• Director , Clinical Payment

    Centene Corporation (Jefferson City, MO)
    …federal regulations as well as company policies. + Responsibilities: + Oversee retrospective clinical audits to ensure accurate and timely payment of claims. + ... Interpret review results, develop action plans and present findings to senior management + Develop and implement continuous processes from analytic design to final report stage + Design, develop, and implement internal audit programs, policies, and procedures… more
    Centene Corporation (12/06/25)
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  • Medical Director - Payment

    Humana (Jefferson City, MO)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (12/11/25)
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  • Senior Director , Global Clinical

    Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
    …**Position Summary** Otsuka is seeking an experienced and visionary Senior Director , Global Clinical Development (GCD), with experience in immunology, ... and ensuring the highest standards of scientific and medical integrity . The incumbent will be responsible for the design...research programs and protocols for OPDC products under good clinical practices (GCP). The Senior Director , GCD… more
    Otsuka America Pharmaceutical Inc. (11/18/25)
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  • Associate Director , Global Product Quality…

    Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
    **Job Summary** The Associate Director , Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at ... biologics-specific GMP requirements. This role has global responsibility for directing clinical and commercial product quality to ensure global supply for Otsuka's… more
    Otsuka America Pharmaceutical Inc. (12/02/25)
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  • Senior Clinical Review Nurse…

    Centene Corporation (Jefferson City, MO)
    …Time Zone)** **We are seeking candidates with strong experience in payment integrity and utilization review.** **Education/Experience:** Requires Graduate from ... care issues and, if identified, refer to the Medical Director for review and verification + Applies clinical... Director for review and verification + Applies clinical knowledge to ensure compliance with medical necessity guidelines,… more
    Centene Corporation (12/07/25)
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  • Senior Healthcare Data Specialist

    IQVIA (Kansas City, MO)
    …support critical observational studies, including population health, disease monitoring, clinical trials, and health surveillance. The Senior Healthcare Data ... from conception to ongoing maintenance, with a primary emphasis on ensuring data integrity , quality, and adherence to US healthcare standards. The goal is to deliver… more
    IQVIA (10/21/25)
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  • Care Partner - PRN

    SSM Health (St. Louis, MO)
    …Correctly places restraints; observes for constriction of circulation, changes to skin integrity , adequate breathing; knows when and how to change position; provides ... student nurse: The student nurse who has completed two clinical rotations, one of which is Medical Surgical Nursing,...must be provided by the student to the Nurse Manager/ Director of Nursing to effect an advancement in pay.… more
    SSM Health (11/21/25)
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  • Special Event Tech - PRN

    SSM Health (St. Louis, MO)
    …nurse in a timely manner. Promptly notifies the charge nurse, Nurse Manger or Director of Nursing of departmental problems. Is accountable for all ED nursing care ... activities referring unusual problems to the Charge Nurse, Nurse Manager or Director of Nursing. L) Recognizes needs and initiates appropriate action in regard… more
    SSM Health (11/20/25)
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  • Skipta Solution Consultant

    Norstella (Jefferson City, MO)
    …and delivers must-have answers and insights, leveraging AI, for critical strategic, clinical , and commercial decision-making. We help our clients: + Accelerate the ... data driven commercial and financial decisions + Match and recruit patients for clinical trials + Identify and address barriers to therapies Norstella serves most… more
    Norstella (12/11/25)
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  • Asst-Laboratory I

    SSM Health (St. Louis, MO)
    …title will be defined and assigned by the immediate department director /manager. **Job Responsibilities and Requirements:** STATEMENT OF PURPOSE Performs duties in ... to ADA guidelines. *1. Accurately and precisely performs duties following clinical procedures and standards. Ensures that patient identification information matches… more
    SSM Health (11/26/25)
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