- Intra-Cellular Therapies, Inc (Kansas City, MO)
- Benefits Offered 401K, Dental, Life, Medical , Vision Employment Type Full-Time "We deliver innovative treatments to improve the lives of individuals suffering from ... by high impact resource allocation decisions. RBMs will also assume ownership and management of a wide range of customer interactions as well as accountability for… more
- Humana (Jefferson City, MO)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Blue KC (MO)
- …in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical policy, notifies providers and ... accord with medical policy. Opens case and follows NCQA case management standards. Documents transplant authorization, issues authorization letters, and follows… more
- Humana (Jefferson City, MO)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Centene Corporation (Jefferson City, MO)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Humana (Jefferson City, MO)
- …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Centene Corporation (Jefferson City, MO)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the… more
- Blue KC (MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The Lead Medical Director actively uses their clinical training, experience, ... level of care, and/or requested site of service should be authorized. The Medical Director will apply various clinical policies, state and federal guidance,… more
- Humana (Jefferson City, MO)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** ** Director , Revenue Cycle Management for BJC HealthCare** _Oversight of the claims /billing team to ... million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Blue KC (MO)
- …Summary:** Provides medical leadership and physician advice for the Medical Management function. Additionally, provides leadership and advice to other ... development for a major program or functional area within Medical Management , eg, medical policy,...providers in the community. + Reviews customer service and claims inquiries. **Minimum Qualifications** + MD or DO degree… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more
- Evolent (Jefferson City, MO)
- …on oncology and member-centric products. This role plays a critical part in both ** Medical Cost Management ** and **Product Management ** , leveraging advanced ... mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is… more
- Sedgwick (Kansas City, MO)
- …Insurance Marketing Technology Director **PRIMARY PURPOSE OF THE ROLE:** The Director , Marketing Technology leads the strategy and management of our current ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental, vision, 401K, PTO and more. The statements contained in… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... technology transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:**… more
