525 Medical Director Jobs in Chesterfield, MO

Executive Health Resources   11 Reviews – Saint Louis, MO – Map

The Physician Advisor, Medical Necessity Admission Review, serves as a clinical resource to EHR …

NicheMedicalJobs – 3 days ago

Centene   33 Reviews – Saint Louis, MO – Map

Position Purpose: Provide strategic leadership and guidance in medical management and quality across all Centene's Medicare Advantage Plans. Ensure compliance with all…

HealthcareJobsite.com – 21 days ago

SSM Cardinal Glennon Children's Hospital – Saint Louis, MO – Map

therapy applications. The Medical Director will support the SLCBB's Investigational… Laboratory at SSM Cardinal Glennon Children's Medical Center has an opening for a Medical…

TopUSAJobs – 4 days ago

Managed Medicaid Services – Saint Louis, MO – Map

Director Medical Management and Quality RN will provide strategic leadership and guidance in medical management and quality across all Medicare Advantage Plans nbsp; Develop ldquo;best practice rdquo; policies and procedures Ensure compliance with all CMS clinical quality and service requirements and ensure a centralized structure to support the Medicare business unit Serve as the liaison with all internal operations nbsp; Establish clinical operational objectives and quality improvement goals as well as develop and implement market focused clinical programs nbsp; Oversee all accreditation and oversight requirements and ensure policies and procedures are compliant with NCQA and CMS nbsp; < p> Knowledge Experience: Must be an RN Bachelor s degree in Nursing Healthcare Administration or related field 7 years of prior authorization concurrent review and case management operations experience in a managed care setting with emphasis on Medicare Knowledge of Medicare coverage rules and pa …

CareerVitals.com – 3 days ago