- Prime Therapeutics (Jefferson City, MO)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...client contacts, including information on the performance of the pharmacy program and the strategic account plan. + Identify,… more
- Zurich NA (Jefferson City, MO)
- …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- Humana (Jefferson City, MO)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- CenterWell (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... to identify potential trend benders **Responsibilities** + Lead our medical and pharmacy drug trend and pipeline forecasting process including month over month,… more
- Grifols Shared Services North America, Inc (Columbia, MO)
- …and services in more than 110 countries and regions. The Regional Sales Director (RSD) is a key member of the Bleeding Management Therapeutic Leadership Team ... and curiosity of key regional customers (ie hospital accounts and the Pharmacy , Anesthesiology, Critical Care, Labor and Delivery, Trauma or Blood Bank) and… more
- Centene Corporation (Jefferson City, MO)
- …with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participates ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Prime Therapeutics (Jefferson City, MO)
- …and drives every decision we make. **Job Posting Title** Trade Client Relations Director - Remote **Job Description** The Trade Client Relations Director is ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime… more
- CVS Health (Jefferson City, MO)
- …day. **Position Summary** CVS Health is seeking an experienced and innovative Director of AI Solutions Design to lead the development of artificial ... (preferably healthcare related), and the ability to drive impactful change. This Director will serve as the main point of contact/liaison for internal customers.… more
- Norstella (Jefferson City, MO)
- Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - Long-Term Innovation **Job Description** The Product Director is ... + Ability to work well across cross-functional teams including clinical , network management, operations, specialty, client engagement, market segment services… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on Prime's product roadmap across the Commercial, Government Programs… more
- Travelers Insurance Company (Jefferson City, MO)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
- United Therapeutics (Jefferson City, MO)
- …Who you are You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential things like account ... foster Trade Relations between United Therapeutics Corporation ("UTC") and Specialty Pharmacy Distribution entities. This role will contribute to UT interaction with… more
- CenterWell (Jefferson City, MO)
- …to billing processes, accounts receivables, and financial issues regarding non- clinical processes and clinical specifications impacting accounts receivable. ... Report information to appropriate line management. + Assume responsibilities of Director , as assigned, during Director 's absence. + Prepare departmental… more
- Prime Therapeutics (Jefferson City, MO)
- …**Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more