- Centene Corporation (Jefferson City, MO)
- …leadership to the development, implementation, monitoring, and ongoing improvement of the utilization management process + Provides senior leadership team ... achieve functional goals, and communicates goals to utilization management team + Works with senior leadership to ensure the utilization process is… more
- Evolent (Jefferson City, MO)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On ... or regions, assuming overall accountability for utilization management while working in conjunction with the Senior... management while working in conjunction with the Senior Medical Director . **Qualifications - Required and… more
- Evolent (Jefferson City, MO)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. We can offer you a… more
- Prime Therapeutics (Jefferson City, MO)
- …Posting Title** Sr. Director Actuarial Services - Remote **Job Description** The Senior Director of Actuarial Services leads a team of actuaries responsible ... and complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related… more
- Cardinal Health (Jefferson City, MO)
- …customers, and suppliers at various management levels; may interact with senior management . + Interactions normally involve resolution of issues related to ... Market Director of Pharmacy provides overall leadership direction and management assistance of operation processes and initiatives within the system for their… more
- Cardinal Health (Jefferson City, MO)
- …outcomes, and customers + Interacts with internal and/or external leaders, including senior management + Persuades others into agreement in sensitive situations ... and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This… more
- Centene Corporation (Jefferson City, MO)
- …such as mental health parity, community services overutilization, prior authorization, and utilization management reform. + Serve as the internal subject matter ... health, providing strategic consultation and guidance to cross-functional partners such as Utilization Management , Care Management , Network, Quality, etc. +… more
- Verint Systems, Inc. (Jefferson City, MO)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... for senior leadership, creating content for employee information sessions and...four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday… more
- GAF (Jefferson City, MO)
- …GAF. And under this roof, we protect what matters most. Summary: The Director of Environmental Compliance is in charge of establishing, implementing, and overseeing ... to identify root causes and effective corrective actions. + Partnering with Senior Leadership on potential acquisitions. + Liaise with internal and external counsel… more
- Intermountain Health (Jefferson City, MO)
- …analysis and total cost of ownership understanding and analysis, implements demand management strategies, utilization management strategies and supply ... Intermountain Healthcare. (c) This position also manages key stakeholder relationship management (CRM), coordinating complex and critical projects in the supply… more
- Prime Therapeutics (Jefferson City, MO)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential ... notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization,… more
- Evolent (Jefferson City, MO)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of...utilization management decisions made by all clinical staff + Ensures… more
- Fujifilm (Jefferson City, MO)
- …HCC Risk Biomarkers sales through that community. As assigned interface with Senior Management teams from major IVD manufacturers. Maintain a comprehensive ... and maintaining key customer database. + Demonstrate competency with key account management , best practices, and selling skills. + Liaise with office and laboratory… more
- Prime Therapeutics (Jefferson City, MO)
- …and ability to adjust focus **Reporting Structure** + Reports to Manager or Director in the Network Management , Consulting Analytics or Operations & Planning ... Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, analyses, and consultation to internal… more
- Eliassen Group (Jefferson City, MO)
- …focus on AI and natural language processing technologies. The resource will report to the Senior Director of Quality Management and will follow the best ... o Performance testing to evaluate response times, system load, and resource utilization . o Usability testing to assess the user experience and identify areas… more