UNKNOWN

FEED

Responsibilities include conducting focused reviews and audit, oversight, and monitoring of activities to assess compliance with WellCare's contractual and regulatory requirements; collaborates with business owners and/or delegated vendors to drive remediation and assist WellCare and delegated subcontractors to maintain integrity through oversight and monitoring and in meeting Government-sponsored health care program requirements. Reviews and evaluates the status and effectiveness of corrective action plans and provide comprehensive follow up to stakeholders, Senior Management, Market Compliance Oversight Committees, and/or the Audit, Finance, and Regulatory Compliance Committee of the Board of Directors.

Centene Management Company

Compliance Oversight Specialist (Non Clinical)

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The Director provides structure and leadership in ambiguous environments, removes barriers, and ensures measurable business outcomes through strong execution, stakeholder alignment, and change leadership. Interacts closely with business leaders to carry out key projects and works directly with other senior leaders to drive successful completion of tactical and strategic initiatives.

Director, Strategic Initiatives

Supports internal and external audits related to third party compliance oversight by maintaining appropriate documentation, coordinating with third parties, performing quality review of submissions, and preparing presentations to stakeholders. Manages and mentors a team of individual contributors that support third party risk management processes, fostering a culture of accountability and continuous improvement.

Manager, Third Party Risk Management

Position Purpose : Manage vendor intake, evaluation, contracting, and performance oversight for assigned vendors and initiatives, ensuring compliance, strong engagement, and alignment with enterprise objectives. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.

Senior Manager, Vendor Management

We strive to increase diversity, equity, inclusion, and accessibility for underrepresented people through communication solutions for all: call captioning and video relay services, over-video and in-person sign language and spoken language interpreting, translation, real-time captioning, and post-production language services. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

HOUR

Sorenson Communications

Installer/Trainer Part Time

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The role also serves as a key partner to Product teams, helping ensure quality and Stars requirements are incorporated into product strategy, benefit design, member engagement solutions, and operational enhancements that improve both member experience and quality outcomes. Position Purpose: Identifies quality performance trends, develops key strategic improvement programs and initiatives, and ensures those programs and initiatives are implemented to impact quality rating system performance.

Lead Quality Program Strategist

Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.

Clinical Investigator (Behavioral Health)

Determines and documents each vendor solution's suitability to Centene's AI Control Plane, selecting and validating the applicable integration pattern — agents on Centene's agentic framework, vendor-hosted agents routing model calls through the Centene AI Gateway, network-level observability, or a combination — and identifying gaps requiring remediation or exception. Leads intake review and assessment of vendor AI solutions, including new vendor AI, AI functionality being activated within existing vendor platforms, and scope changes to current vendor offerings — coordinating with AI Intake and Security Risk Management so the third-party intake and vendor risk assessment are engaged at the right point.

Director, AI Vendor Integrations & Standards

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. Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, Finance, related field, or equivalent experience.

Contract Negotiator II

Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.

Remote Medical Director, Inpatient Marketplace

OTHER

In this role, you’ll help individuals and families protect what matters most, all while developing high-value skills like communication, leadership, and business ownership. This is a career path designed for people who want flexibility, purpose, and real earning potential—not a one-size-fits-all job.

Symmetry Financial Group

Remote Life and Health Insurance Agent

Teamtailor

This is an opportunity for individuals who combine hustle with heart--people who are willing to put in the work, grow their skills, and create a meaningful impact for families while building a rewarding career. It's an opportunity to create a lasting impact, develop your leadership potential, and build an income based on the your effort and value you bring--NOT what someone else says your work is worth.

Making an Impact

In this role, you will assist clients with travel planning, communicate with customers through digital channels, and help create engaging travel content that inspires future trips. Training and mentorship are provided, making this a great opportunity for individuals who want to develop digital skills and grow within the travel industry while working from home.

Prestigetravelpartner

Home-Based Digital Travel Assistance

Former athletes, coaches, competitors, and goal-oriented individuals often thrive in careers that reward effort, consistency, and strong communication skills. The Allen Agency is seeking individuals interested in a flexible remote opportunity helping families explore life insurance and mortgage protection options.

Sports Minded Professionals Wanted

Whether you're already licensed or willing to become licensed, we are seeking motivated individuals who want to help families, develop leadership skills, and eventually build and lead their own agency. Apply today to learn how you can start building a business and a future with unlimited growth potential.

Insurance Agency Expansion Partner

Deep domain expertise in at least one half of the segment - energy and petrochemicals, or mining and metals - with the demonstrated capacity to learn the other quickly; sufficient scientific acumen to engage credibly with customer scientists, interpret regulatory requirements, and identify commercially significant technical developments without specialist support· Demonstrated experience conducting structured VOC programs and translating customer insight into rigorous, commercially actionable product strategy inputs. Develop the segment go-to-market strategy: target customer profiles, channel strategy across direct key accounts and distributor-led markets, pricing and configuration guidance, campaign themes, value proposition hierarchy, and commercial messaging that positions PerkinElmer's portfolio competitively in the assigned segment.

YEAR

PerkinElmer US LLC

Strategic Market Manager - Industrials & Energy Markets (Petrochemicals, Mining & Metals)

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FULL_TIME

NFP Rx Solutions — the pharmacy benefit consulting arm of NFP — is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded employers, health plans, and coalition clients, combining contract negotiation, clinical expertise, and advanced analytics to meaningfully reduce pharmacy spend and improve member outcomes. Principal Duties and Responsibilities / Essential Functions: Develop and maintain effective working relationships as liaison between clients, internal teams, and external partners, such PBMs, brokers, and other third party staff.

NFP Corp

Consultant, Pharmacy Benefits

[AW]-iCims

Position Purpose: Assist in maintaining Centene Corporation's Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.

Compliance Analyst - Marketplace Compliance

Remote National Medical Director

Five plus years of experience supporting working with Primary Care Providers, Account Management experience working in Healthcare or related field, able to present to executive-level teams at the delegated entities. Maintains regular communications with leads at delegated partner organizations and works internally to communicate business needs to delegated partners.

Work From Home Jobs in Jefferson City, MO

Compliance Oversight Specialist (Non Clinical) Centene Management Company

Director, Strategic Initiatives Centene Management Company

Manager, Third Party Risk Management Centene Management Company

Senior Manager, Vendor Management Centene Management Company

Installer/Trainer Part Time Sorenson Communications

Lead Quality Program Strategist Centene Management Company

Clinical Investigator (Behavioral Health) Centene Management Company

Director, AI Vendor Integrations & Standards Centene Management Company

Contract Negotiator II Centene Management Company

Remote Medical Director, Inpatient Marketplace Centene Management Company

Remote Life and Health Insurance Agent Symmetry Financial Group

Making an Impact Symmetry Financial Group

Home-Based Digital Travel Assistance Prestigetravelpartner

Sports Minded Professionals Wanted Symmetry Financial Group

Insurance Agency Expansion Partner Symmetry Financial Group

Strategic Market Manager - Industrials & Energy Markets (Petrochemicals, Mining & Metals) PerkinElmer US LLC

Consultant, Pharmacy Benefits NFP Corp

Compliance Analyst - Marketplace Compliance Centene Management Company

Remote National Medical Director Centene Management Company

Vendor Relations Manager Centene Management Company

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