NewRemote Inpatient Medicare Medical Director Centene Corporation GroupRemote Inpatient Medicare Medical DirectorMORemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Remote Benefits Enrollment Representative- Missouri The Weatherspoon Agency (TWA)Remote Benefits Enrollment Representative- MissouriKansas City, MissouriRemotePrevious experience in customer service, sales, benefits, insurance, healthcare, education, or account management may be helpful but is not required. Selected candidates who are not currently licensed must complete the applicable state licensing requirements before conducting insurance business.
Inorganic (AA ICP ICP-MS) Sales Specialist (FIELD REMOTE - MO, IA, MN, ND, SD and NE territories) PerkinElmerInorganic (AA ICP ICP-MS) Sales Specialist (FIELD REMOTE - MO, IA, MN, ND, SD and NE territories)MissouriRemoteMaintain an effective time and territory management plan that includes an ability to present business and technical information, identify customer needs and trends, promote and position PerkinElmer support services to customers, provide information about techniques and products, follow up on inquiries about goods and services, maintain customer information utilizing approved information tools and technologies such as the company’s Customer Relationship Software (CRM), timely updates to opportunity funnel and weekly forecasts, and rigorous funnel management in order to achieve/improve monthly forecasting accuracy and growth targets. With over an 80+ year legacy of advancing science and a mission of innovating for a healthier world, our dedicated team collaborates closely with commercial, government, academic and healthcare customers to deliver our broad portfolio of analytical solutions, and OneSource services.
Clinical Service Help Desk Analyst - Remote NTT DATA Group CorpClinical Service Help Desk Analyst - RemoteSt. Louis, MORemote$37,944–$62,000 / yearNTT DATA Services is a recognized leader in healthcare technology and services, helping healthcare organizations improve patient outcomes, enhance operational efficiency, and deliver better experiences for clinicians and patients. Our healthcare solutions span patient engagement, predictive analytics, cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management, policy administration, and managed infrastructure, application, and business process services.
Vice President Finance - Remote Burrell Behavioral HealthVice President Finance - RemoteSpringfield, MORemoteBrightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. This role partners closely with the CAO, CFO, and other senior leaders to drive financial excellence, optimize performance, and support data-informed decision-making across all markets and service lines.
Regional Sales Executive - RCM (remote) Cognizant Technology Solutions CorpRegional Sales Executive - RCM (remote)MORemote$75,000–$85,000 / yearOur deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. About Cognizant: Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients.
(Remote) Team Lead, Account Follow-Up Services Harris Computer Systems(Remote) Team Lead, Account Follow-Up ServicesMissouri, MORemoteMEDHOST, a division of Harris; is seeking an Account Follow-Up Services Team Leader who will provide strategic oversight of Hospital Insurance Follow-Up Services, including multi-team performance, payer strategy, denial prevention initiatives, workforce planning, and operational scaling. This role drives measurable improvement in A/R aging, collections performance, and denial overturn rates through KPI leadership, cross-functional collaboration, training programs, continuous process innovation and adjust priorities on the fly.
DRG Quality Advisor Nurse- Remote Gainwell Technologies LLCDRG Quality Advisor Nurse- RemoteMORemote$90,000–$110,000 / 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. The role includes validating documented conditions, ICD-10-CM/PCS code assignments, DRG accuracy, and clinical support for determinations while ensuring all findings are clearly documented and supported by policy, regulatory, clinical, and coding guidance.
Advanced Practice Provider, Nurse Practitioner, Remote Telehealth ChenMed LLCAdvanced Practice Provider, Nurse Practitioner, Remote TelehealthSt. Louis, MORemote$111,140–$158,771 / yearEDUCATION AND EXPERIENCE CRITERIA: Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required. Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position.
Remote Psychiatrist - MO Licensed Integrated Psychiatric Consultants PARemote Psychiatrist - MO LicensedSt. Louis, MORemoteOur nationwide network of board-certified psychiatrists, psychiatric nurse practitioners, behavioral health clinicians, licensed social workers, and other healthcare providers deliver high quality care to our partner facilities via on-site and telehealth placements. Our benefits for our providers include: Credentialing, licensure, billing, and collections assistance, The ability to change facilities, hours, and roles within IPC''s partner organizations, Administrative support for office management, allowing you to focus fully on your patients.
LPN - Advanced Care Planning Specialist, Remote Aledade IncLPN - Advanced Care Planning Specialist, RemoteSt. Louis, MORemoteWe were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. As an LPN - Advanced Care Planning Specialist (internally called Facilitator), you will guide patients through meaningful, end-of-life care conversations and secure their medical wishes from the comfort of your home office.
Provider Publications / Communications Lead - Remote US Gainwell Technologies LLCProvider Publications / Communications Lead - Remote USMORemote$48,300–$69,000 / 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. The Provider Publication/Communication Lead is responsible for planning, developing, and managing provider-facing publications and communications that support Medicaid program operations, provider education, regulatory compliance, and stakeholder engagement.
Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemoteSt. Louis, MORemote$144,200–$240,400 / yearWorking closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. These 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.
Remote Customer service Qureos IncRemote Customer serviceKansas CityRemote$25–$35 / hourAs a division of The Cigna Group, we provide innovative pharmacy benefits, specialised care coordination, and data-driven solutions to a wide range of clients. Evernorth Health Services is a dynamic and forward-thinking health services organisation, dedicated to making healthcare more affordable and accessible.
(Remote) GIS Developer Harris Computer Systems(Remote) GIS DeveloperMORemoteAbout DataVoice: DataVoice International's integrated utility management systems give utilities the tools they need to reliably and quickly serve their customers while cutting back on their own workloads by using accurate data to map outages, track their vehicles, communicate with workers and interact with customers. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
(Remote) Application Consultant Harris Computer Systems(Remote) Application ConsultantMORemoteDevelop a close working relationship with Project Coordinators and primary contacts at each client site to ensure that the site is prepared for implementation and training activities as well as to ensure material presented meets the specific needs of the client. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
(Remote) Technical Support Engineer Harris Computer Systems(Remote) Technical Support EngineerKansas City, MORemote$65,000–$75,000 / yearWhat your impact will be: Serve as primary technical contact for Globys' international carrier customers - triaging, reproducing, and resolving issues at Tier 1/2 without requiring engineering escalation unless a confirmed software defect or infrastructure failure is identified. This role is the primary technical point of contact for our international carrier customers (AT&T, Telstra, TELUS, OneNZ, and others) and demands someone who is as comfortable writing a SQL query to reproduce a data anomaly as they are walking a client through a configuration fix.
(Remote) Software Developer Harris Computer Systems(Remote) Software DeveloperMORemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.
NewRemote Pharmacist Actalent IncRemote PharmacistSaint Louis, MORemote$50–$55 / hourThrough phone-based outreach and ongoing support, you"ll help patients understand their medications, improve adherence, coordinate care, and connect with valuable healthcare and community resources. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
Remote Field Reimbursement Manager PharmaCord LLCRemote Field Reimbursement ManagerColumbia, MORemoteResponsibilities: • Educate HCPs on Patient Support Programs • Provide reactive approved tailored education to healthcare providers and their staff on available financial support programs for eligible patients • Provide Reimbursement Expertise • Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria, including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs • Address Access Barriers • Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offerings • Stay informed on national and regional payer policies • Maintain current knowledge of managed care reimbursement trends and relevant healthcare policies and regulations, e.g., Commercial Medicare and Medicaid. Qualifications: • Bachelors degree • 5 years of experience in Case Management • Reimbursement Experience • Product launch experience is highly desired • 5 years in the Pharma/Healthcare industry working with Hubs, Payers, HCP, or related area • Advanced understanding of the U.S. reimbursement landscape, including commercial and government payers, patient access support programs, and prior authorization requirements • Demonstrated ability to conduct virtual access support and education • Excellent written and verbal communication skills and presentation expertise to effectively educate diverse stakeholders • Proven ability to seamlessly address and resolve access barriers to enable patient access and affordability to prescribed therapies • Highly competent in a multitude of IT capabilities to support the business needs, including Veeva CRM • A deep understanding of and strict adherence to all federal and state compliance guidelines and regulations, including HIPAA.