- 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
- Datavant (Jefferson City, MO)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead ... multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …complexity in both in-line brand stewardship and upcoming product launches, the Associate Director , Channel Strategy and Patient Affordability will serve as a ... execution with long-term scalability. With increasing external pressures (eg, 340B, patient leakage) and internal shifts (eg, LOE management , innovative… 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 ... the lives of children beyond the walls of our hospital. Overview The Director of Care Management responsible for providing leadership, strategic planning, and… more
- United Therapeutics (Jefferson City, MO)
- …and development of clinical content + Demonstrated high competency in clinical management , conversations, patient management , and clinical/nursing processes ... are well versed on PAH disease state, disease progression, risk stratification, therapies, and clinical considerations. You are ultimately...you can truly make a difference. The Regional Field Director , RNS Program Management serves as a… more
- ChenMed (St. Louis, MO)
- …+ Knowledge of clinical outcomes and quality improvement processes. + Experience of population risk management or complex chronic disease care management . + ... Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board...training and have attained partnership. + Experience with population risk management or complex chronic disease care… more
- Centene Corporation (Jefferson City, MO)
- …standards. + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality ... and membership. + Conduct regular rounds to assess and coordinate care for high- risk patients, collaborating with care management teams to optimize outcomes. +… more
- Blue KC (Kansas City, MO)
- …available to stakeholders, and available for transformative analytics capabilities. The Director oversees all aspects of enterprise data management , including ... adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director of Enterprise Data & Analytics is responsible for leading and… more
- Evolent (Jefferson City, MO)
- …- Cardiovascular Medicine** to play a critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This ... cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk -based models.** + Process improvement and… more
- Evolent (Jefferson City, MO)
- …organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, ... the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex… more