- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Datavant (Jefferson City, MO)
- …Trauma Level 1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- Humana (Jefferson City, MO)
- …Information** Typically reports to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for accurate billing ... caring community and help us put health first** The Medical Director actively uses their medical...to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote … more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Jefferson City, MO)
- …Solutions as needed + Other activities as assigned by the managing Medical Director Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare… more
- Cognizant (Jefferson City, MO)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work… more