- 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
- Community Health Systems (Poplar Bluff, MO)
- …of the care continuum. This role involves developing and implementing case management programs, including utilization review, intake or discharge planning, and ... effective planning, delivery, and follow-up. + Develop and implement care management programs, including utilization review, discharge planning, and managed… 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
- Cushman & Wakefield (St. Louis, MO)
- …Operations Director plays a crucial role in collaborating with senior Portfolio Administration (PA) leaders to develop performance goals and long-term ... **Job Title** Global Operations Director , Portfolio Administration **Job Description Summary** Global Operations Director , Portfolio Administration Job Summary… 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 (Columbia, 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
- Post Holdings Inc. (St. Louis, MO)
- …purchasing recommendations to support business goals in collaboration with the Senior Manager, Food Ingredients and BU stakeholders and driving continuous ... and PHI as needed Recommends strategies, schedules and work requirements to Director , Commodities, and Ingredients to ensure that business activities meet time and… more
- HCA Healthcare (Kansas City, MO)
- …The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating ... supporting a balance of optimal care and appropriate resource utilization . + Serves as a role model and functions...daily, weekly and monthly reports as assigned by the Director of Case Management . + Covers staff… more
- WFF Facility Services (St. Louis, MO)
- …HES Facility Services. The purpose of this position is to achieve the objectives of senior management and ownership with respect to each of these accounts. . ... Regional Manager- St. Louis ( Management ) St. Louis, MO, United States of America...able to train new staff and support staffing through utilization of the system. 3. Conducts ongoing teaching and… 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
- CenterWell (St. Louis, MO)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Winland Foods (Excelsior Springs, MO)
- Position Summary: Under the direction of the Corporate Director of Reliability, the Corporate Reliability Engineer will be responsible for partnering with the plant ... enables positive results in equipment availability, performance, uptime, cost and utilization . Additionally, this position will work closely with other departments,… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …needs. Quality Improvement Serves as lead physician for quality improvement initiatives and utilization management . Budget and Fiscal Management Under the ... with those services reporting to the Nurse Executive, Deputy Director , and Associate Director to implement key...Louis Health Care System goals. Utilize data for consult management to ensure timeliness metrics are met for open… more