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Piedmont Healthcare
Atlanta, GA, United States
JOB PURPOSE: Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to t
Job Source: Piedmont HealthcarePiedmont Healthcare
Atlanta, GA, United States
Description: JOB PURPOSE: Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position
Job Source: Piedmont HealthcareConfidential
Atlanta, GA, United States
Executive Director, Access & Reimbursement About the Company Innovative biotechnology (BioTech) company Industry Biotechnology Type Privately Held Founded 2015 Employees 201-500 Categories Biotechnology Academic Research Laboratory Services About the Role The Company is seeking an Executive Director for Access and Reimbursement. This key leadersh
Job Source: ConfidentialThe Reinvestment Fund
Atlanta, GA, United States
About Policy Solutions Reinvestment Fund’s Policy Solutions team (Policy) partners with government, nonprofit, and other civic leaders to support strategic decision-making to strengthen communities. We conduct rigorous research and build analytic tools that help stakeholders implement effective interventions to achieve equitable outcomes. We are r
Job Source: The Reinvestment FundSpectraforce Technologies
Atlanta, GA, United States
Program Manager / Director - Policy 3+ Months Atlanta, Georgia 30303 (Hybrid - 2-3 days per week) General Description and Classification Standards The Program management director: policy (PMDP) is accountable for ensuring appropriate policy controls are in place for information technology (IT) expectations citywide. The PMDP is responsible
Job Source: Spectraforce TechnologiesWarbird Consulting Partners
Atlanta, GA, United States
The Medicare Cost Report & Reimbursement Manager will act as the day-to-day leader of our clients Government Reimbursement Function. The manager will drive the completion of Medicare Cost Reports and other similar government financial filings, as well as support subsequent audits and act as a subject matter expert (SME) on government reimbursement
Job Source: Warbird Consulting PartnersCorpay
Atlanta, GA, United States
Senior Director - Acquisition Credit Policy & Analytics Senior Director, Acquisition Credit Policy & Analytics What we need: Corpay is currently seeking a Senior Director of Acquisition Credit Policy & Analytics within our North American Fuel Division. This position will help lead a strategic function within the US Risk team. Credit and risk ma
Job Source: CorpayCitigroup Inc.
Atlanta, GA, United States
Citi, the leading global bank, has approximately two hundred million customer accounts and does business in more than 160 countries and jurisdictions. For the past two hundred years at Citi, we have a drive to help clients move from ambition to achievement. Our company has been one of the foundational components of today's modern financial infrastr
Job Source: Citigroup Inc.Atlanta, GA, United States
Description:
The Director, Reimbursement & Payor Policy will lead the development and execution of coverage and reimbursement strategies for Novocure's products, with a focus on commercial payers. This role will focus on enhancing Novocure's market access by driving engagement with large and regional commercial payers and contributing to pricing strategy. The Director will work under the Senior Director, Health Policy & Reimbursement, and collaborate with cross functional teams to drive Novocure's coverage strategy and execution.
This is a full-time, exempt position, remote reporting to Senior Director, Health Policy & Reimbursement ad tied to the Chesterbrook, Pennsylvania office.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Develop and implement strategies to enhance coverage and reimbursement of Novocure's products in commercial insurance plans.
Work closely with the Payer Contracting, Medical, Commercial, and Revenue Operations teams to align on and execute coverage and pricing strategies, ensuring consistent and comprehensive market access for Novocure's products.
Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage. Develop and advocate for policies that support the inclusion and reimbursement of Novocure's products, especially in commercial plans.
Establish and maintain relationships with key commercial payors, industry groups, and other stakeholders to support Novocure's market access and reimbursement goals.
Collaborate with global value, clinical, and research teams to generate and present data supporting the value proposition of Novocure's products to commercial payors.
Employ strong project management skills by prioritizing and leading multiple tasks concurrently
Assist in the analysis and response to regulatory and payment proposals, including those from CMS and other relevant agencies.
Collaborate with US Government Affairs team to identify and develop policy priorities related to commercial market access.
QUALIFICATIONS/KNOWLEDGE:
Bachelor's Degree required; advanced degree in Health Policy, Business, or related field preferred.
Minimum of 10 years of experience in health policy, market access, and reimbursement, including comprehensive knowledge of commercial payment systems and the healthcare regulatory environment.
Experience working at a medical device (preferred) or pharmaceutical company.
Proven track record in managing complex payer relationships.
In-depth understanding of the commercial healthcare market, insurance operations, policy implications, and the coding, coverage, and reimbursement processes for medical devices or pharmaceuticals.
Strong leadership, strategic thinking, and project management skills, capable of leading cross-functional initiatives.
Excellent communication, negotiation, and interpersonal skills, with the ability to influence and advocate for policy positions to a variety of stakeholders.
Ability to address customer concerns effectively and work collaboratively with external and internal stakeholders.
Comprehensive knowledge of customer relations, product promotion, and the ability to interpret complex information and provide analysis to stakeholders.
Ability to work independently and perform timely follow-ups.
Proficiency in Microsoft Office products.
Knowledge of Protected Health Information and HIPAA Privacy and Security guidelines preferred.
This position is crucial for ensuring that Novocure's innovative therapies are accessible to patients, contributing significantly to the company's mission and success in the healthcare landscape.
OTHER:
Up to 25% travel
Ability to lift up to 20 pounds
Novocure is an Equal Opportunity Employer, including Veterans/Disabled.
ABOUT NOVOCURE:
Our vision
Patient-forward: aspiring to make a difference in cancer.
Our patient-forward mission
Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.
Our patient-forward values
- innovation
- focus
- drive
- courage
- trust
- empathy
Equal Opportunity Employer, including disability/veterans.
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Email Alert for Director, Reimbursement & Payor Policy jobs in Atlanta, GA, United States
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