NewWeekend/Evening Remote Licensed Talk Therapist - Fee For Service ThriveworksWeekend/Evening Remote Licensed Talk Therapist - Fee For ServiceSaint Louis, MORemoteWith Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address. As a clinician-led organization, we're built to support the people who do this work with the tools, community, and stability you need to build a career that lasts.
Sr. Healthcare Reimbursement Specialist (100% remote) St. Luke's Hospital - MOSr. Healthcare Reimbursement Specialist (100% remote)CHESTERFIELD, MissouriRemoteFull timeThe Senior Healthcare Reimbursement Specialist will independently manage the full lifecycle of the hospital’s Medicare and Medicaid regulatory filings, compliance, audits, and appeals. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve.
NewProvider Relations Manager - Cigna Healthcare - Remote - KS, MO The Cigna GroupProvider Relations Manager - Cigna Healthcare - Remote - KS, MOSt. Louis, MORemote$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.
NewProduct Management Senior Manager - Enterprise Gateway - Cigna Healthcare - Remote The Cigna GroupProduct Management Senior Manager - Enterprise Gateway - Cigna Healthcare - RemoteSt. Louis, MORemote$131,400–$219,000 / yearThe Product Management Senior Manager partners closely with engineering, Gateway operations, trading partner management, solution leadership, architecture, compliance, data, and business stakeholders to translate enterprise priorities into actionable product plans. Gateway Domain, Industry & Operational Analysis: Develop strong working knowledge of Enterprise Gateway capabilities, including EDI transactions, trading partner exchange, attachments, acknowledgements, reporting, and downstream application dependencies.
Sr. Healthcare Reimbursement Specialist St. Luke's Hospital ChesterfieldSr. Healthcare Reimbursement SpecialistChesterfield, MORemoteThe Senior Healthcare Reimbursement Specialist will independently manage the full lifecycle of the hospital's Medicare and Medicaid regulatory filings, compliance, audits, and appeals. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve.
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.
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.
Senior Account Director, Healthcare InterdependenceSenior Account Director, HealthcareSt. Louis, MORemotePaid Maternity Leave - We support growing families with paid maternity leave, giving new moms dedicated time to recover, bond with their baby, and return to work with confidence. The Senior Account Director will play a critical role in developing and executing comprehensive public relations strategies for our healthcare and pharmaceutical clients.
Senior Accountant, Outsourced Accounting - Healthcare Industry Clients Wipfli Advisory LLCSenior Accountant, Outsourced Accounting - Healthcare Industry ClientsClayton, MissouriRemoteFull timeWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. In this role, you’ll provide assistant controller-level support to healthcare clients, helping them navigate complex financial needs with confidence.
Senior Accountant, Outsourced Accounting Healthcare Industry Clients Wipfli LLPSenior Accountant, Outsourced Accounting Healthcare Industry ClientsClayton, MORemoteWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. In this role, you'll provide assistant controller-level support to healthcare clients, helping them navigate complex financial needs with confidence.
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.
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.
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 Advisor, Data Insights & Client Reporting - Express Scripts Pharmacy - Remote CarePathRx Holding Company LLCSenior 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.
NewProvider Revenue Cycle Management Expert (Remote) Cognizant Technology Solutions CorpProvider Revenue Cycle Management Expert (Remote)MORemoteOur 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. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com for roles based in the Americas or CareersIndia2@cognizant.com for roles based in India.
(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.
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.
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.
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.
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.