- Elevance Health (St. Louis, MO)
- …an Elevance Health location. Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for ... designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and interprets data in… more
- J&J Family of Companies (Jefferson City, MO)
- Medical Director / Sr. Med Director , Clinical Research - Prostate - 2406167483W **Description** At Johnson & Johnson, we believe health is everything. Our ... of Companies, is recruiting for a Medical Director /Senior Medical Director - Clinical ...regular coaching and feedback. + Leads execution of research programs for an area of clinical development… more
- Humana (Jefferson City, MO)
- …on consistency in outcomes, consumer experiences and a highly engaged team culture The Medical Director conducts clinical case reviews of requests received ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. This is… more
- HCA Healthcare (Kansas City, MO)
- …and initializing timely, appropriate patient transfers. In collaboration with the Rehab Medical Director , the Clinical Rehabilitation Specialist ensures ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that...and off-site clinical evaluations to assist Rehab Medical Director in establishing patient eligibility for… more
- The Cigna Group (St. Louis, MO)
- …delivery models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical staff to provide a comprehensive management ... critical business metrics such as member and client satisfaction, clinical support and clinical solution program...relationship skills needed in order to facilitate upsell of clinical programs and retain clients. + Strong… more
- Elevance Health (St. Louis, MO)
- …and determination reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing ... Operations team is looking to hire a **Senior Medical Director ** to manage a team of...the clinical integrity of broad and significant clinical programs . _Position can work 1 day… more
- The Cigna Group (St. Louis, MO)
- …the SVP PBM Account Management, the Express Scripts PBM Medical Managing Director serves as strategic clinical account visionary, constructing clinical ... solutions for Express Scripts. The Express Scripts PBM Medical Managing Director will also play a...practice; helps identify barriers, positioning, and strategies from a medical / clinical perspective. + Partner with cross-functional senior… more
- Elevance Health (St. Louis, MO)
- ** Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management** **Interventional Pain Benefit Review** **Location** : This ... set of clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director ** is responsible for supporting the… more
- Elevance Health (St. Louis, MO)
- ** Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On ... expanding set of clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director supporting our Medical … more
- Elevance Health (St. Louis, MO)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program ... who will be responsible for appeals reviews within our Medicaid and Medicare programs .** The **Behavioral Health Medical Director ** is responsible for… more
- Elevance Health (St. Louis, MO)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program . How you will make an… more
- Elevance Health (St. Louis, MO)
- …contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product Line, overseeing ... Medical Benefits Management is looking to hire a **National Solution Medical Director for Post Acute Care Solutions** . This high-performing individual… more
- Elevance Health (St. Louis, MO)
- ** Clinical Operations Associate Medical Director ** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management** _A proud member of the ... of clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Associate Medical Director of Neurosurgery** responsible… more
- Elevance Health (St. Louis, MO)
- ** Clinical Operations Associate Medical Director ** **Carelon Insights** **Post Acute Care Utilization Review** _Schedule: 11-8 Central Time_ A proud member ... advancement of care for the people we serve. The ** Clinical Operations Associate Medical Director **...such as, a comprehensive benefits package, incentive and recognition programs , equity stock purchase and 401k contribution (all benefits… more
- Mindoula Health (MO)
- …populations. The Program Director of the Substance Use Disorders Program is the clinical lead responsible for clinical operations, performance, ... and outcomes across multiple states. The Program Director will be directing a multidisciplinary...programs and partnerships. What you'll need + A clinical master's degree with 5+ years of leadership experience… more
- CenterWell (Jefferson City, MO)
- …practice/primary care practice. + 5-7+ years of progressive clinical pharmacy program leadership experience as a manager, director , or higher overseeing ... utilization in pharmacy-related care, and serve as a national clinical program leader within our growing Complex...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Prime Therapeutics (Jefferson City, MO)
- … pharmacy programs involving Medical Specialty medications and additional clinical programs as needed. Expected to assume leadership of projects as ... and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- PharmD/RPH required- REMOTE... involving Medical Specialty medications and additional clinical programs as needed. Expected to assume… more
- Universal Health Services (Nevada, MO)
- …Ensures 24/7 professional care coverage is maintained and serves as a resource to all clinical programs 24/7. DCS must be willing to carry a caseload, as needed, ... Responsibilities Director of Clinical Services Opportunity -...+ Competitive Compensation + Loan Repayment and Tuition Reimbursement Program + Excellent Medical , Dental, Vision and… more
- Prime Therapeutics (Jefferson City, MO)
- …+ Partners with appropriate staff in the identification, sale and measurement of clinical program enhancements and better practices. + Assists with legislative ... and drives every decision we make. **Job Posting Title** Director , Clinical Account Services - Remote Nevada...cost of care and the overall administration of the programs . Activities address impact on customers, operations, program… more
- Crossroads Hospice & Palliative Care (Chesterfield, MO)
- …the best end-of-life experience to patients and families in our community. As a Clinical Director for Crossroads Hospice, you oversee all direct and indirect ... patient/client services provided by clinical staff. Define and communicate expectations regarding the quality...of patient and family needs. + Manage the CQI program as directed. This would include conducting a quarterly… more