- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. + **Position Purpose:** Assist the Medicare Chief Medical Officer to develop and implement our enterprise ... improvement and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assist the Medicare CMO… more
- Centene Corporation (Jefferson City, MO)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality… more
- Humana (Jefferson City, MO)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Jefferson City, MO)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- GEHA (Lee's Summit, MO)
- …Health Association, Inc., pronounced GEHA) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and ... be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal...experience, sustained by a nimble and efficient organization. The Director of Pharmacy Operations & PBM Management will guide… more
- The Cigna Group (St. Louis, MO)
- …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... to work and influence cross-functional partners to achieve key initiatives and corporate goals + Demonstrated initiative with commitment and ability to work under… more
- Truman Medical Centers (Kansas City, MO)
- …+ Knowledge of insurance company, third-party and government reimbursement programs; ie Medicare , Medicaid, MC+, etc. + Knowledge of medical insurance billing ... for positions and apply.** Professional Billing Coding Supervisor (Remote) 101 Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri… more
- BJC HealthCare (St. Louis, MO)
- …and financial reporting for BJC HealthCare (24 hospitals 8 foundations and corporate Shared Services organization) system wide ($11B in net revenue). This leader ... Accounting Officer has 5 Direct Reports, VP-Accounting; VP-Reimbursement; VP-Disbursements; Director of Finance ERP and Director of...care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In… more