NewHybrid Pharmacist - 4 Days Retail/1 Day Remote (MO) WALGREENSHybrid Pharmacist - 4 Days Retail/1 Day Remote (MO)O'Fallon, MORemoteSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works effectively in a hybrid work environment (such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy consulting services with empathy to patients regarding the effective usage of medications and awareness of drug interactions leveraging omni-channel services (e.g., in person consultation and via the phone).
NewPeds vAcute Specialty RN II MercyPeds vAcute Specialty RN IICrestwood, MORemoteWorking under the direction of the Medical Director and as part of the Mercy Virtual care team, you will assess patient needs, coordinate care, provide education, and deliver virtual triage services for patients requiring specialty support. See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsSt. Louis, MORemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselMORemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Senior Account Director, Healthcare InterdependenceSenior Account Director, HealthcareSt. Louis, MORemoteThe Senior Account Director will play a critical role in developing and executing comprehensive public relations strategies for our healthcare and pharmaceutical clients. This individual will be responsible for managing client relationships, leading account teams, and ensuring the successful delivery of high-quality PR campaigns.
Senior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantMORemote$78,400–$107,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Remote Hospice Triage RN PT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST IntellaTriageRemote Hospice Triage RN PT 10:30p-5a + rotating Sat & Sun 11:30p-8a CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareMORemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportMORemote$90,000–$100,000 / yearWhat we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.
Senior Managing Consultant - Quality & Safety (F/T Days Hybrid Remote) MercySenior Managing Consultant - Quality & Safety (F/T Days Hybrid Remote)Chesterfield, MORemoteUnder the direction of the Executive Director of Clinical Performance Acceleration, the Senior Managing Consultant provides strategic leadership, operational oversight, and program direction to advance the development and optimization of clinical tools and supporting processes. The Senior Managing Consultant leads cross-functional teams and advances the Mercy Care Model by enabling consistent, patient-centered, data-driven care delivery across all settings.
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 Hospice Triage RN PT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST IntellaTriage, Inc.Remote Hospice Triage RN PT 10:30p-5a + rotating Sat & Sun 11:30p-8a CSTSt. Louis, MORemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Product Management Lead Analyst - Operations - Centene Support - Express Scripts - Remote CarePathRx Holding Company LLCProduct Management Lead Analyst - Operations - Centene Support - Express Scripts - RemoteMORemote$76,100–$126,900 / yearThese 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.
NewSenior Scrum Master - Fully Remote Magellan Health IncSenior Scrum Master - Fully RemoteMaryland Heights, MORemoteYou will work closely with your team and Product Manager/Owner and peer Scrum Masters to support Sprint and Release Planning, foster team self-awareness, encourage cross-training, decision-making and continuous improvements. You will collaborate closely with Product Managers/Owners and fellow Scrum Masters to foster a self-aware, cross-trained, and continuously improving team environment.
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.
Psychiatrist - (Remote) BetterHelpPsychiatrist - (Remote)St. Louis, MORemote$123–$168 / hourThese estimates are calculated using assumptions regarding number of completed visits per hour, CPT code mix, and utilization of add-on codes (such as 90833) when clinically appropriate and properly documented. Estimated Effective Hourly Earnings*:Earnings between $123 to $168 per hour is based on a 60-minute session assumption that includes a combination of patient visits and hourly equivalent CPT codes.
Service Quality Coordinator (Remote) - Faculty Practice Plan Washington University in St LouisService Quality Coordinator (Remote) - Faculty Practice PlanMORemote$65,900–$112,700 / yearSkills: Analyze Information, Critical Thinking, Cross-Team Collaboration, Customer Follow-Ups, Customer Service Communication, Deadline Management, Detailed Reports, Diplomacy, Health Insurance Portability & Accountability Act (HIPAA), Information Collection, Interpersonal Relationships, Microsoft Office, Oral Communications, Project Prioritization, Working Independently, Written Communication. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
(Remote) Cash Posting Representative Harris Computer Systems(Remote) Cash Posting RepresentativeMORemote$18–$25 / hourMEDHOST, a division of Harris; is seeking a Cash Posting Representative who is responsible for timely and accurate payment posting for various methods of reimbursements, including ERAs, EOBs, third parties, and patient payments. 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) Billing Support Specialist Harris Computer Systems(Remote) Billing Support SpecialistMORemote$18–$26 / hourAs 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. Working outstanding claims may require a broad range of strategies including telephone calls, letters, meetings, faxing, emails, rebilling, and filing corrected claims.
(Remote) Credit Balance Representative Harris Computer Systems(Remote) Credit Balance RepresentativeMORemote$18–$25 / hourAs 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. MEDHOST, a division of Harris; is seeking a Credit Balance Specialist who will analyze credit balances to determine their cause, facilitate account resolution, and post refunds as needed.
(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.
Sr Accessibility Product Manager, Clinical Solutions (Remote) RELX Group plcSr Accessibility Product Manager, Clinical Solutions (Remote)MORemote$115,400–$192,300 / yearBuilding on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education and interactive learning, as well as exceptional healthcare and clinical practice. If performed in Maryland, the base pay range is $121,200 - $201,900.If performed in New Jersey, the base pay range is $136,213 - $217,587.If performed in Ohio, the base pay range is $109,500 - $182,700.
(Remote) Account Follow-Up Representative I Harris Computer Systems(Remote) Account Follow-Up Representative IMORemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. 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) Assistant Director, Revenue Cycle Management Harris Computer Systems(Remote) Assistant Director, Revenue Cycle ManagementMORemoteMinimum of 7 years in healthcare revenue cycle services in a hospital environment, with at least 3 years in a leadership role and knowledge of multiple EHR's such as MEDHOST, Oracle/Cerner, Meditech or EPIC revenue cycle software products and their use. 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.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianMORemoteCompass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems. The company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years.
Physician Relations Specialist (Remote) ProfilesPhysician Relations Specialist (Remote)Creve Coeur, MORemoteThis Physician Relations Specialist will be responsible for conducting phone interviews with graduating residents and fellow physicians to gain their valuable personal recruitment information that physician healthcare organizations require to successfully recruit and place qualified physicians. PracticeMatch 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.
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.
(Remote) VP, Research & Development Harris Computer Systems(Remote) VP, Research & DevelopmentMORemoteAcquired by Harris Healthcare in 2017, the company provides a comprehensive suite of services, including Practice Management, Medical Billing, Population Health, and Patient Engagement tools, all designed to enhance clinical efficiency and patient care. 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 Product Manager PM/EMR Harris Computer Systems(Remote) Technical Product Manager PM/EMRMORemoteAs 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. Revenue cycle workflows that span eligibility (270/271), claims (837P/I), remits (835), denials, resubmissions, and patient billing, each with payer-specific rules, edge cases, and years of accumulated logic.
Mental Health Case Manager II-Therapist (Remote) MercyMental Health Case Manager II-Therapist (Remote)Chesterfield, MORemoteLicensure: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), or Licensed Professional Counselor (LPC) in Missouri required. From 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.
NewHybrid Remote/Onsite Dietitian Compass Group Equity PartnersHybrid Remote/Onsite DietitianSaint Louis, MORemoteCompass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems . The company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years.
Senior Inside Sales Consultant (Remote/Central Time) A Place for Mom IncSenior Inside Sales Consultant (Remote/Central Time)St. Louis, MORemoteTogether, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies. This is a high-activity, performance-driven inside sales role focused on re-engaging families, managing a pipeline of opportunities, and converting interest into move-ins.
Remote National Medical Director Centene Corporation GroupRemote National 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 Medical Director Centene Corporation GroupRemote 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.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)St. Louis, MORemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women's health. Our services also include men's hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Discharge Care Management Nurse RN - Remote in CST or MST UnitedHealth Group IncDischarge Care Management Nurse RN - Remote in CST or MSTSt Louis, MORemote$60,200–$107,400 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2363385 Job category: Nursing Primary location: St Louis, MO Additional locations: Kansas City, Missouri | Columbia, Missouri | Springfield, Missouri Date posted: 06/25/2026 Overtime status: Exempt Travel: No.
Remote - Care Coordinator - LPN - LVN - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - Day ShiftSt. Louis, MORemote$43,000–$58,000CareHarmony 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.
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.
Area Sales Manager - Remote - Indianapolis/St. Louis Rampart IC LLCArea Sales 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. Our portfolio includes cutting-edge products like the Defender, Bunker, Shadow, Guardian, and Sentry, designed for use in interventional cardiology, peripheral, neuro, and aortic procedures.
Fully Remote Entry Level Customer Service AILFully Remote Entry Level Customer ServiceSt. Louis, MORemoteFull timeAs a Remote Client Success Specialist, you’ll connect with both current and prospective clients daily, providing expert product knowledge and personalized support to meet their needs. As a Client Success Specialist, you’ll play a vital role in helping clients secure their futures while advancing your career in a supportive, high-performing environment.
Operations Specialist - Remote MercyOperations Specialist - RemoteChesterfield, MORemoteOperations Specialist professionals are well prepared in helping clinical and non-clinical providers meet the current healthcare and business challenges by capitalizing on short-and-long-term opportunities for growth and enterprise improvement. Working in cooperation with workforce operations, this role is a Partner in Excellence in all these areas, delivering the tools, education & training, expertise, and focused commitment to achieve sustainable change and position outcomes.
Ophthalmic Scribe & Claims Specialist (Remote/Hybrid) - Full Time Temp w/ long term growth opportunity First Source Medical StaffingOphthalmic Scribe & Claims Specialist (Remote/Hybrid) - Full Time Temp w/ long term growth opportunitySaint Louis, MORemote$18–$22 / hourThis healthcare team delivers personalized care tailored to each patient’s unique needs through a collaborative approach and cutting-edge surgical eye solutions. If you desire to work with a team that utilizes advanced surgical techniques and innovative technology, and moves beyond one-size-fits-all treatment models, this team is for you.
Remote Radiologist Mercy Springfield Missouri MercyRemote Radiologist Mercy Springfield MissouriChesterfield, MORemoteWhat sets us apart is our unwavering commitment to physician leadership-from the highest levels of our organization to the front lines of care-where physicians and caregivers collaborate, embrace fresh thinking, and drive clinical and operational excellence. As part of an organization rooted in nearly 200 years of compassionate service, you'll help deliver transformative health care experiences while exploring new technologies and shaping the future of medicine.
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.
Business Analytics Senior Analyst - Express Scripts - Remote CarePathRx Holding Company LLCBusiness Analytics Senior Analyst - Express Scripts - RemoteMORemote$68,000–$113,400 / yearSolid analytical, organizational, problem solving, critical thinking and decision-making skills; demonstrated experience to identify and quantify existing and future problems and provide effective solutions, with the ability to collect, organize, analyze, and disseminate significant amounts of information with high attention to detail, accuracy, and ability to meet deadlines. Summary: Responsible for promoting 340B program success across Covered Entity, pharmacy, and gateway programs by providing a wide variety of routine and ad hoc analysis, focusing on maximizing performance through feature leverage, problem investigation, business rationale support, and data management.
Business Development Senior Advisor, Intelligence Solutions - Evernorth Health Services - Remote CarePathRx Holding Company LLCBusiness Development Senior Advisor, Intelligence Solutions - Evernorth Health Services - 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. As part of the Evernorth Intelligence Solutions team, this role partners closely with sales, product, operations, legal, and other internal stakeholders to bring data and analytics solutions to market and deliver value for clients.
REMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLCREMOTE - Vice President Medical Director of Clinical ProgramsMORemoteHMO/Managed Care experience, including Utilization and/or Quality Program management and exposure to peer review, case management, population health, appeals, chronic and complex disease management, HEDIS reporting, and provider relations. In collaboration with the MPHC Chief Medical Officer (CMO), advocates with government/state regulatory entities, professional and medical society chapters, federal regulators/contactors, and as part of external communications and media relations to advance HP's clinical value story, evidence-based medical policies, and member health.
Financial Analysis Senior Analyst, Billing - Evernorth - Remote The Cigna GroupFinancial Analysis Senior Analyst, Billing - Evernorth - RemoteMORemote$63,800–$106,300 / yearThese 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. Key responsibilities of this role include: owning the end-to-end billing relationship; identifying opportunities for process improvements to enhance client satisfaction, reduce financial risk and successful implementation of new and renewing clients from a financial perspective.
Network Operations Manager - Evernorth - Remote The Cigna GroupNetwork Operations Manager - Evernorth - RemoteSt. Louis, MORemote$92,800–$154,600 / yearThe PDM (Provider Data Management) Network Operations Manager oversees provider data changesincluding provider additions, new network loads, terminations, and demographic updatesfor an assigned region or book of business. Lead root-cause triage for performance issues, inventory challenges, or quality defects in partnership with global service providers and matrix teams; drive corrective actions and preventative improvements.
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.