- Highmark Health (Jefferson City, MO)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- 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. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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 judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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 judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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 judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Sumitomo Pharma (Jefferson City, MO)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Medical Director , Clinical Development - Oncology** . The medical ... of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Centene Corporation (Jefferson City, MO)
- …IRE and ALJ hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical review ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Sumitomo Pharma (Jefferson City, MO)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Highmark Health (Jefferson City, MO)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Oracle (Jefferson City, MO)
- **Job Description** Fortune 100 information technology company seeks a Director , State and Local Government Affairs, reporting to the Vice President, State ... Government Affairs. The Director , State and Local Government Affairs will work with...before state and local government officials to advance company policy priorities and other objectives, including data center project… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Otsuka's federal strategies, engagement activities and policy priorities that promote access to therapies, preserve patient/provider choice, and generally protect… more
- Humana (Jefferson City, MO)
- …initiatives across Pharmacy, Primary Care, Home Solutions, the Office of the Chief Medical Officer, and Integrated Health. The Director and team will provide ... a part of our caring community and help us put health first** The Director , IT Portfolio Management collaborates with the business portfolio team to align the IT… more
- CenterWell (Jefferson City, MO)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... specific package offered will vary based on individual circumstances and company policy . **This is not a remote or work-from-home position. This position requires… more
- CenterWell (Jefferson City, MO)
- …community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: ... of key performance indicators, and people management/development. The Branch Director supervises the branch/clinical staff. Direct responsibility of ensuring the… more
- Ryder System (Jefferson City, MO)
- …the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy- policy ) ._ **Job Description** : **Summary** The Director Claims ... (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the physical damage team and handling… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... **Position Summary** Otsuka is seeking an experienced and visionary Senior Director , Global Clinical Development (GCD), with experience in immunology, who will… more
- Humana (Jefferson City, MO)
- …our caring community and help us put health first** The Associate Director , Technology Solution Implementation delivers new technological solutions to meet business ... a specified scope while aligned to enterprise objectives. The Associate Director , Technology Solution Implementation requires a solid understanding of how… more
- Western Digital (Jefferson City, MO)
- …we're the next BIG thing in data. **Job Description** **Job Summary:** The Director of Compensation leads the strategic design and operational execution of the ... compliant, scalable, and aligned with the company's strategic goals. The Director partners closely with senior HR leaders and business executives, advising… more