Jobs in Conception, MO

Engage in leading and managing the Medical Loss Ratio (MLR) compliance and reporting program. Provide strategic guidance across business lines, ensuring accurate reporting, risk mitigation, and regula...

Lead the charge in ensuring accurate MS-DRG and APR-DRG coding while exercising autonomy in clinical documentation reviews. Collaborate with medical experts to optimize compliance and enhance reimburs...

Lead the charge in optimizing third-party risk management, enhancing operational effectiveness, and ensuring compliance with regulations. Oversee due diligence, audits, and cross-functional initiative...

Lead the charge in building a high-performing Sales Investigations Team, guiding investigations into Medicare Advantage misconduct while ensuring compliance and operational excellence across the organ...

Champion Payment Integrity initiatives by leading teams to enhance readmission reviews, ensuring compliance and accuracy. Collaborate cross-functionally to drive results, optimize practices, and maint...

Join us to shape health policy through strategic advocacy, collaborating with key Congressional stakeholders to influence legislation and drive Centene's priorities in the ever-evolving healthcare lan...

Empower cross-functional teams by managing end-to-end telephony project initiatives, focusing on IVR systems, innovation implementation, and change management for seamless process adoption and operati...

Transform healthcare delivery by providing medical leadership and oversight, enhancing quality improvement, and driving innovative care strategies across the health plan's operations and provider netw...

Grow your career with this innovative role focused on enhancing UX for digital solutions. Collaborate with cross-functional teams to design user-friendly interfaces and drive best practices for web an...

Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...

Transform operational efficiency by leading process improvement initiatives, managing audit timelines, and ensuring compliance with quality standards across various functional areas to enhance healthc...

Contribute to organizational risk management by identifying, analyzing, and implementing strategies to minimize loss. Influence departmental strategy through complex decision-making and collaboration...

Champion the advancement of specialty care by leveraging analytics, strategic insights, and financial models to support value-based care initiatives and optimize performance across the organization wh...

Grow your career with a leading analytical role that involves forecasting financial data, enhancing methodologies, and collaborating with stakeholders to drive strategic decisions in a remote environm...

Join a dynamic team to ensure compliance with governmental regulations through detailed reporting and analysis, coordination with internal partners, and handling complex regulatory issues for quality...

Lead cross-functional collaboration to enhance clinical outcomes through data-driven strategies, leveraging your healthcare expertise for impactful decision-making and strategy influence at the execut...

Shape the future of OTC benefits by driving digital innovation, consumer engagement, and strategic growth within a regulated environment to enhance member experiences and maximize utilization...

Join a team focused on enhancing provider experiences through data-driven value-based programs. You'll strategize, develop frameworks, and collaborate with leadership to achieve operational excellence...

Drive formulary strategy development for Medicare by leveraging clinical and financial data. Collaborate across teams to influence decisions, mitigate costs, and improve health outcomes while communic...

Unlock the potential of drug utilization strategies by leveraging your pharmacy expertise to enhance healthcare outcomes, influence formulary policies, and drive innovative clinical solutions across m...

Elevate your career by championing HEDIS program operations and driving data excellence. Collaborate with partners, lead strategic initiatives, and ensure regulatory compliance to enhance member healt...

Unlock potential by leading the strategic development of Next Best Action capabilities through Adobe technologies, ensuring personalized customer engagement while collaborating across marketing, data...

Unlock potential by analyzing financial data to guide strategic decisions. Drive business intelligence through complex reserving models and cloud technology, ensuring data integrity and accuracy for l...

Transform the process of assessing complex commercial property claims by utilizing your extensive expertise to investigate, analyze, and communicate loss evaluations, ensuring effective collaboration...

Lead the charge in transforming legal strategy within a dynamic healthcare environment. Drive commercial operations, regulatory compliance, and manage a team of legal professionals, ensuring adherence...