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21 Jobs in St Louis, MO

  • Plan Performance Medical Director

    ST LOUIS, Missouri
    ... The Plan Performance Director is responsible for serving as the lead clinician for a plan. Responsible for the administration of medical services for company health plan including the overall medical ...
  • Medical Oncology Medical Director - Utilization Review

    St Louis, Missouri
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • UM Medical Director - Cardiology

    St. Louis, Missouri
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Neurosurgery

    St Louis, Missouri
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Medicare Medical Director Clinical Programs

    St. Louis, Missouri
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and ...
  • UM Medical Director - Orthopedic Surgery

    St. Louis, Missouri
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    St. Louis, Missouri
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    St Louis, Missouri
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • UM Medical Director - Internal Medicine or Family Medicine

    St. Louis, Missouri
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • National Medical Director - Total Cost of Care, Post Acute

    ST LOUIS, Missouri
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    St. Louis, Missouri
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • National Medical Director - Physiatry, Post Acute Solutions

    ST LOUIS, Missouri
    ... Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ...
  • Director I Sales

    ST LOUIS, Missouri
    ... Director I Sales Location: This position will work a hybrid model (remote and ... . The Director I Sales will be responsible for directing sales and/or account management ...
  • Health Benefits Executive Director

    St Louis, Missouri
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Pharmacy Quality Assurance Specialist

    ST LOUIS, Missouri
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • Provider Cost of Care Consultant

    ST LOUIS, Missouri
    ... . Provides expert advice, analytic and consultative support to Medical Directors and management on cost of ... negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups ...
  • Provider Contract Cost of Care Analyst

    ST LOUIS, Missouri
    ... satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of ...
  • Nurse Medical Management I-1

    St Louis, Missouri
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Provider Contract/Cost of Care Consultant Senior

    St. Louis, Missouri
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Nurse Medical Management II

    St Louis, Missouri
    ... Nurse Medical Management II At Federal Health Products and Services - FHPS , a ... Medical Management II** is responsible for collaborating with healthcare providers and members to ...
  • Reviewer - Therapy Services

    ST LOUIS, Missouri
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
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