- Evolent (Jefferson City, MO)
- …on organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, ... medical economics related position within Utilization Management /Clinical Vendor Management functions + Knowledge of healthcare underwriting methodologies +… more
- Copeland (St. Louis, MO)
- …+ Provide insights and recommendations to enhance operational efficiency, strengthen risk management practices, and improve overall governance processes + ... and experienced professional to join our organization as the Director of Internal Audit. In this role, you will...will: + Act as a trusted advisor to senior management , providing expert guidance and recommendations on internal control… more
- Lumeris (St. Louis, MO)
- …talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care ... and empowers you to make an impact. **Position:** Contracting Solutions Analytics Director **Position Summary:** Acts as an analytics Subject Matter Expert for… 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
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …ensuring the effectiveness of global systems. This role will also encompass document management , learning and development, risk management , data integrity ... **Job Summary** The Senior Director of Quality Strategy and Operations will be...to monitor Quality performance and drive data-driven decision-making. Maintain risk management toolkit and best practices. +… more
- The Cigna Group (St. Louis, MO)
- …Privacy Legal and Compliance Operations, IT, Cigna Information Protection, and Enterprise Risk Management , and other stakeholders to ensure coordinated incident ... + Collaborate with partners in lines of business, legal, risk management and compliance to drive improvements...management role is required** + Deep knowledge of healthcare privacy regulations, including HIPAA and state and federal… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …in both in-line brand stewardship and upcoming product launches, the Associate Director , Channel Strategy and Patient Affordability will serve as a key strategic ... external pressures (eg, 340B, patient leakage) and internal shifts (eg, LOE management , innovative distribution models), this role will be critical in anticipating… more
- Sumitomo Pharma (Jefferson City, MO)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Director , Treasury & Corporate Insurance. The Director will manage global ... and Responsibilities** + Oversee and manage treasury operations including cash management , banking structure, and funding operations. + Oversee cash forecasting… more
- Evolent (Jefferson City, MO)
- …team looking for dedicated team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers ... Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: Kansas City, KS** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to the Provider ... or VP of Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for… more