O Fallon, MO health & Medical Jobs

1 - 10 of 371 Jobs
Manager, Utilization Management
Centene CorporationNursing
Chesterfield, MO
Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions. Review analys
from centene.comYesterday
Retail Store Manager
General Nutrition CentersRetail
Wentzville, MO
Job Summary: GNC, helping people to Live Well It is a really exciting time to be at GNC! Rising costs and a growing emphasis on prevention have convinced increasing numbers of consumers to take c
from gnc.comYesterday
Clinical Reviewer II (Special Investigation Unit)
Centene CorporationHealth & Medical
Chesterfield, MO
Position Purpose: Perform audits to identify inappropriate billing practices and determine medical necessity through extensive review of claims data, medical records, corporate policy, state/federal p
from centene.comYesterday
Clinical Trainer
Centene CorporationTraining & Instructor
Chesterfield, MO
Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for clinical department staff on the company’s clinical philosophy and evidence based prac
from centene.comYesterday
Clinical Reviewer I (Special Investigation Unit)
Centene CorporationHealth & Medical
Chesterfield, MO
Position Purpose: Perform audits to identify inappropriate billing practices through extensive review of claims data, medical records, corporate policy, state/federal policy, and practice standards.
from centene.comYesterday
Clinical Reviewer II (Special Investigation Unit)
Centene CorporationHealth & Medical
Chesterfield, MO
Position Purpose: Perform audits to identify inappropriate billing practices and determine medical necessity through extensive review of claims data, medical records, corporate policy, state/federal p
from centene.comYesterday
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Supervisor, Clinical Training
Centene CorporationTraining & Instructor
Chesterfield, MO
Position Purpose: Supervise and facilitate the daily operations of the clinical training activities, including training assessment and evaluation, material development, marketing of the clinical train
from centene.comYesterday
Case Manager I (Prior Authorization)
Centene CorporationHealth & Medical
Chesterfield, MO
Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or telephone to ensure medical
from centene.comYesterday
Contract Negotiator I
Centene CorporationHealth & Medical
Chesterfield, MO
Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure t
from centene.comYesterday
Clinical Trainer
Centene CorporationTraining & Instructor
Chesterfield, MO
Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for clinical department staff on the company’s clinical philosophy and evidence based prac
from centene.comYesterday

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