel Marketing and Market Access Accounts functions, will transform complex payer, claims, and market access data into actionable business insights that influence strategy, improve patient access, and maximize commercial performance. We use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives.

CSL Plasma

Sr. Director, Market Access Analytics

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The role leads a team of approximately ten Order Specialists, with future managers or team leads added as the organization scales, and ensures that healthcare providers, sites of care, pharmacies, distributors and other authorized stakeholders receive accurate, timely, compliant and highly responsive support. Ensure healthcare providers, sites of care, pharmacies, distributors and other authorized stakeholders receive seamless support from initial inquiry and order initiation through fulfillment, delivery and post-delivery follow-up.

UroGen Pharma Ltd

Executive Director, Order Operations and Customer Service

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Working across assigned products and therapeutic areas, the Director partners with Medical Affairs operational counterparts and Global Development/Post Approval Delivery Unit teams to translate evidence-generation strategy into the compliant clinical and operational implementation of Company Sponsored Studies (CSS), Investigator Initiated Studies (IIS), Collaborative Studies, and other post-marketing research conducted through insourced, outsourced, or matrixed organizations. Budgeting, Clinical Trials, Clinical Trials Operations, Coaching, Compliance Management, Contract Management, Developing Others, Execution Focus, Fact-Based Decision Making, Give Feedback, Inclusive Leadership, Laboratory Operations, Leadership, Process Improvements, Project Integration Management, Research and Development, Research Ethics, Technical Credibility

6120-Janssen Scientific Affairs Legal Entity

Director, Clinical Operations, Immunology

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The Heath Systems Regional Scientific Director (HSRSD) is a therapeutic and disease expert who develops on-going professional relationships with healthcare decision makers within defined regional payer organizations (e.g., health plans, PBMs, integrated delivery systems, large GI practices, specialty pharmacy) and other key health systems in the assigned region. Please know that Madrigal does not conduct interviews via text or in chat rooms; conduct interviews via Skype, RingCentral or solely via telephone; charge candidates an advance fee of any kind (e.g., fees for purchasing equipment); nor does it offer positions of employment without undergoing a thorough recruiting process.

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Madrigal Pharmaceuticals Inc

Heath Systems Regional Scientific Director

As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process. This leader will function as the clinical leader for all ambulatory services, providing oversight to all clinical support services including nursing, behavioral health, and pharmacy.

THE WRIGHT CENTER

Medical Director

Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.

Centene Corporation Group

Remote National Medical Director

The responsibilities of the role are to contribute to Pfizer’s ability to (a) Plan and execute Oncology Medical strategy and engagement for appropriate assigned customers within a territory, compliantly coordinating with other Pfizer colleagues as needed to achieve Medical objectives (b) Understand the priorities of Pfizer Oncology Medical Affairs in order to contribute to Medical content strategy development and execute aligned Field Medical tactics (c) Maintain effective and appropriate communication and collaboration among headquarters Medical colleagues, Medical Information, and other Pfizer Field Medical colleagues (d) Demonstrate expertise in communication across multiple channels, including, but not limited to, live and virtual presentations in small or large settings, written communication, and telephone or virtual conversations (e) Compliantly integrate understanding of clinical, Health Information Technology (HIT), market, and account considerations to develop and execute mutually beneficial customer-specific projects, collaborations, strategic medical partnerships, and non-interventional studies with the goal of advancing quality of care and improving patient outcomes (f) Optimize patient centricity of Medical communications and deliverables, incorporating Health Literacy and cultural awareness principles to ensure that patients remain the ultimate focus. The Oncology Field Medical Outcomes, Director is a field-based medical colleague on the Payer Team responsible for providing therapeutic area/product expertise for a designated therapeutic in Oncology, with a primary focus on integrated customers, including but not limited to National Payers, Regional Payers, and Specialty Pharmacy Providers (SPPs).

A career at Pfizer offers opportunity, ownership and impact. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues have the opportunity to grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and the ability to impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives.

Pfizer

Oncology Field Medical Outcomes, Director

Working across Research, Development, Commercial, Medical, Access, Business Development, and Finance, the Senior Director drives portfolio prioritization, resource allocation, external innovation assessments, and long-range strategic planning to ensure Pfizer's Oncology portfolio remains differentiated and competitive. The Senior Director will partner closely with R&D, Medical Affairs, Global Access Strategy & Pricing (GASP), Global Commercial Analytics (GCA), Competitive Intelligence, Regulatory, Business Development, US, Global and International Commercial / Marketing leadership.

Global Commercial Strategy (Gcs) Oncology: Senior Director, Portfolio Strategy

Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.

Remote Behavioral Medical Director, Eastern Region

Serve as the primary finance business partner to assigned Commercial functions, including Sales, Marketing, Patient Treatment Experience, Commercial Operations and Strategy providing financial insight and counsel while partnering with Finance leadership on broader Commercial priorities. Prepare executive-level presentations and analyses for Finance leadership and senior business leaders, including inputs to the Commerial Leadership team, the executive leadership team, and the Board, including inputs to operating expense guidance and earnings materials.

Cytokinetics Inc

Associate Director, FP&A

This role partners closely with Global Forecasting U.S. Commercial Market Insights & Forecasting Commercial Analytics Reporting & Decision Support Finance Market Access Medical DataTechnology BIS and other cross-functional stakeholders to translate global forecast inputs into U.S.-specific commercial assumptions strategic planning materials launch-readiness reporting requirements and executive-ready decision support. The role serves as the U.S. commercial bridge between global early-stage forecasting and U.S. launch planning ensuring assets within approximately two years of expected U.S. launch have clear pressure-tested assumptions planning timelines market context analytics requirements and source-of-truth outputs.

Incyte Corp

Director, Market Insights & Analytics

This leader will collaborate across internal and external stakeholders, translate complex financial and legislative developments into clear business implications, and help shape sound, forward-looking business strategies. This Lead Director role supports the fully-insured business by applying deep analytical expertise, actuarial judgment, and strategic leadership to pricing, projections, and complex business decision-making.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Lead Director; Actuarial - Medicare Part D

Aetna operates Medicaid managed care plans in Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia, and West Virginia. This work-from-home position will primarily support Aetna Better Health of Virginia, while also providing support across the Northeast Region (Maryland, New Jersey, New York, and Pennsylvania) and other health plans as needed.

Medical Director-Medicaid (ABH VA)

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

Wellpath Inc

Medical Director Days $24K Bonus

The Lead Director of Recruitment Operations will be responsible for serving as the primary interface between clients and internal resources during the implementation and ongoing work to support client recruitment projects. Key areas of responsibility include: Lead and develop the team that supports the business development process by translating client needs, protocol requirements, and recruitment considerations into actionable solution design.

Lead Director, Recruitment Operations

Moving between executive planning and hands-on execution, you'll partner closely with Operations, Product & Engineering, Data, Finance, and HR to make sure the right people, processes, and planning mechanisms are in place to support growth without compromising patient experience. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients.

Blink Health Administration LLC

Director, Operations Analytics & Workforce Strategy

Our comprehensive portfolio of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business and clinical outcomes as they move closer to the industry vision of the Autonomous Pharmacy. A technical leader who has built complex automation systems, can establish clear engineering direction, knows how to scale products from concept to commercialization, and thrives by bringing people together to solve difficult problems.

Omnicell Inc

Director, Engineering - Robotics & Automation

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Lead a team in the day-to-day execution of assigned initiatives and projects including developing work plans, tracking progress against objectives, identifying metrics of success, collaborating with stakeholders, and leading purpose-driven meetings with business leaders. + Facilitate strategic growth discussions among business leaders to drive the identification and prioritization of growth opportunities and strategies, and drive the development of an enterprise growth strategy and cohesive enterprise growth plan, including an annual assessment of the corporate asset portfolio (Medicaid, Medicare, Exchange, Pharmacy, Behavioral Health).

<h2>Leaders in health care solutions for those most in need</h2>
<p>AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than&nbsp;5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing&nbsp;<a href="http://www.amerihealthcaritas.com/corporate/innovation.aspx" target="_self">innovative solutions</a> that help improve health outcomes while&nbsp;<a href="http://www.amerihealthcaritas.com/who-we-serve/government/cost-savings.aspx" target="_self">reducing costs</a>.</p>
<h3>Our mission, our goal</h3>
<p>Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.</p>

AmeriHealth Caritas

Director Strategy & Planning

The position partners closely with cross-functional teams, oversees trade show activities, monitors market trends and customer needs, and manages a team of eight direct reports to ensure successful execution of business objectives. Director, Marketing leads the strategy and execution of marketing programs for key outpatient healthcare markets, including Ambulatory Surgery Centers (ASCs), Healthcare Solutions, and B2B/New Construction.

Director Of Pharmacy Jobs in Pennsylvania

Managed Care Director Alliance Cancer Specialists

Sr. Director, Market Access Analytics CSL Plasma

Executive Director, Order Operations and Customer Service UroGen Pharma Ltd

Director, Clinical Operations, Immunology 6120-Janssen Scientific Affairs Legal Entity

Heath Systems Regional Scientific Director Madrigal Pharmaceuticals Inc

Medical Director THE WRIGHT CENTER

Remote National Medical Director Centene Corporation Group

Oncology Field Medical Outcomes, Director Pfizer

Global Commercial Strategy (Gcs) Oncology: Senior Director, Portfolio Strategy Pfizer

Remote Behavioral Medical Director, Eastern Region Centene Corporation Group

Associate Director, FP&A Cytokinetics Inc

Director, Market Insights & Analytics Incyte Corp

Lead Director; Actuarial - Medicare Part D CVS Health Corp

Medical Director-Medicaid (ABH VA) CVS Health Corp

Medical Director Days $24K Bonus Wellpath Inc

Lead Director, Recruitment Operations CVS Health Corp

Director, Operations Analytics & Workforce Strategy Blink Health Administration LLC

Director, Engineering - Robotics & Automation Omnicell Inc

Director Strategy & Planning AmeriHealth Caritas

Sr Director, Marketing B. Braun Medical UK

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