- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- CenterWell (Jefferson City, MO)
- …part of our caring community and help us put health first** The Associate Director , Clinical Strategy and Practice builds strategies for development, engagement, ... and processes for clinical community within the enterprise. The Associate Director , Clinical Strategy and Practice requires...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Jefferson City, MO)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
- Humana (Jefferson City, MO)
- …us put health first** We are seeking a strategic, collaborative, and results-driven Associate Director to lead the development and execution of leadership and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Jefferson City, MO)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Lilly (St. Louis, MO)
- …entry (VEEVA, Sharepoint, Microsoft Office, Pub Med, expense reports, etc.), continual compliance of all procedural requirements of the role (ie good documentation ... its sole discretion and Lilly's compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees. \#WeAreLilly more
- Humana (Jefferson City, MO)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Jefferson City, MO)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Jefferson City, MO)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Jefferson City, MO)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… more
- Community Health Systems (Kirksville, MO)
- **Nursing Director of Emergency / Trauma Services @ Northeast Regional Medical Center** An exciting career opportunity is now available for a **Nursing Director ... and families in the community we call home. **POSITION PURPOSE** The Director of Emergency and Trauma Services plans, organizes, directs, coordinates, and evaluates… more
- CenterWell (St. Louis, MO)
- …sit on-site at our St Louis, MO** **branch location.** The **RN Branch Director ** is accountable for managing the day-to-day branch operations to ensure the ... following: operational efficiencies, quality of patient care, regulatory compliance , support of business development & patient base growth, achievement of key… more
- Humana (Jefferson City, MO)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- CenterWell (Jefferson City, MO)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- Humana (Jefferson City, MO)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Community Health Systems (Kirksville, MO)
- **Job Summary** The Compliance Coordinator provides support to the Senior Vice President, Chief Compliance and Privacy Officer ("CCO") and to members of the ... Corporate or Facility Compliance Department. The Coordinator maintains the day-to-day administrative operations...+ Complies with all policies and standards. **Qualifications** + Associate Degree or equivalent work experience preferred + 3-6… more
- CenterWell (St. Louis, MO)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to… more
- Community Health Systems (Poplar Bluff, MO)
- …decisions. + Communicates appropriate information to lead staff member, supervisor, manager or director in a timely manner. + Maintains a clear, neat and safe ... skills. + Adheres to safety standards for staff and patients, and encourages compliance by others. + Provides services with respect to human dignity and the… more