- Children's Mercy Kansas City (Kansas City, MO)
- …continued patient stays with Attending Physician, Physician Advisor , Inpatient Nurse Care Manager, and insurance/ payer . + Collaborates with Revenue Cycle to ... the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance knowledge, business… more
- Humana (Jefferson City, MO)
- …Partner with national innovation teams to pilot and scale emerging technologies and care models (eg, remote monitoring, clinical pathways, tech-enabled care ... and cross-functional collaboration. The RVP acts as a key advisor , innovator, and relationship builder, ensuring alignment with Humana's...years clinical practice + 5 + years in managed care industry, either provider or payer . +… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …are key. + Background in specialty pharmacy business development, healthcare consulting, payer relations, or value-based care models. + Understanding regulatory ... Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being.… more
- Cardinal Health (Jefferson City, MO)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class...client expenses when possible while never sacrificing quality of care . + Urgently resolve, escalate, and own issues negatively… more
- Evolent (Jefferson City, MO)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to ... clinical outcomes to identify cost drivers, utilization patterns, and opportunities for integrated care solutions using SQL, SAS, Excel, and Power BI (or similar BI… more
- Ascension Health (St. Louis, MO)
- …quality outcomes and financial success + **Department:** Revenue Cycle + **Location:** Remote **Benefits** Paid time off (PTO) Various health insurance options & ... revenue cycle functions. + Ensure compliance with all federal, state, and payer regulations related to coding, documentation, and revenue integrity. + Manage… more