- The Cigna Group (St. Louis, MO)
- …for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate contracting efforts ... and ensure alignment with clinical guidance within our trend solutions and contracting efforts. Meet with clinical leadership and SMEs to support efforts to… more
- American Express Global Business Travel (Jefferson City, MO)
- …+ Assists with developing timeline and deliverables for lifecycle between sourcing and contracting **What We're Looking For:** + Work closely with clients to ensure ... open and ongoing communication with the team regarding supplier utilization , key negotiations, performance, and unique programming ideas. +...+ Work on special projects as assigned by the Director or Operations Manager. + Keep abreast of industry… more
- GEHA (Lee's Summit, MO)
- …Development is responsible for overseeing the development and implementation of contracting activates for new provider recruitment and retention. This position is ... region to monitor key financial information, including fee schedule assignments, claims utilization , and fee review results to understand impact to GEHA and client… more
- Evolent (Jefferson City, MO)
- …both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . + ... patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** +...+ Knowledge of managed care principles, HMO and Risk Contracting arrangements a **plus but not required** **This… more