Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)KS$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Medical Billing Specialist The Whole PersonMedical Billing SpecialistKansas City, KansasGENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. ESSENTIAL JOB FUNCTIONS Submits claims to government and commercial payers according to timely filing requirements.
NewTravel OB/GYN Hospitalist Physician Team Health Holdings IncTravel OB/GYN Hospitalist PhysicianKansas City, MO$345,000–$552,000 / hourTeamHealth is seeking highly accomplished OB/GYNs to join our special operations team, an elite national group of physicians who provide clinical expertise, leadership, and operational stability across our network of hospital partners. As part of our elite Special Operations Team, you'll help strengthen OB/GYN hospitalist practices, support fellow clinicians, and improve patient care across the country while enjoying exceptional compensation, flexibility, and professional growth.
NewInsurance Auth Spec LincareInsurance Auth SpecGrain Valley, MOThe Insurance and Authorization Specialist is responsible for obtaining benefits and eligibility information and submitting authorization and subsequent re-authorization for patients requiring Enteral Nutrition or Oral Nutrition Supplements. High school diploma or general education degree (GED), related experience and/or training, or equivalent combination of education and experience.
SIU Investigator Centene Corporation GroupSIU InvestigatorKS$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Director of Physician Services I HCA Healthcare IncDirector of Physician Services ILees Summit, MOWhat you will do in this role: You will demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patientsIdentify opportunities for improvement and innovation, remove barriers and resistance, and enable desirable behaviorCollaborate effectively with Division service line leaders and hospital business development leadersProactively identify practice/business development opportunities to increase market shareDirect and manage strategic projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding, physician and staff trainingYou will have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practices. Recommends corrective action as requiredYou will have supervisory responsibility for physicians and practice staff as well as meet regularly with constituents including but not limited to operations leadership, physicians and hospital administration to review practice strategy, market and division goals, financial performance and practice key indicatorsOversee physician recruiting and contracting in collaboration with other Physician Services colleaguesWork with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNLees Summit, MissouriOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Clinical Data AMS Sr. Consultant Deloitte Touche Tohmatsu LtdClinical Data AMS Sr. ConsultantKansas City, MO$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Revenue Cycle Management (RCM) Regional Sales Advisory Executive - West Netsmart Technologies IncRevenue Cycle Management (RCM) Regional Sales Advisory Executive - WestOverland Park, KSIf you are energized by building pipeline, opening doors through your network, and helping healthcare organizations improve financial sustainability, this is an opportunity to make a meaningful impact with a respected advisory partner backed by the scale and innovation of Netsmart. You will bring deep RCM sales experience, an established network of healthcare executive relationships, and the ability to position subscription-based advisory and technology-enabled services that solve complex revenue cycle and margin improvement challenges.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantKansas City, MO$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Senior Forward Deployed Engineer, ServiceNow Deloitte Touche Tohmatsu LtdSenior Forward Deployed Engineer, ServiceNowKansas City, MO$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Senior Forward Deployed Engineer, Servicenow DeloitteSenior Forward Deployed Engineer, ServicenowKansas City, MO$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Comprehensive Care Advanced Care Practitioner Trinity Employment SpecialistsComprehensive Care Advanced Care PractitionerKansas City, MO$150,000–$160,000 / yearThis role focuses on improving outcomes for senior members by conducting comprehensive visits designed to identify and close outstanding care gaps, address chronic conditions, and ensure members receive coordinated, high-quality care. The ACP will see priority members either in clinic or through an approved telehealth platform and will work collaboratively with physicians, care teams, and support staff to provide proactive, patient-centered care.
Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Kansas City, MORemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerKansas City, MORemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Data Analyst WellSky CorpData AnalystOverland Park, KSThis role builds and maintains claims-based data extracts and performance measures, translates CMS methodologies and regulatory rules into production analytics, and partners with product and engineering to deliver trusted, data-driven insights. Develop and maintain performance measures such as HHVBP claims-based measures, MSPB-PAC, Functional Items, hospitalization/ER/PPH/DTC rates, utilization and efficiency metrics, length of stay, and composite/percentile scores.
APP Urology The University of Kansas Health SystemAPP UrologyLiberty, MissouriPosition Summary / Career Interest: The Advanced Practice Provider (APP) Surgical manages health problems and coordinates health care for Surgical patients in acute care or in-patient settings for pre- or post-surgical patients. Provides medical and emergency interventions appropriate to the client’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.
APP Urology - Ambulatory The University of Kansas Health SystemAPP Urology - AmbulatoryKansas City, KansasPosition Summary / Career Interest: The Advanced Practice Provider (APP) Urology manages health problems and coordinates health care for Urology patients in acute care or in-patient settings for pre- or post-surgical patients. Provides medical and emergency interventions appropriate to the client’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.
App Surgical The University of Kansas Health SystemApp SurgicalKansas City, KSPosition Summary / Career Interest: The Advanced Practice Provider (APP) Surgical manages health problems and coordinates health care for Surgical patients in acute care or in-patient settings for pre- or post-surgical patients. Provides medical and emergency interventions appropriate to the client's needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.
APP Surgical- Inpatient ENT The University of Kansas Health SystemAPP Surgical- Inpatient ENTKansas City, KansasPosition Summary / Career Interest: The Advanced Practice Provider (APP) Surgical manages health problems and coordinates health care for Surgical patients in acute care or in-patient settings for pre- or post-surgical patients. Provides medical and emergency interventions appropriate to the client’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.