- Elevance Health (St. Louis, MO)
- **Diagnosis Related Group Clinical Validation Auditor** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (St. Louis, MO)
- …a minimum of 5 years clinical experience. + Preferred experience in a Clinical Fraud and Abuse Investigation area, dental office administration, dental ... ** Clinical Fraud Investigator II** **Location: This position will...control. + Review and conducts analysis of claims and dental medical records as related prior to payment. +… more
- Elevance Health (St. Louis, MO)
- ** Clinical Fraud Investigator II - SIU Fraud &...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Elevance Health (St. Louis, MO)
- ** Clinical Review Nurse I - Medicare Part A**...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is responsible for reviewing and...programs (unless covered by a collective bargaining agreement), medical, dental , vision, short and long term disability benefits, 401(k)… more
- Elevance Health (St. Louis, MO)
- ** Clinical Provider Auditor I** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying issues and/or… more
- Elevance Health (St. Louis, MO)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians...AS in nursing and minimum of 5 years of clinical experience and minimum of 2 years of claims… more
- Pfizer (Chesterfield, MO)
- **ROLE SUMMARY** The Lead Engineer, Facility & Maintenance Operations provides technical competency in assuming liaison and/or control responsibility for various ... Skills** + Experience with the design and installation of clinical manufacturing, laboratory and administration work areas, and facility...and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's… more
- Burrell Behavioral Health (St. Charles, MO)
- …you to join our team. Position Perks & Benefits: * Employee benefits package - health, dental , vision, retirement, life, & more** * Paid time off - 29 days per year ... including vacation & holiday pay * Clinical supervision - provided free* for PLPC, LMSW, PLMFT * Additional income opportunities - for LPC & LCSW (provide… more
- Aspen Dental (Florissant, MO)
- …thrive in your career. When you join our team as a **Supervisor,** which at Aspen Dental we call an Operations Lead , you will have the opportunity to give back ... are independently owned and operated by licensed dentists. The practices receive non- clinical business support services from Aspen Dental Management, Inc., a… more
- Envista Holdings Corporation (St. Louis, MO)
- …to best position the most suitable Ormco solution for the account needs. + Lead translator of technical product information, clinical value, and efficiency gains ... orthodontics, and digital imaging technologies, covers an estimated 90% of dentists' clinical needs for diagnosing, treating, and preventing dental conditions as… more
- Amgen (St. Louis, MO)
- …serve as a study lead + Liaise with potential investigators in non-sponsored clinical research + Lead and/or participate on project teams that support MSL ... will support the MSL TA head and local TA lead in developing local territory R&D tactics. The MSL...+ Engage with healthcare partners to educate and communicate clinical and scientific data to advance the scientific platform… more
- AT Still University (St. Louis, MO)
- …students in the Comprehensive Care Unit (CCU) to assure the attainment of pre-doctoral clinical competency in all dental areas. **Major job duties:** + Manage D3 ... Louis and Kirksville to train adjunct faculty to achieve clinical calibration. + Provide direction over the dental...additional duties as assigned by the Vice Dean of Clinical Education, Operations and Community Partnerships. + Lead… more
- AT Still University (St. Louis, MO)
- …MOSDOH students in the comprehensive care unit (CCU), ensuring they achieve predoctoral clinical competency in all dental areas. At ATSU, we value inclusivity, ... Louis and Kirksville to train adjunct faculty to achieve clinical calibration. + Provide direction over the dental...Perform additional duties as assigned by the Director of Clinical Faculty. + Lead CCU Director's NPI… more
- Elevance Health (St. Louis, MO)
- …appropriate and consistent administration of plan benefits through collecting clinical information required to preauthorize services, assess medical necessity, out ... and appropriateness of treatment setting and applying appropriate medical policies, clinical guidelines, plan benefits, and/or scripted algorithms within scope of… more
- Elevance Health (St. Louis, MO)
- …reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members ... Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity… more
- Hospital Sisters Health System (HSHS) (O'Fallon, IL)
- …Hospital Sisters Health System is looking for a Chief Medical Officer to lead our Southern Illinois Market. The market structure includes four Illinois HSHS ... President & CEO with matrixed reporting into the HSHS System SVP Chief Clinical Officer. The ideal candidate is a seasoned collaborative physician leader that is… more
- Elevance Health (St. Louis, MO)
- …Public Policy Institute (PPI). **How you will make an impact:** + Lead and support the design and execution of pharmacoepidemiology research, including ... active monitoring studies. + Provide epidemiology subject matter expertise and lead or support research activities related to scientific study design, application… more
- ThermoFisher Scientific (St. Louis, MO)
- …(MSA) team. In this role, you will have the unique opportunity to lead the strategic and functional aspects for the ImmunoDiagnostics Division (IDD). This role ... trips to Uppsala, Sweden. **What will you do?** **Medical, Scientific and Clinical Strategy** + Develop a comprehensive medical strategy to raise awareness and… more
- Elevance Health (St. Louis, MO)
- …of treatment setting and level of care. + Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention ... planning, and general clinical guidance. + Collaborates with providers to assess consumer...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (St. Louis, MO)
- …IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacist ... alternative medications. + Serves as a resource to the clinical team in disease management and other clinical...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more