159 care associate jobs found in Jefferson City, MO

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Customer Care Associate - Philadelphia PACE Application Center Job Description This position is a frontline service position providing assistance to members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operationsproduction and quality standards....

Become a part of our caring community and help us put health first Do you have a passion for architecting robust data ecosystems? Are you energized by advancements in artificial intelligence? Do you see opportunities to transform business strategy by integrating emerging technologies into critical operations? As a Lead Data Engineer at Humana, you will play a pivotal role in designing and implementing next-generation, compliance-focused solutions that drive innovation in data governance and protection. Humana seeks a Lead Data Engineer with a strategic mindset and deep technical expertise to advance our enterprise data governance architecture and processes. This role emphasizes integrating artificial intelligence (AI), machine learning (ML), and modern cloud-native platforms with state, federal, and enterprise policies. The successful candidate will lead initiatives that enable scalable, compliant, and future-ready data solutions across the organization. Key...

Become a part of our caring community and help us put health first The Senior Configuration Professional work focuses on accessing and configuring an application or system that is integrated with business processes/data and IT infrastructure including building modules, developing tables/reports, and creating complex functions. The Senior Configuration Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Configuration Professional responsibilities can include advising the business, evaluating requests, implementing new features and changes, troubleshooting, resolving testing issues, configuring processes and experiences. integrating, developing interfaces, and maintaining documentation. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is...

Become a part of our caring community and help us put health first The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring and troubleshooting KPIs. This role requires someone who can effectively perform ad-hoc analyses to support our business objectives. The ideal candidate will have insatiable curiosity and a strong aptitude for learning. Key Responsibilities: Develop SQL queries for ad hoc data pulls, analysis, and identification of root cause Utilize existing reports and dashboards to monitor and report...

Become a part of our caring community and help us put health first The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This a remote nationwide position The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots...

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Customer Service Coordinator Job ID 252756 Posted 23-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Customer Service Location(s) Columbus - Ohio - United States of America, Remote - US - Remote - US - United States of America About the Role: As a CBRE Customer Service Associate, you will guide the team responsible for assigning tasks related to resolving complex day-to-day and escalated issues. This job is part of the Call Center job function. They are responsible for providing end-to-end support to resolve customer inquiries or concerns. What You'll Do: Answer incoming service requests, via phone, chat, email & online requests. Point of contact for all escalated customer inquiries and concerns. Dispatch service request work orders for completion by vendors. Verify company systems, customer service databases, and spreadsheets are accurate and being updated frequently. Contact the customer for...

Under general direction, the Treasury Management (TM) Sales Analyst supports the Treasury Management Officers (TMOs) in growing TM revenue. This position is responsible for the creation, analysis and delivery of proposals, RFPs, and sales presentations. The TM Sales Analyst performs pre-call planning, preparation and participates in joint sales calls with TMOs and Commercial Bankers. The TM Sales Analyst provides a high level of internal customer support through understanding and driving the sales culture and vision of the organization within the member banks, maintaining and delivering reporting and metrics; and managing all additional aspects of sales support in the sub lines of business. How you will spend your time: Develop proformas, proposals and customer profitability analysis for Treasury opportunities Prepare pre-call planning prep and materials for TM client and prospect meetings Coordinate proposal responses and works across business lines to...

Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and...

As part of the Credit Oversight team, the Construction Loan Analyst Senior, is accountable for the monitoring of all construction projects for Commercial and Residential construction loan. How you will spend you time: Draw processing, engaging third party consultants; ordering, reviewing and analyzing pre construction costs/examine documentation and draw inspection reports against actual progress of project Ordering and reviewing title policy endorsements and updates Analyze project budget and cost variations Authorize loan and equity funding Identify and assess project trends and manage credit risk within the individual projects Create analytical management reports that provide a summary of the outstanding portfolio to assist in financial capital allocation requirements Advise loan officers, attorneys, staff, and third parties on terms and conditions of construction project structure Follow up on completed and inactive...

Become a part of our caring community and help us put health first Humana's Marketing organization is seeking an Associate Director, Product Marketing to lead the go-to-market, positioning, and member-focused campaigns for our Medicaid lines of business. You will craft the product value proposition, align messaging to state program objectives, and lead cross-functional teams to deliver integrated, multi-channel experiences that drive measurable outcomes for members and the enterprise. Key Responsibilities Develop and own product marketing strategies and go-to-market plans for Medicaid products across states, including positioning, value propositions, and messaging frameworks. Lead end-to-end campaign delivery (email, direct mail, SMS, app, web, call center/IVR) from creative concept through execution, measurement, and optimization. Translate business goals into data-driven content and personalization strategies; partner with data science to define Next...

Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Job Description Mission This person will play a crucial role in developing service innovation, optimizing processes, and delivering insights that empower the organization to make informed, data-driven decisions. They are passionate about cloud enterprise architecture and is collaborative and driven to apply their technical skills to real-world applications. This role will contribute to portfolio management and business development of Oracle Customer Success Services offerings for our customers that feature the latest Oracle technologies and capabilities. The architect will ensure that all deployments adhere to security, compliance, and cost optimization best practices for each hyperscaler. Qualifications Bachelor's or Master's degree in Computer Science, Data Science, Mathematics, Engineering or related field required; Ph.D. preferred Multiple cloud certifications such as Oracle Certifications: OCI Associate Architect, OCI Architect Professional; AWS...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Job Description Mission This person will play a crucial role in developing service innovation, optimizing processes, and delivering insights that empower the organization to make informed, data-driven decisions. They are passionate about building and selling service solutions focused on Cloud, SaaS, and AI. They are collaborative and driven to apply their technical skills to real-world applications. This role will contribute to portfolio management and business development of Oracle Customer Success Services offerings for our customers that feature the latest Oracle technologies and capabilities. The Services Architect will ensure that all solutions follow Oracle best practice, show value for customers, correctly describe the solution. Qualifications Bachelor's or Master's degree in Computer Science, Data Science, Mathematics, Engineering or related field required; Ph.D. preferred Multiple cloud certifications such as Oracle Certifications: OCI Associate...

Become a part of our caring community and help us put health first The Associate Director, Technology Solution Implementation delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Associate Director, Technology Solution Implementation requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director, Technology Solution Implementation gathers and documents business system and functional requirements, influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements, testing, operational readiness, and transition to the appropriate production support team. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s) and could lead multiple managers or highly...

Become a part of our caring community and help us put health first The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and maintenance of new EMR vendor connections, with a primary focus on Cerner and Integrated Delivery Network (IDN) projects. This position will serve as the main point of contact for Cerner provider integrations scheduled to begin going live in 2026, ensuring successful recruitment, performance monitoring, troubleshooting, and product testing. The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Business Systems...

Become a part of our caring community and help us put health first The Business Informatics Shared Services (BISS) Team is focused on optimizing the execution, investments, strategy, application experience, project delivery, and governance between the corporate technology and business teams, primarily in support of enterprise Finance. The BISS team has extensive and broad enterprise data experience that is frequently engaged to support efforts outside of Finance. The Technology Implementation Professional gathers and documents business system and functional requirements. influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements. testing, operational readiness, and transition to the appropriate production support team. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

Job Description As an Associate Consultant you will consult with clients on service line workflow and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction, and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives. Responsibilities Lead and support end-to-end revenue cycle implementations with a focus on charge services for federal healthcare clients (DoD, and potentially VA). Configure and customize Cerner Millennium solutions to meet the specific needs of federal reimbursement models and operational workflows. Collaborate cross-functionally with internal teams and external stakeholders, providing hands-on support during...

Become a part of our caring community and help us put health first The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions in a virtual environment, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software engineering/programming is a specialized area of software engineering/programming focused on software that operates/controls computer hardware and provides a platform for running end user applications. Includes operating systems, device drivers, utilities, and software; development tools (e.g., assemblers, compilers, etc.). The Lead Systems Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Virtualization Engineer is responsible for architecting, implementing, and maintaining enterprise-grade virtual environments that support the organization's critical applications and services. This...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Accounting Associate - Remote Job Description The Associate Accountant is responsible for assisting in the day-to-day routine maintenance of complete and accurate Accounts Payable, Accounts Receivable, General Ledger accounts and in preparing basic financial reports. Responsibilities Support assigned month end and year end accounting close procedures Create standard support schedules and prepare balance sheet reconciliations Calculate accrual entries and complete timely and accurate general ledger entries Assist team members with analysis projects Other duties as assigned Minimum Qualifications Bachelor's Degree in Finance or Accounting or related area of study or equivalent...

Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...