• Director , LTD Claims

    Lincoln Financial Group (Jefferson City, MO)
    …customer experience and improve claim management effectiveness. + Monitors and implements claims policy and guidelines in compliance with claim objectives and ... ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on...+ Free financial counseling, health coaching and employee assistance program + Tuition assistance program + A… more
    Lincoln Financial Group (04/26/24)
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  • Medical Director - North Central Region…

    Humana (Jefferson City, MO)
    …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...) is dedicated full time to the Indiana Pathways program to assist the Utilization Management, Care Management, and… more
    Humana (04/25/24)
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  • Pharmacy Contract Reimbursement Specialist

    Intermountain Health (Jefferson City, MO)
    …and consistent with other payers; liaise with legal resources to assess compliance and implement the contract approval process, including preparing documents for ... actual and budgeted contractual allowances and variances, monitoring of individual claims (logs)). Interacts with Payer Contract resources and Pharmacy Director more
    Intermountain Health (05/24/24)
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