Managed Care Jobs in Philadelphia
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Search Results - Managed Care Jobs in Philadelphia
Prisma Health-Philadelphia
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
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Disability Solutions-Philadelphia
process.
• Provide clinical and scientific support in responding to inquiries from healthcare professionals and managed care organizations.
• Ensure that all medical affairs presentations are consistent, accurate, and clinically meaningful.
• Provide...
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UnitedHealth Group-Philadelphia
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
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Jazz Pharmaceuticals-Philadelphia
in the Investigator Sponsored Trial review and educational grant process.
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• Provide clinical and scientific support in responding to inquiries from healthcare professionals and managed care organizations.
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• Ensure that all medical affairs presentations...
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Abbott-Philadelphia
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
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Pyramid Consulting-Philadelphia
in Clinical Appeals, Utilization Management, Case Management, or Managed Care?
Join a team where your clinical expertise makes a direct impact on member advocacy, medical necessity reviews, and healthcare quality!
What you’ll need:
• Active, unrestricted RN...
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AstraZeneca-Philadelphia
By developing and maintain in-depth knowledge of market, demographic, and managed care information relative to your assigned sales territory. You will be able to work with your District Sales Manager and Regional Sales Director to develop a local strategy...
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Disability Solutions-Philadelphia
US Medical Affairs Leader, US Health Outcomes, Legal) so that payer and managed care organizations have the necessary resources they need to make decisions regarding GSK products.
• Collaborating with internal Medical Affairs to create/update/localise...
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Merck Sharp & Dohme (MSD)-Philadelphia
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
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Alexion Pharmaceuticals-Philadelphia
Builds a basic understanding of the foundations of managed markets• Acquires a basic understanding of the flow of information in managed care and government organizationsYou will need to have:Minimum Education• Bachelor's DegreeMinimum Experience...
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UnitedHealth Group-Philadelphia
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
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CIGNA-Philadelphia
innovationKnowledge of PBM industry, managed care, healthcare industryComfortable working with complex data sets and queriesExceptional Strategic thinker with a track record of anticipating trends and translating insights into actionable plansExperience working...
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Philadelphia
experience in provider credentialing within the managed care, hospital, or long term care environment.
3. Proficient with Microsoft Office applications and a willingness to learn advanced computer software.
4. Experience with CAQH/NCQA guidelines is preferred...
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powerbackrehab.com -
Philadelphia
admissions, service modifications, program planning, and regulations to ensure program compliance and quality of client care; works collaboratively with managed care organizations (MCOs) and county liaisons and provides support to team with outside providers...
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elwyn.org -
Children's Hospital of Philadelphia-Philadelphia
and maintain standards of productivity.
• Knowledge of managed care admission process (e.g., verification of benefits, admissions notification).
• Ability to effectively negotiate with internal and external providers of patient care services.
• Sound problem...
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