NewProvider Relations Manager - Cigna Healthcare - Remote - KS, MO The Cigna GroupProvider Relations Manager - Cigna Healthcare - Remote - KS, MOOverland Park, KSRemote$66,600–$111,000 / yearThe role is accountable for the overall provider experience by working in collaboration with matrix partners to drive on-going service improvements, understand, articulate and resolve service impacts, and drive the overall provider strategic planning solutions. 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.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselKSRemote$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.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareKSRemote$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 Behavioral Medical Director, Central Region Centene Corporation GroupRemote Behavioral Medical Director, Central 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.
Pharmacist - Systems Solution Architect - Remote The University of Kansas Health SystemPharmacist - Systems Solution Architect - RemoteLenexa, KSRemoteCompletion of an ASHP accredited PGY-1 and PGY2 Pharmacy Administration Residency Program and 5 years experience working in pharmacy systems support and/or pharmacy informatics and 1 or more years of leadership or management experience OR. Completion of an ASHP accredited PGY-1 and PGY2 Pharmacy Informatics Residency Program and 4 years experience working in pharmacy systems support and/or pharmacy informatics and 2 or more years of leadership or management experience OR.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteKansas City, MORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Clinical Psychologist- Remote BetterHelpClinical Psychologist- RemoteKansas City, MORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
(Remote) Software Developer Harris Computer Systems(Remote) Software DeveloperKSRemoteAs 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.
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.
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.
Education Specialist- Remote Community Health Center IncEducation Specialist- RemoteKSRemoteSpecific 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.
Remote Field Reimbursement Manager PharmaCord LLCRemote Field Reimbursement ManagerOverland Park, KSRemoteResponsibilities: • 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.
(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 Psychiatrist - KS and OK Licensed Integrated Psychiatric Consultants PARemote Psychiatrist - KS and OK LicensedKSRemoteOur 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 full-time 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 on your patients.
Child/Adolescent Medical Director of Consult Liaison | Remote Integrated Psychiatric Consultants PAChild/Adolescent Medical Director of Consult Liaison | RemoteOverland Park, KSRemoteOur nationwide network of board-certified psychiatrists, psychiatric nurse practitioners, behavioral health clinicians, licensed social workers, and other healthcare providers delivers high-quality care to our partner facilities via on-site and telehealth placements. ABOUT IPC: Integrated Psychiatric Consultants (IPC) is a physician-owned and operated behavioral health staffing company offering end-to-end behavioral health solutions to the needs of organizations across the United States.
Medical Director of Consult Liaison Services | 100% Remote Integrated Psychiatric Consultants PAMedical Director of Consult Liaison Services | 100% RemoteOverland Park, KSRemoteOur nationwide network of board-certified psychiatrists, psychiatric nurse practitioners, behavioral health clinicians, licensed social workers, and other healthcare providers delivers high-quality care to our partner facilities via on-site and telehealth placements. ABOUT IPC: Integrated Psychiatric Consultants (IPC) is a physician-owned and operated behavioral health staffing company offering end-to-end behavioral health solutions to the needs of organizations across the United States.
Remote LCSW with SUD Experience Integrated Psychiatric Consultants PARemote LCSW with SUD ExperienceKansas, KSRemote$55,000–$70,000 / yearOur 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. Integrated Psychiatric Consultants (IPC) is a physician-owned and operated behavioral health staffing & management group offering end-to-end behavioral health solutions to the needs of organizations across the United States.
Part-Time Registered Dietitian (75% remote) RD Nutrition ConsultantsPart-Time Registered Dietitian (75% remote)Kansas City, KSRemoteThis role allows flexibility and a balanced blend of in-person and remote work, ensuring our patients receive the best care while our team enjoys a work-life harmony. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
Tele/Remote Consult-Liaison Psychiatrist Integrated Psychiatric Consultants PATele/Remote Consult-Liaison PsychiatristKansas, KSRemoteOur 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 full-time 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 on your patients.
Part -Time Registered Dietitian (75% remote) RD Nutrition ConsultantsPart -Time Registered Dietitian (75% remote)Kansas City, KansasRemoteThis role allows flexibility and a balanced blend of in-person and remote work, ensuring our patients receive the best care while our team enjoys a work-life harmony. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.