- Parexel (Jefferson City, MO)
- …**Skills and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business ... quality activities within the assigned therapeutic area. This includes operational quality management and inspection management activities. The CQOM will oversee… more
- Highmark Health (Jefferson City, MO)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- Humana (Jefferson City, MO)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Centene Corporation (Jefferson City, MO)
- …IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF MISSOURI **Position Purpose:** Supports care management activities and the teams assigned to members to ensure ... are delivered by the healthcare providers and partners and continuity of care /member satisfaction is achieved. Interacts with members by performing member outreach… more
- System One (Jefferson City, MO)
- Senior Marketing Production Coordinator **Employment Type:** Full Time **Date Posted:** 10/16/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable ... **Job Number:** JO-2510-2746 **Primary Function** The Senior Marketing Production coordinator will join a team that provides market and strategic thought leadership… more
- CVS Health (Jefferson City, MO)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Cardinal Health (Jefferson City, MO)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- Sedgwick (Jefferson City, MO)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Hotel Coordinator *Temporary to Permanet Opportunity based on Business Needs* **REMOTE POSITION** ... hotels, and insurance partners-ensuring every placement is handled with care , accuracy, and efficiency. This role is vital to...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- SSM Health (Jefferson City, MO)
- …$16.00. Location: Jefferson City Our mission as a faith-based organization calls us to care for the most vulnerable in our community and helps you live your calling ... in a collaborative team environment. For our Gift Shop Coordinator position, we are looking for someone who is...and assists with questions and display techniques. + Informs management of day-to-day issues concerning the gift shop, as… more
- Cardinal Health (Jefferson City, MO)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... are consistently achieved. + Perform any other functions as required by management . **Qualifications** + Minimum 2 years of experience in Insurance follow-up… more
- Highmark Health (Jefferson City, MO)
- …+ Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Intermountain Health (Jefferson City, MO)
- …+ Preferred related specialty coding credential + Requires E/M (Evaluation & Management ) coding and experience coding for the assigned specialty specific service ... position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12 We care about your well-being - mind, body, and spirit - which is why we… more
- Humana (Jefferson City, MO)
- …The Care Management Support Assistant 2- supports the Autism Care Demonstration (ACD). ACD Referral Coordinator (RC)-will process referrals from Military ... varied activities and moderately complex administrative/operational/customer support assignments. The Care Management Support Assistant 2 contributes to… more
- CenterWell (Jefferson City, MO)
- …off days during the week.** + **Required to work every other holiday.** The **Clinical Care Coordinator ** helps to ensure optimal continuity of care for ... Home Health services including home health, hospice, and palliative care . The Clinical Care Coordinator ...Good working knowledge of home health, hospice, and palliative care services. + Good time management skills.… more
- Humana (Jefferson City, MO)
- …Experience as an MDS Coordinator or discharge planner in an acute care setting + Previous experience in utilization management /utilization review for a ... of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation… more
- Intermountain Health (Jefferson City, MO)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups),… more
- CVS Health (Jefferson City, MO)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ... experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- CVS Health (Fulton, MO)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... At CVS Health, we are focused on transforming health care for our customers and making our company a...throughout the district, you are accountable for supporting the management , oversight, and operation of the pharmacy and pharmacy… more
- Public Consulting Group (Jefferson City, MO)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies High Fidelity Wraparound Local Trainer and… more
- ITW (Jefferson City, MO)
- …competitive salary, and a comprehensive benefits package designed to help employees care for themselves, their families, and their futures. **Job Description** The ... Implementation Project Manager is responsible for leading project management efforts for software conversions and implementations. They will ensure that complex,… more
