- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… 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 problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization ... requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Cardinal Health (Jefferson City, MO)
- …that resides within the Cardinal Health Biopharma Solutions group within Cardinal Health . The Director , Sales & Business Development - Sonexus (TM) Access ... customer initiatives. This position will report to the Sales Director . This is a remote, work from home...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Cardinal Health (Jefferson City, MO)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing ... unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- Cardinal Health (Jefferson City, MO)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan ... oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a dynamic and experienced Director , Campaign ... increase speed to market and optimize campaign plans + Familiarity with the health insurance or pharmacy marketing sector is highly desirable + Prior Marketing… more
- Conviva (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...a high speed DSL or cable modem for a home office. Associates or contractors who live and work… more
- Huron Consulting Group (Jefferson City, MO)
- …create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense ... of consulting and/or healthcare operations experience + One of the following, either home infusion experience or experience building a PBM. + Strong leadership and… more
- Elara Caring (Jefferson City, MO)
- …of Elara Caring's board of directors, executive team, and the leadership of the Home Health team. + Assists in implementing the rehabilitation needs by following ... preferred home setting. Wherever our patients call home and wherever they are on their health...opportunities for all employees + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Elara Caring (Jefferson City, MO)
- …have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying ... (CTM), direct care team members, the patient's physician or medical provider, and other facility staff overseeing patient care....1 year of experience of patient scheduling in the home care agency setting is preferred + Demonstrates familiarity… more
- Elara Caring (Belle, MO)
- …of Elara Caring's board of directors, executive team, and the leadership of the Home Health team. + Evaluates the occupational therapy patient to determine the ... Supervises and/or provides clinical direction to the Certified Occupational Therapy Assistant (COTA), Home Health Aide (HHA), and clinical staff to ensure the… more
- Evolent Health (Jefferson City, MO)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Evolent Health (Jefferson City, MO)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent Health (Jefferson City, MO)
- …approach with call center staff. Initial clinical reviewers are supported by field medical director (MDs) in the utilization management determination process. + ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
- Evolent Health (Jefferson City, MO)
- …required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more