- The Cigna Group (St. Louis, MO)
- …Operations Senior Advisor will report to the Stars and Risk Adjustment Managing Director and will be responsible for internal and external team communications and ... the other lines of businesses, stakeholders, and matrix partners (ex. Clinical , Compliance, Operations, Growth, Finance, etc.), providing proactive identification of… more
- Elevance Health (St. Louis, MO)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Phoenix Home Care and Hospice (St. Louis, MO)
- …be required to provide support to both the nursing staff and the director of nursing, while maintaining a compassionate approach towards the patients. Benefits + ... Multiple Major Medical Plans to Choose From ( Medical , Dental...culture, training, and Supportive Home Health Team. We are Medicare Certified and State Licensed. Responsibilities + Partners with… more
- The ALS Association (St. Louis, MO)
- …nationwide network of chapters, coordinating multidisciplinary care through certified clinical care centers, and fostering government partnerships, The Association ... Manager, Care Services will also facilitate education, information, benefit, and clinical resource navigation assistance to persons diagnosed with ALS and… more
- The Cigna Group (St. Louis, MO)
- …and rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited ... facility systems as well as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. +… more
- Option Care Health (St. Louis, MO)
- …and delivering presentations within Option Care and externally with customers (ex. medical director , head of case management, executive c-suite individuals). ... oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + benefits) as well as … more
- Aveanna (St. Louis, MO)
- …and interventions is a bonus. Additional Job Functions + Review/discuss caseload with Aveanna's Clinical Director at least once a month. + Assists and guide ... goals and expected outcomes. + Serves as a resource consultant for clinical staff Speech Language Pathologist (SLP CFY) Qualifications: + Meets the qualifications… more
- Aveanna (St. Louis, MO)
- …and interventions is a bonus. Additional Job Functions + Review/discuss caseload with Aveanna's Clinical Director at least once a month. + Assists and guide ... needs, goals and expected outcomes. + Serves as a resource consultant for clinical staff. Requirements + Masters' Degree from accredited university or program in… more
- The Cigna Group (St. Louis, MO)
- …Stars and RA goals and objectives. This position reports to the Managing Director of Stars, Risk Adjustment, and Interoperability. The successful candidate for this ... workflow redesign, and staffing requirements. + Assist in driving Cigna Medicare interoperability advancement, working with Stars and RA leadership to identify… more