Senior Advisor, Provider Contracting and Strategy - Express Scripts - Hybrid or Remote CarePathRx Holding Company LLCSenior Advisor, Provider Contracting and Strategy - Express Scripts - Hybrid or Remotemissouri, MORemote$106,400–$177,300 / yearThe Senior Advisor, Provider Contracting and Strategy is responsible for the renewal and ongoing management contracting activities of assigned retail providers and supporting ESI's strategic initiatives related to network access. 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.
Client Support Specialist Parmele Disability AdvocatesClient Support SpecialistJoplin, MissouriRemoteAs a Client Support Specialist, you will be the first point of contact for prospective clients, providing compassionate support, clear communication, and guidance during an important time in their lives. As a Client Support Specialist, you'll create a positive experience for prospective clients through professional communication, active listening, and thoughtful problem-solving.
NewPartner Integration Product Owner, Individual Dental - Cigna Healthcare - Remote The Cigna GroupPartner Integration Product Owner, Individual Dental - Cigna Healthcare - RemoteMORemoteThis role serves as a strategic liaison between external enrollment partners, internal business stakeholders, technology teams, operations, and Agile delivery teams to ensure partner integrations are implemented effectively, maintained reliably, and continuously improved to support growth, service continuity, and a strong broker and customer experience. The Advisor translates business and partner needs into actionable requirements, manages priorities across a high-volume portfolio of partner-facing work, supports implementation and post-launch performance, and drives alignment across product, engineering, operations, compliance, sales, and external partner teams.
Senior Care Coach Humana IncSenior Care CoachMORemote$65,000–$88,600 / 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. As a Senior Care Coach supporting our Illinois HealthChoice Medicaid program, you''ll play a dual-impact role: helping Medicaid members achieve better health outcomes while mentoring and supporting a team of Care Coordinators who make that care possible.
Field Care Manager, Nurse Humana IncField Care Manager, NurseMORemote$71,100–$97,800 / yearThe Registered Nurse Care Manager (Care Manager, Telephonic Nurse 2) performs telephonic and face-to-face assessments and evaluations of Moderate to High acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members and their families/caregivers across the lifespan. Work 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.
Pediatric Field Care Manager, Nurse Humana IncPediatric Field Care Manager, NurseMORemote$71,100–$97,800 / yearOverview: The Pediatric Care Manager (Care Manager, Nurse 2) performs telephonic and face-to-face assessments and evaluations of Moderate to High acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of pediatric members and their families/caregivers, including children with acute, chronic, complex, and special healthcare needs. Work 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.
Care Coach Humana IncCare CoachMORemote$53,700–$72,600 / 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. Screen members using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
NewCare Manager, Behavioral Health Humana IncCare Manager, Behavioral HealthMORemote$65,000–$88,600 / 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. Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs.
Bilingual Interpreter (English Haitian Creole) TransPerfectBilingual Interpreter (English Haitian Creole)Kansas City, MORemoteTransPerfect Connect (TPC) is the world's leading provider of remote interpreting solutions, including over-the-phone interpretation (OPI), video remote interpretation, multilingual email and chat support, business process outsourcing, and global call center services. Interpreters manage continuous live calls, often under pressure, while strictly following interpretation protocols to maintain neutrality, accuracy, and confidentiality.
Bilingual Interpreter (English <> Haitian Creole) TransPerfect IncBilingual Interpreter (English <> Haitian Creole)Kansas City, MORemoteTransPerfect Connect (TPC) is the world's leading provider of remote interpreting solutions, including over-the-phone interpretation (OPI), video remote interpretation, multilingual email and chat support, business process outsourcing, and global call center services. Interpreters manage continuous live calls, often under pressure, while strictly following interpretation protocols to maintain neutrality, accuracy, and confidentiality.
AI Product Owner Government Employees Health Association, Inc.AI Product OwnerMORemote$95,118–$120,330 / yearIn this role, you will collaborate closely with full stack developers, data scientists, compliance & risk teams, and business stakeholders to deliver AI-driven solutions that improve member experiences, optimize internal operations, and ensure ethical, secure, and compliant use of data. Familiarity with Modern Tech Stacks: Experience working with cloud-based AI/ML platforms (e.g., Azure AI, Google Cloud AI, AWS SageMaker) and modern data architecture (e.g., Kafka, Snowflake, Fabric).
AI Product Owner Government Employees Health AssociationAI Product OwnerMissouriRemoteIn this role, you will collaborate closely with full stack developers, data scientists, compliance & risk teams, and business stakeholders to deliver AI-driven solutions that improve member experiences, optimize internal operations, and ensure ethical, secure, and compliant use of data. Familiarity with Modern Tech Stacks: Experience working with cloud-based AI/ML platforms (e.g., Azure AI, Google Cloud AI, AWS SageMaker) and modern data architecture (e.g., Kafka, Snowflake, Fabric).
Senior Hospital Contracting Strategist Humana IncSenior Hospital Contracting StrategistMORemote$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. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewClinical Program Advisor - Express Scripts - Remote (Clinical Operations) CarePathRx Holding Company LLCClinical Program Advisor - Express Scripts - Remote (Clinical Operations)MORemote$120,000–$200,000 / yearProvide operational Subject Matter Expertise (SME) to Clinical Account Executives/Implementation Manager (CAE/IPM's), Client Benefit Administrators (CBA), Clinical Application Teams (DCRS, FRS, CRS, Criteria), Product Owners. 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.
NewSales & Broker Lead Analyst, Individual Dental - Cigna Healthcare - Remote The Cigna GroupSales & Broker Lead Analyst, Individual Dental - Cigna Healthcare - RemoteMORemoteThe individual will partner closely with internal stakeholders and broker distribution teams to enhance dental sales workflows, identify trends and friction points, and deliver scalable solutions aligned to the dental strategy. 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.
Customer Care Center Rep Wisconsin Physicians Service Insurance CorpCustomer Care Center RepMissouri, MORemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.
Intake Specialist I (Springfield, MO / Hybrid 4 days remote 1 day in office) FreedomCareIntake Specialist I (Springfield, MO / Hybrid 4 days remote 1 day in office)Springfield, MissouriRemote$18.90–$23 / hourWork closely with Patients and Caregivers to educate them and assist them on the application and enrollment process, with the goal of completing the eligibility process and onboarding the Patients and Caregivers to active Care status within 60 days of initial call to FreedomCare. . Working closely with clients, caregivers and departments across the business, your goal will be to provide a seamless Customer Service experience, while ensuring that our clients are receiving the care they need.
Remote Customer Support Team Lead SweetepictravelsRemote Customer Support Team LeadSaint Louis, MissouriRemoteJoin our dynamic Sweet Epic Travels Team as a Remote Customer Support Team Lead, where your enthusiasm and dedication will elevate client interactions and foster lasting relationships. Your proactive approach will help streamline communication, enhance customer satisfaction, and support the overall success of our client engagement strategies.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMORemote$71,100–$97,800 / yearWork-at-Home Information: 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. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Transition of Care Coordinator RN/LCSW TriWest Healthcare AllianceTransition of Care Coordinator RN/LCSWKansas City, MORemoteFull timeThe Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.