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Internal stakeholders include Brand Marketing, Commercial Development, Regulatory, Sales, Corporate Accounts, Sales Training, Field Reimbursement Support, Pricing, Contracting, Patient Services, Government Affairs, and HEOR. Ensures that field-based professionals (Corporate Account Managers, Sales Representatives) are aligned with HCS-led initiatives.
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Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field-based role focused on applying clinical expertise and experience/knowledge of payors, health policy, payer utilization management, and pharmacoeconomics to strategically support Karuna's scientific strategy and business objectives.
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Support strategic positioning for provider contracting, assist in the development of networks and help to identify opportunities for greater value-orientation. Our training program will provide you with an in-depth understanding of what it takes to succeed in healthcare network development and provider (i.e., physicians and hospitals) contracting.
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Maternity leave as well as paid bonding/primary caregiver leave or parental leave for the birth or adoption of a child or to care for an ill family member, as applicable (eligibility based on position.
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Will gain exposure to assignments including value-based care program design, project management, clinical and non-clinical data analysis, and partner diligence. Value Based Care.
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CONTRACTING WITH DTGThis is an independent contractor opportunity for anyone who has ever worked as a: CNA, Certified Nursing Assistant, PCA, Personal Care Assistant, Companion, HHA, Home Health Aide, Hospice Worker, Caregiver, Direct Care Worker, DCW, Patient Care Technician, DSP and/or Direct Support Professional to provide support to persons with intellectual developmental disabilities in group home settings.
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In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding.
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Collaborate with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to ensure contracts support value-based care objectives. Strong understanding of healthcare economics, value-based care, and vendor contract structures.
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Candidates must have demonstrated knowledge and experience in healthcare regulatory law (e.g., commercial, sales and marketing, managed care contracting) and clinical development, product strategy, and healthcare compliance in a biopharma/biotech company, as well as the statutes, regulations, and guidance documents applicable to these activities.
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The successful candidate will lead the Division of Palliative Care within the Department of Family and Community Medicine at Sidney Kimmel Medical College of Thomas Jefferson University ; and will coordinate across Jefferson Health’s regions to support and promote high-value palliative care services including hospital consultation; skilled nursing facility consultations; and non-oncologic ambulatory, telehealth, home-based, and value-based palliative care.
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Reporting to the Sr. Director Pricing & Contracting Strategy, the Director Pricing & Contracting Strategy is responsible to develop, deploy, optimize, and monitor GSK's overall strategic direction within the key accounts sectors, including Payors, PBMs, Integrated Delivery Networks (IDNs), Integrated Health Systems (IHS), large group practices (community and institutional based), and other ancillary care providers impacting our business.
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This position works under the supervision of the Executive Clinician and in collaboration with the Clinical Directors, Quality Manager and Revenue Cycle Team. This position leads and manages all activities related to population health management, including care coordination, care gap closure, pay for performance initiatives, and value-based care, etc.
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Stay current with applicable CBH, State, and Federal policies and regulations and National Committee for Quality Assurance (NCQA) policies related to Value Based Purchasing. The Value Based Programs (VBP) Specialist will support the development, implementation, and monitoring of value based reimbursement programs.
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Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care.
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Given the highly liquid nature of the energy markets, entering and exiting positions to maximize enterprise gross margin can occur dynamically at any point across the value chain. Lead and optimize product/crude scheduling and logistics, ensuring smooth operations across all stages of the value chain.
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value based care contracting jobs in Havertown, PA
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