NewManager, Payment Integrity- Readmission CenteneManager, Payment Integrity- ReadmissionJefferson City, MO$87,700–$157,800 / yearLicense/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required. Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
NewSenior Manager, Medical Loss Ratio CenteneSenior Manager, Medical Loss RatioColumbia, MORemote$107,700–$199,300 / yearLeads cross-functional forums and working sessions with Finance, Actuarial, Legal/Compliance, Government Affairs, and operations to drive decisions, resolve issues, and ensure clear ownership of actions that impact MLR results and regulatory posture. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Product Portfolio Manager - Group Benefits Administration Telus CorpProduct Portfolio Manager - Group Benefits AdministrationMOA typical week: You'll likely spend time in stakeholder alignment meetings (working across distributed product, technology, and delivery teams), digging into business cases for major modernization investments, collaborating with your Architecture partner on target-state platform direction, and communicating trade-offs and priorities to senior leadership. As Product Portfolio Manager, you''ll own the strategic direction of our entire Group Benefits Administration portfolio-setting the vision, steering investment decisions, and partnering with senior leaders across Product, Engineering, Architecture, Operations, Sales, and Delivery.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareMO$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
University Outreach Specialist (Online Healthcare Programs | NWMSU) RisepointUniversity Outreach Specialist (Online Healthcare Programs | NWMSU)MissouriRemoteWe primarily work with regional universities, helping them develop and grow their high-ROI, workforce-focused online degree programs in critical areas such as nursing, teaching, business, and public service. Meet with hospital leaders throughout Missouri to establish new partnerships and gain access for recruitment sessions across community colleges, hospitals and broader healthcare facilities.
Laboratory Manager MAWD Pathology GroupLaboratory ManagerColumbia, MOThe Laboratory Manager works collaboratively with laboratory leadership, pathologists, billing teams, and support departments to ensure efficient workflows, regulatory compliance, exceptional service, and continuous quality improvement. The ideal candidate possesses strong leadership, laboratory operations experience, knowledge of pathology workflow, quality management expertise, and an understanding of pathology billing and regulatory requirements.
Operations Manager, Provider Enrollment - Jefferson City, MO Gainwell Technologies LLCOperations Manager, Provider Enrollment - Jefferson City, MOJefferson City, MO$95,000–$121,700 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. In this role, youll oversee daily contact center operations, develop leaders, strengthen client relationships, and drive continuous improvements in quality, service delivery, and operational performance.
Emergency Medical Services & First Aid Supervisor Worlds of Fun LLCEmergency Medical Services & First Aid SupervisorKCMO, MOFull timeThe EMS & First Aid Operations Supervisor works closely with Human Resources, Operations, EHS, insurance representatives, medical providers, and park leadership to support employee recovery, guest service, and organizational risk reduction effortsWhy Join Worlds of Fun At Worlds of Fun, you're not just marketing a destination-you're helping create the moments guests remember for a lifetime. Emergency Medical Services & First Aid SupervisorDepartment: OperationsReports To: Operations DirectorPosition Type: Full-Time HourlyAbout the JobThe EMS & First Aid Operations Supervisor is responsible for the daily management, supervision, and administration of the park's Emergency Medical Services (EMS), First Aid operations, workers' compensation administration, liability claims coordination, return-to-work programs, and medical readiness activities.
NewMedicare Operations Senior Program Manager Blue Cross and Blue Shield AssociationMedicare Operations Senior Program ManagerMORemoteResponsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel Management (OPM), and Centers for Medicare and Medicaid Services (CMS), and EGWP policies and procedures. Manages product implementation and operational readiness as directed by product development team in ensuring benefit builds at the operations and implementation partner level align precisely with approved CMS-compliant specifications.
Clinical Research Coverage Analyst Saint Louis UniversityClinical Research Coverage AnalystSLU Saint Louis, MissouriWorking collaboratively with investigators, study teams, research administrators, sponsors, and healthcare system partners, the Clinical Research Coverage Analyst performs comprehensive coverage analyses to determine appropriate billing pathways for research-related services and procedures. Five (5) years of professional experience in clinical research, healthcare reimbursement, revenue cycle management, research administration, clinical trial operations, research billing compliance, healthcare compliance, or a related analytical healthcare field.
Senior Manager of Implementations HCA Healthcare IncSenior Manager of ImplementationsColumbia, MOManaging detailed assessment of current practices and business needs of the client Overseeing the proper mapping of client Health Information Systems to the respective Revenue Cycle Point Solutions technology needed to facilitate successful service delivery to client Overseeing formal client education related to Revenue Cycle Point Solutions services to be delivered Facilitating client kick-off processes and weekly implementation meetings/calls through to project completion Acting as the escalation point for implementation decision making, issues and risks Overseeing the client acceptance and parallel testing process during implementation Working with Revenue Cycle Point Solutions Client Relations Management team to ensure a smooth transition to the assigned Client Manager and Strategic Account Executive. Collaborating with IT&S implementation leadership to ensure staffing for the project is appropriate Having a keen knowledge and industry understanding of the services Revenue Cycle Point Solutions provides to clients including: Medicaid Eligibility and Patient Advocacy Services Early Out Self Pay Collections Bad Debt Collections Third Party Liability Services Insurance/BPO Services Moderate travel will be required.
Associate Director of ECHO Operations University of MissouriAssociate Director of ECHO OperationsColumbia, MO$54,000–$67,000 / yearThe Associate Director of ECHO Operations provides strategic and operational leadership for the Show-Me ECHO Operations team and supervises six ECHO Coordinators responsible for supporting the implementation and coordination of ECHO programs. The position participates in internal leadership and cross-functional committees, supports continuous improvement and organizational planning, and collaborates with MTN leaders to advance the quality, efficiency, sustainability, and growth of Show-Me ECHO.
Business Manager University of MissouriBusiness ManagerColumbia, MO$65,000–$85,000 / yearReporting directly to the Department Chair, the Business Manager serves as a key member of the departmental leadership team, ensuring effective stewardship of financial resources, operational excellence, regulatory compliance, and human resource administration while supporting the department's academic, research, and educational missions. The Business Manager provides strategic leadership and oversight of the administrative, financial, and human resources operations for the Department of Biochemistry, a jointly administered department within the School of Medicine (SOM) and the College of Agriculture, Food and Natural Resources (CAFNR).
Family Nurse Practitioner (PRN) – Paragon Infusion Centers Elevance HealthFamily Nurse Practitioner (PRN) – Paragon Infusion CentersMissouriA proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.