- Minnesota Department of Health (St. Paul, MN)
- …Title: Comprehensive Cancer Control Program Coordinator Job Class: Planner Principal State Agency: Health Department Job ID: 78398 Location: St. Paul Telework ... do is more than just a job. At the State of Minnesota, employees play a critical role in...exciting opportunity for a CCCP Coordinator to join our team ! In this role you will identify, coordinate, facilitate,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Management Analyst 4** **Job Class: State Medical Review Team (SMRT) Data and Systems Project Lead** **Agency: Human Services Dept** + ... may change in the future with notice._** This position exists to serve as the State Medical Review Team (SMRT) Data and Systems Project Lead. The… more
- Prime Therapeutics (St. Paul, MN)
- …Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further review is necessary. + Other ... our passion and drives every decision we make. **Job Posting Title** Initial Review Pharmacy Technician **Job Description Summary** Plays a key role in medical… more
- Sedgwick (St. Paul, MN)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer SVP Bill Review - Careworks **PRIMARY PURPOSE OF THE ROLE:** ... To plan, direct, control and oversee functions within Bill Review -Careworks; and to maintain relationships with internal and external customers, the provider/network… more
- The Cigna Group (Bloomington, MN)
- …with client benefit intent policies and regulatory requirements. + Effectively communicates to team members with varying levels of Coverage Review and Direct ... Coverage Review Operations provides a variety of clinical services...for the daily oversight and management of an expansive team (500+ FTEs) consisting of internal and onshore and… more
- DC Group (Minneapolis, MN)
- …that sets us apart, fuels our growth, and makes us an exciting team to grow with! Requirements: + In-office position at Minneapolis, MN headquarters, candidate ... experience may be substituted, such as coordinating the contract review and response between the legal department and sales...of contact to relay contract information to internal sales team members or others as requested; + clarifying client… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Director of Government Affairs** **Job Class: State Program Administrator, Manager Principal** **Agency: Minnesota Department of Veterans Affairs** ... do is more than just a job.** At the State of Minnesota, employees play a critical role in...to the Commissioner, the Chief Administrative Officer, the Executive Team , managers, and others who participate in the formation… more
- State of Minnesota (Bloomington, MN)
- **Working Title: LPN/CMA/EMT** **Job Class: Licensed Practical Nurse/ Medical Assistant, Certified/Emergency Medical Technician** **Agency: Corrections Dept** + ... Salary Range:** $27.12 - $34.69 / hourly + **Emergency Medical Technician Salary Range:** $22.07 - $30.43 / hourly...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Product Manager** **Job Class: State Program Administrator, Coordinator** **Agency: Department of Employment and Economic Development** + ... & Economic Dev-MAPE + **Division/Unit** : Paid Family & Medical Leave / PFML-Management + **Work Shift/Work Hours** :...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Manager of UI/UX Design** **Job Class: State Program Administrator, Manager** **Agency: Department of Employment and Economic Development** + **Job ... Econ Dev -Managerial + **Division/Unit** : Paid Family & Medical Leave / PFML-Management + **Work Shift/Work Hours** :...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- State of Minnesota (St. Paul, MN)
- …Title: Manager of Program Integrity and Internal Controls** **Job Class: State Program Administrator, Manager** **Agency: Department of Employment and Economic ... Econ Dev -Managerial + **Division/Unit** : Paid Family & Medical Leave / PFML-Management + **Work Shift/Work Hours** :...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- State of Minnesota (Preston, MN)
- …nursing facility. + Administering release of information (ROI) requests for resident's medical records following state and federal regulations, Health Insurance ... **Working Title: Health Information Specialist** **Job Class: Medical Records Technician 1 OR Office and Administrative...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- Humana (St. Paul, MN)
- …will understand how to operationalize this knowledge in their daily work The Medical Director's work includes computer-based review of moderately complex to ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Travelers Insurance Company (St. Paul, MN)
- …as appropriate: + Review , approve and make accurate/timely payment of appropriate medical bills and expenses in compliance with State regulations. + Channel ... this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time beyond statutory...the need for and engage nurse resource for utilization review when appropriate. + File appropriate state … more
- Highmark Health (St. Paul, MN)
- …and continually review the education programs provided to the interdisciplinary team in cooperation with the Executive Medical Director + Evaluate quality ... provide clinical leadership and guidance to the regional interdisciplinary team . The medical director collaborates clinically with...Board Certified MD or DO with a current, unrestricted medical license in any US State and… more
- CSL Plasma (Minneapolis, MN)
- …such capacity provides medical oversight in compliance with applicable Federal and State regulations including the applicable sections of Title 21 of the Code of ... medically related procedures and practices. 5. Reviews and signed Medical Staff Associates notebooks weekly, including a review...osteopathic school . Must maintain a current and active medical license in the state in which… more
- Humana (St. Paul, MN)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... clinical group practice management. * Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (St. Paul, MN)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …Extended Care service line is looking to hire a Physician - Assistant Medical Director. This position is eligible for the Education Debt Reduction Program (EDRP), ... Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that...hospice enrollment but agree to be followed by the team . This program has been shown to decrease utilization… more
- J&J Family of Companies (St. Paul, MN)
- …and metabolic diseases. Within Integrated Data Analytics & Reporting (IDAR), the Regulatory Medical Writing team are recruiting for a **Principal Medical ... and briefing documents. + Lead cross-functional document planning and review meetings. Interact with peer writers and colleagues from...Be the primary point of contact and champion for medical writing activities for the clinical team .… more
