- Sumitomo Pharma (Jefferson City, MO)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Blue KC (Kansas City, MO)
- …adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Government Programs Risk Adjustment & Audit assumes ... in identification of operational and coding best practices in chronic condition management , understanding clinical suspects and monitoring of appropriate … more
- ChenMed (St. Louis, MO)
- …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical… more
- Highmark Health (Jefferson City, MO)
- …SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current ... clinical standards. The incumbent reviews escalated cases electronically and...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- United Therapeutics (Jefferson City, MO)
- …The Regional Field Director , RNS Program Management serves as a director of all clinical field activities on the commercial non-promotional team. In ... and development of clinical content + Demonstrated high competency in clinical management , conversations, patient management , and clinical /nursing… more
- Children's Mercy Kansas City (Kansas City, MO)
- …and denial management . + Partners with Revenue Cycle, Payor Relations, HIM and Risk Management in support of utilization management and high- risk ... children beyond the walls of our hospital. Overview The Director of Care Management responsible for providing...patients, and coworkers. + Utilizes knowledge of hospital processes, clinical patient care, state and federal regulations and payer… more
- Centene Corporation (Jefferson City, MO)
- …be 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, ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality… more
- Sunrise Senior Living (Chesterfield, MO)
- …health and safety. + Provide leadership and promotion of the Sunrise Safety and Risk Management policies. + Review all incident reports and ensures corrective ... NAME** Sunrise of Chesterfield **Job ID** 2025-228724 **JOB OVERVIEW** The Executive Director is responsible for overall leadership, management , and success of… more
- Evolent (Jefferson City, MO)
- …programs that include improvements to clinical effectiveness of utilization management (UM) and risk -based models.** + Process improvement and enhancement ... - Cardiovascular Medicine** to play a critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This… more
- Merck (Jefferson City, MO)
- …to headquarters submission (ex-USA). + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our ... **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting...an impactful member of Product Development Team sub-teams (eg, Clinical , V & I, Commercial, Publications). + Contributes to… more