• Compass Health Network (Columbia, MO)
    …and provides direct clinical and medical services to persons enrolled in the Health Care Home through a "whole person" approach. This is full-time, benefit ... and education for community and office-based staff about identifiable health conditionsAssist in contacting/collaborating with medical providers regarding… more
    JobGet (04/29/24)
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  • Compass Health Network (Columbia, MO)
    …and provides direct clinical and medical services to persons enrolled in the Health Care Home through a "whole person" approach. This is full-time, benefit ... consultation and education for community and office-based staff about identifiable health conditions* Assist in contacting/collaborating with medical providers… more
    JobGet (04/29/24)
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  • Medical Director - Home

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
    Humana (05/03/24)
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  • Behavioral Health Medical

    Humana (Jefferson City, MO)
    …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
    Humana (04/09/24)
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  • Medical Director - North Central…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/25/24)
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  • Associate Director , Medical Value…

    Sanofi Group (Jefferson City, MO)
    …& Outcomes (MVO) team member (Senior Manager, Associate Director or Director ) serves as the medical scientific lead for population-based healthcare decision ... Identify, develop and maintain credible scientific partnerships with key medical , pharmacy, quality & health economics/outcomes/analytics healthcare… more
    Sanofi Group (04/29/24)
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  • Medical Director - Florida

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/04/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help 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 ranging from moderate to substantial. The… more
    Humana (05/02/24)
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  • Medical Director - Mid West Region

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/12/24)
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  • Group Product Director , GU Thought Leader…

    J&J Family of Companies (Jefferson City, MO)
    Group Product Director , GU Thought Leader Engagement, Medical Oncology - 2406186853W **Description** Johnson & Johnson is recruiting for Group Product ... Director , GU Thought Leader Engagement, Medical Oncology....based position with significant travel to customers and the home office in Horsham, PA. This is a field-based… more
    J&J Family of Companies (05/08/24)
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  • Director , Business Development…

    Cardinal Health (Jefferson City, MO)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (04/11/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Jefferson City, MO)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
    CenterWell (04/28/24)
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  • Associate Director - Network Adequacy

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
    Humana (04/24/24)
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  • Associate Director - Business Systems…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Associate Director , Business Systems Analysis performs analysis of business, process ... analysis and translation into proper system requirement specifications. The Associate Director , Business Systems Analysis requires a solid understanding of how… more
    Humana (05/08/24)
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  • National Director , Transitional Care…

    CenterWell (Jefferson City, MO)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
    CenterWell (05/03/24)
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  • Director , Associate Benefits

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Director , Associate Benefits applies forward-looking, innovative thought to design, ... make the company, and each of its divisions, an employer-of-choice. The Director , Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and… more
    Humana (05/03/24)
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  • Associate Director - Salesforce

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** As the Associate Director , Salesforce Technology, you will be at the forefront of devising ... transforming Primary Care through technology and innovation. The Associate Director , Technology Solutions acts as a liaison and collaborates...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (05/03/24)
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  • Director , Group Medicare Sales and Labor…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations requires an...Sales & Labor Relations leads a team that sells health insurance and related products to new group accounts… more
    Humana (04/12/24)
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  • Director of Denial Improvement

    SSM Health (Jefferson City, MO)
    …involved in supporting denials activities spanning multiple states, regional health ministries, payer environments, and technologies to direct teams accordingly ... to key stakeholders. + Serves as a liaison to members of the medical staff and other regional colleagues, regarding denial management processes, systems, and… more
    SSM Health (03/13/24)
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  • Associate Director , Business Intelligence

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Associate Director , Business Intelligence for CPSS Data and Analytics will support the ... + Prior health insurance industry experience **Additional Information** **Work at Home /Remote Requirements** At minimum, a download speed of 25 Mbps and an… more
    Humana (05/02/24)
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