- Highmark Health (Jefferson City, MO)
- …will require that this team keeps abreast of new developments in both the public and private reimbursement space, including new innovative models developed by CMS to ... Economist approach to build and maintain analytical models that performs evaluation of reimbursement models. Continuously evaluates models and seeks for innovative… more
- Humana (Jefferson City, MO)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...the analysis of situations or data requires an in-depth evaluation of variable factors. **Become a part of our… more
- Humana (Jefferson City, MO)
- …to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business… more
- Humana (Jefferson City, MO)
- …complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business… more
- The Cigna Group (St. Louis, MO)
- **Job Description Summary** The Clinical Program Director sets clinical strategy to drive improvements in health, patient experience, and health disparities. This ... and other opportunities. This role involves strategic planning, implementation, and evaluation of health improvement initiatives with a strong focus on generating… more
- Chemours (Jefferson City, MO)
- …others, to ensure coordination and integration of the company's public policy agenda. + Support Chemours' evaluation and engagement in industry coalitions ... high degree of knowledge about the political, economic, and social factors affecting public policy decision making; how engagement with government officials can… more
- Sunrise Senior Living (Webster Groves, MO)
- …+ Prepare and review the activity calendar and newsletter with the Executive Director (ED) prior to submitting for printing. + Coordinate with other department ... laws and regulations as applicable. + Maintain a robust public relations program in support of the activities programming...the activity program with the assistance of the Executive Director . + Train team members with the assistance of… more
- SSM Health (St. Louis, MO)
- …or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, ... F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients… more
- SSM Health (St. Louis, MO)
- …or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, ... F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients… more
- SSM Health (St. Louis, MO)
- …or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, ... F) Reports variation from care / treatment following the occurrence reporting policy and procedures. 5) Specialized Care: Provides specialized care to patients at… more