- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. **Position Summary** The ** Medicaid Policy Administrator ** is responsible for supporting the development, ... and other projects. This person is responsible for facilitating the Aetna Medicaid Policy Committee ( _AMPC_ ) process for multiple Medicaid markets.… more
- Prime Therapeutics (Jefferson City, MO)
- …role is dedicated to the government program compliance in the Medicare, Medicaid , and the Affordable Care Act (ACA) spaces. **Responsibilities** + Executes ... compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are… more
- CenterWell (Gladstone, MO)
- …care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional ... quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets...and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five… more
- Prime Therapeutics (Jefferson City, MO)
- …and maintained. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting ... to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator , Utilization Review Organization, Business, State registrations, etc); compile… more
- SSM Health (St. Louis, MO)
- …+ Develops, reviews and analyzes reporting mechanisms and Third Party Administrator (TPA) key performance indicators to compile operational results of the ... Compliance, Supply Chain, Finance, Information Technology and Legal). + Prepares department Policy and Procedures in line with HRSA guidelines. + Monitor state- and… more