• Remote Medical Director

    Centene Corporation (Jefferson City, MO)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (10/11/25)
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  • Medical Director -National UM Team…

    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...in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external… more
    Humana (10/25/25)
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  • Inpatient Audit Specialist

    Datavant (Jefferson City, MO)
    …SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
    Datavant (10/09/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Jefferson City, MO)
    …scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... caring community and help us put health first** The Medical Director relies on medical ...or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of… more
    Humana (10/25/25)
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  • Medical Director - Claims Management

    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...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
    Humana (11/01/25)
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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 judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
    Humana (09/16/25)
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  • Medical Director - OneHome

    Humana (Jefferson City, MO)
    …Solutions as needed + Other activities as assigned by the managing Medical Director Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare… more
    Humana (10/30/25)
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  • OneHome - Medical Director - Part…

    Humana (Jefferson City, MO)
    …as needed** + **Other activities as assigned by the managing Medical Director ** Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution** **Preferred Qualifications** + Experience in an inpatient environment and/or related to care of a Medicare… more
    Humana (10/17/25)
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  • Associate Director , Market Access…

    Sumitomo Pharma (Jefferson City, MO)
    …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... access/commercial experience. Rare disease experience is preferred + Excellent virtual/ remote customer engagement skills along with verbal and written communication… more
    Sumitomo Pharma (10/31/25)
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