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Cigna-Evernorth Services Inc. seeks a Software Engineering Advisor for the St. Louis, MO location to design, develop, and maintain complex enterprise software applications. Responsibilities: • Architect, write, and enhance sophisticated software solutions that support mission critical
LocationST. LOUIS, MO 63110 Scheduled Hours40 Position SummaryResponsible for clinical program management, including program planning, implementation and evaluation. Promotes the delivery of care, based on the program philosophy. Responsible for oversight of daily operations related to
LocationJefferson City, MO 65102-0720 Scheduled Hours40 Position SummaryPosition performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers Job
LocationSt. Louis, MO 63110 Scheduled Hours40 Position SummaryPerforms follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite
LocationJefferson City, MO 65102-0720 Scheduled Hours40 Position SummaryPosition reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent
LocationSAINT LOUIS, MO 63110 Scheduled Hours40 Position SummaryManages Department of Pediatrics research related purchasing operation and provides day to day oversight. Job Description Primary Duties & Responsibilities: Manages research related purchasing workflow, including assignment of duties
LocationRemote, US Scheduled Hours40 Position SummaryThis advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department.
LocationRemote, US Scheduled Hours40 Position SummaryPerforms varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers. Job Description Primary Duties
LocationRemote, US Scheduled Hours40 Position SummaryAdvanced level specialization in complex pre-certifications as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department. May perform rechecks of insurance eligibility and verify authorization information
LocationRemote, US Scheduled Hours40 Position SummaryPosition is responsible for the following critical functions: Managed Care pricing and rate contracting strategy, Transplant Contracting Data Collection, Managed Care fee schedule management – commercial and government payers, Managed Care
LocationRemote, US Scheduled Hours40 Position SummaryPerforms advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as
LocationRemote, US Scheduled Hours40 Position SummaryThis position works to complete insurance verification, examination and tracking of insurance authorizations, and validation of referral record accuracy. Enters demographic and insurance/referral information into necessary portions of the patient medical
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