Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsMORemote$236,500–$449,300 / yearLicense/Certifications: Active 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. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Remote Medical Director, Marketplace Centene Corporation GroupRemote Medical Director, MarketplaceMORemote$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 Behavioral Medical Director, Eastern Region Centene Corporation GroupRemote Behavioral Medical Director, Eastern RegionMORemote$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. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareMORemote$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.
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 OCCC Sales Supervisor Orkin LLCRemote OCCC Sales SupervisorMORemoteMinimum of 100 mbps download/50 mbps upload or higher, high speed internet connection with the ability to hard wire directly to a modem (speed test must be completed via www.speedtest.net). Maintain a thorough knowledge of all company and departmental policies, practices, procedures, programs, and services to act as a resource for employees to answer routine and complex inquiries.
NewClinical 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.
(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.
Sales Manager, United States - Mining (Remote) Astec IndustriesSales Manager, United States - Mining (Remote)St. Louis, MORemoteWorking with the Global Director of Mining, the US Sales Manager - Mining is responsible for developing overall territory strategies and tactical implementation plans, establishing and monitoring attainment of revenue targets and opportunities (managing the sales funnel), proactively taking action to address market and competitor actions and personally assisting in the sale of capital equipment and parts across all TSG product line offerings and markets. The US Sales Manager - Mining is responsible for providing overall leadership to drive profitable revenue and market share growth for the sale of Capital Equipment and aftermarket Parts & Service, within their defined geographical territory, across the whole Astec (Legacy TSG – TerraSource) product segment and service offerings.
Regional Sales Manager - Central US covering CO, KS, MO, AR (Remote) DuPont de Nemours IncRegional Sales Manager - Central US covering CO, KS, MO, AR (Remote)Chesterfield, MORemote$81,900–$128,700 / yearTo ensuring closure of our highest value opportunities and threats, the Regional Sales Manager will respond to critical sales events identified by DuPont, Distributor Sellers, proactively work the DPP opportunity pipeline, resolve issues or threats at existing end-user accounts, and coach other internal and external sellers on closing smaller opportunities. This will be accomplished through increasing DuPont Tyvek and Tychem brand power and channel leverage, ensuring closure of our highest value opportunities, and gaining share through end-user penetration.
Client Account Manager (Remote) PracticeMatchClient Account Manager (Remote)Creve Coeur, MORemotePracticeMatch is the industry leader in providing practicing physician and resident/fellow data and services to in-house physician staffing professionals and offers a continuum of services designed to provide a clear competitive hiring advantage to health organizations. Proven track record of meeting or exceeding sales, renewal, or upsell targets in a quota-carrying or goal-driven role, with strong negotiation skills for contract renewals and pricing discussions.
(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.
NewVice President, Prospective Programs (Remote) Centene Corporation GroupVice President, Prospective Programs (Remote)MORemote$188,900–$359,800 / yearResponsible for the strategic direction, operational performance, and governance of prospective risk adjustment initiatives, including provider engagement, clinical documentation improvement, member assessment programs, in office assessment programs, and prospective program vendor management. Develop and execute provider education and CDI (Clinical Documentation Improvement) strategies that strengthen documentation quality, improve provider understanding of risk adjustment requirements, and support accurate and complete documentation of acuity.
Director Sales - Majors (St. Louis) - Remote, US Paylocity Holding CorpDirector Sales - Majors (St. Louis) - Remote, USSt. Louis, MORemote$140,000–$170,000 / yearThe company has become one of the fastest-growing HCM software providers worldwide by offering an intuitive, easy-to-use product suite that helps businesses automate and streamline HR and payroll processes, attract and retain talent, and build a strong workplace culture. While traditional HR and payroll providers automate basic HR processes such as payroll and benefits administration, Paylocity goes further by developing tools that HR and businesses need to compete for talent and deliver against the expectations of the modern workforce.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)St. Louis, MORemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
Pre-Litigation Associate - Of Counsel (Remote) Jackson Lewis PCPre-Litigation Associate - Of Counsel (Remote)St. Louis, MORemote$120,000–$216,000 / yearSummary of Position: Pre-Litigation Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle various duties in connection with the pre- litigation matters including demand letters, requests for records, and agency/administrative charges. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.
Law and Motion Associate - Of Counsel (Remote) Jackson Lewis PCLaw and Motion Associate - Of Counsel (Remote)St. Louis, MORemote$120,000–$216,000 / yearSummary of Position: Law and Motion Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle motion work in connection with the litigation matters including demand letters, requests for records, and agency/administrative charges. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.
Client Service Director - Managed Care (REMOTE) Sedgwick Claims Management Services, Inc.Client Service Director - Managed Care (REMOTE)MORemotePRIMARY PURPOSE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance.
Software Engineer III Remote Businessolver IncSoftware Engineer III RemoteMORemote$103,600–$162,000 / yearCommunicate effectively with peers and customers to drive the right outcome for the team and customers through active listening, gaining diverse perspectives, direct testing, experience and considering overall design impact. The company creates client programs that maximize benefits program investment, minimize risk exposure, and engage employees with easy-to-use solutions and communication tools to assist them in making wise and cost-efficient benefits selections.
NewVice President, Retrospective Programs (Remote) Centene Corporation GroupVice President, Retrospective Programs (Remote)MORemote$188,900–$359,800 / yearPosition Purpose: The Vice President, Retrospective Programs leads the enterprise retrospective risk adjustment operations team, with direct responsibility for functions including chart retrieval, coding operations, coding quality, supplemental data feeds, chart management, and retrospective analytics strategy across Centene's Medicare, Marketplace, and Medicaid markets. Collaborate with Claims, Encounters, Data Integrity, Compliance, Finance, Provider Engagement, local markets, Network, and Technology to resolve operational barriers, improve chart-to-claim linkage, strengthen audit readiness, and ensure program outcomes are sustainable.