Remote Radiologist Mercy Springfield Missouri Mercy Clinic Physician RecruitmentRemote Radiologist Mercy Springfield MissouriChesterfield, MORemoteFor more information, please contact Dayna Pangle, CPRP.Telephone: 417-839-8833 | Email: dayna.pangle@mercy.netFor more information, please contact Dayna Pangle, CPRP.Telephone: 417-839-8833 | Email: dayna.pangle@mercy.net What sets us apart is our unwavering commitment to physician leadershipfrom the highest levels of our organization to the front lines of carewhere physicians and caregivers collaborate, embrace fresh thinking, and drive clinical and operational excellence.
Analyst Managed Care Reimbursements (Remote) - Physicians Billing Services Washington University in St LouisAnalyst Managed Care Reimbursements (Remote) - Physicians Billing ServicesMORemote$65,900–$112,700 / yearSkills: Analytical Thinking, Computer Literacy, Detail-Oriented, Epic EHR, Health Administration, Health Care Systems, Interpersonal Communication, Managed Care Operations, Microsoft Access, Microsoft Excel, Oral Communications, Self-Direction, Statistics, Written Communication. Position is responsible for the following critical functions: Managed Care pricing and rate contracting strategy, Transplant Contracting Data Collection, Managed Care fee schedule management - commercial and government payers, Managed Care Analysis and Reporting.
Contract Specialist - MedTech - Remote Solventum CorpContract Specialist - MedTech - RemoteSt. Louis, MORemote$73,600–$101,200 / yearThrough Acera Surgical and the Restrata product, the team advances evidence‑based wound care technologies that support healing across multiple surgical specialties, helping frontline healthcare providers deliver safer, more effective care. Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewardshttps://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards .
Clinical Account Manager - Remote - Indianapolis - St. Louis Rampart IC LLCClinical Account Manager - Remote - Indianapolis - St. LouisSt. Louis, MORemoteBacked by peer-reviewed research, real-world studies, and field-tested innovation, Rampart provides comprehensive solutions to protect healthcare teams from the dangers of radiation exposure. As a Clinical Account Manager, you'll be responsible for driving clinical adoption of Rampart products, building new customer relationships, and expanding usage within existing accounts across your assigned territory.
Operations Coordinator - ASL & Accessibility Services - Remote MT & Associates, LLCOperations Coordinator - ASL & Accessibility Services - RemoteSt. Louis, MORemote$52,000–$62,000 / yearFull timeTwo or more years of experience in operations, scheduling, workforce coordination, customer success, client services, project coordination, event coordination, recruiting, or a similar role. We're seeking a resourceful, self-motivated professional who thrives in a fast-paced remote environment, enjoys taking ownership, and can confidently manage multiple priorities while delivering exceptional service.
Education Specialist- Remote Community Health Center IncEducation Specialist- RemoteMORemoteSpecific responsibilities include project management for a variety of educational interventions in various stages of planning and implementation; work with faculty to develop and enhance didactics and other educational materials; engagement with participants involved in the various interventions to build and maintain learning communities; tracking and monitoring of operational data including continuing education, survey administration, data collection; data analysis and reports for continual improvement of education interventions; software use for tracking participation of learners, organizations, faculty, and education materials, such as case presentations, video recordings, and other educational materials; and participation in proposal development, grant writing, poster presentations, and publications. The Weitzman Education Specialist is a key member of various education teams responsible for needs analysis, development, design, implementation and evaluation of educational interventions for health professions' residents and students, primary care providers, care team staff, and clinical, operational, and executive leaders in primary care and other health care organizations.
Lead Bus Solutions Analyst - Remote MercyLead Bus Solutions Analyst - RemoteChesterfield, MORemoteResponsible for conducting prototypes, developing functional specifications, data mapping, function mapping, setting of configuration tables and setting of transaction/control tables Has a thorough understanding of the business processes and flows to enable the analysis of business requirements and the development of solutions for the business functions Responsible for the identification of and resolution of gaps in the business processes. Primary Function Formulates and defines business scope and objectives through research and fact-finding combined with an understanding of business and industry requirements Performs functional analysis, requirements, definition and application module configuration and testing.
NewPsychological Domain Lead (Remote) MaximusPsychological Domain Lead (Remote)St. Louis, MORemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Lead and support clinical, operational, and performance psychology services, including psychological assessment, diagnosis, treatment, consultation, personnel selection, executive coaching, leadership development, and performance enhancement.
Insurance Services Rep I-FT/Remote Mercy STL MercyInsurance Services Rep I-FT/Remote Mercy STLChesterfield, MORemoteFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Insurance Services Representative I is responsible for collection and resolution of outstanding insurance receivables including but not limited to unpaid, denied and underpaid claims.
Strategy & Analytics Advisor, C&CE - Evernorth - Remote The Cigna GroupStrategy & Analytics Advisor, C&CE - Evernorth - RemoteMORemoteShape C&CE strategy by developing business cases, evaluating options, and assessing costs and benefits to guide prioritization decisions • Leverage data to solve business problems by identifying data needs, pulling data from relevant sources, and performing analysis • Identify business opportunities using trend analysis and mining operational data for insights • Develop testing plans, monitor performance indicators, and be ready to quickly investigate and remediate emerging issues • Grow into a thought partner and executive storyteller by distilling work into crisp presentations that educate, inform, and inspire action. • Bachelor's degree (math, economics, statistics, engineering, business or related field preferred) • Two years of relevant analytics or management consulting experience • Strong communication (oral and written), presentation, and facilitation skills • Ability to structure project plans and independently manage to deadlines • Ability to partner across organizations and roles to influence and deliver work.
NewSenior Advisor, Data Insights & Client Reporting - Express Scripts Pharmacy - Remote The Cigna GroupSenior Advisor, Data Insights & Client Reporting - Express Scripts Pharmacy - RemoteMORemoteThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
PRN After Hours - Remote Customer Service Specialist BJC HealthCarePRN After Hours - Remote Customer Service SpecialistSaint Louis, MORemoteNavigates the electronic health record to obtain and validate historical information; captures and documents demographic and financial information in the electronic health record; maintains accountability for accurate data entry in the electronic health record and maintains patient privacy and security as outlined by HIPAA.Manages a high volume of incoming calls from patients, healthcare providers and facilities who are calling for a variety of reasons, to include scheduling appointments, refilling medications, obtaining insurance referrals, receiving symptom-based care, obtaining pre-certification for testing, insurance and/or billing questions, requests for medical forms and/or test results, etc. Schedules patient visits based on complex provider preferences; verifies and updates insurance and checks insurance eligibility; collects and documents demographics; maintains proficiency in and shares knowledge of insurance basics, MyChart, and appointment instructions; documents and sends messages to providers and clinical staff in the electronic health record for clinical-based needs; communicates directly with providers (physicians) to relay pertinent clinical information during after hours.
Remote - Care Coordinator - LPN - LVN - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - Day ShiftSt. Louis, MORemoteCareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Saint Louis, MissouriRemoteRemote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.
Specialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Saint Louis, MissouriRemoteSpecialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.
NewCase Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Saint Louis, MissouriRemoteRemote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.
NewBehavioral Health Clinical Program Manager (Case Management) - Remote In MO UnitedHealth Group Inc.Behavioral Health Clinical Program Manager (Case Management) - Remote In MOSaint Louis, MORemote$91,700–$163,700 / yearPrimary Responsibilities: Oversee behavioral health care managers for diverse populations, including adults, adolescents, children, and dual-eligible Medicare/Medicaid members with mental health disorders and substance use disorders (SUD), and other co-occurring behavioral and physical health conditions. The Clinical Program Manager (CPM) must oversee a remote team of Behavioral Health Advocates responsible for case management (CM) of inpatient and outpatient Behavioral Health services in MO, WI, and KY for our C&S markets.
Administrator Managed Care - St Louis MO - FULLY REMOTE VITUS Search GroupAdministrator Managed Care - St Louis MO - FULLY REMOTESaint Louis, MORemoteVitus Search Group has partnered with a massive Managed Care Company seeking 22 Remote and Regionalized Admins in and or around the St Louis MO Area. Carry out clerical duties, including answering phones and preparing documents.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteSaint Louis, MissouriRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistSaint Louis, MissouriRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.