- Humana (St. Paul, MN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (St. Paul, MN)
- …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the care received by members in… more
- Norstella (St. Paul, MN)
- Director , Engineering - Technology (Eastern Time Zone) Company: Panalgo Location: Remote, United States Date Posted: Mar 5, 2025 Employment Type: Full Time Job ID: ... to generate insights into improving population health, quality of care , and managing costs. Now, Panalgo is proud to...**The Role:** We are seeking a talented and creative Director , Engineering with experience in big data for our… more
- St Croix Hospice (Oakdale, MN)
- …training, and negotiating service contracts with skilled nursing facilities, hospitals, managed care organizations, government agencies, and other payers. This ... Regional Director of Business Development Job Details Level Management Job Location Administration - OAKDALE, MN Position Type Full Time Job Shift Day Job Category… more
- State of Minnesota (St. Paul, MN)
- …issues regarding provision of maternal and child health services through both managed care and fee-for-service structures. + Variety of experiences working ... Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director...and technical reports. + Understanding of the department's health care purchasing strategies, data systems , and the… more
- 3M (Maplewood, MN)
- …Role In this role, you will be responsible for overseeing the managed services provider (MSP) that conducts day-to-day third-party cybersecurity risk assessments, ... you will play a key role in protecting our organization's data and systems from external threats, thereby safeguarding our business operations and maintaining the… more
- Fresenius Medical Center (Golden Valley, MN)
- …to achieve or exceed budgets and key performance indicators. + Works closely with Managed Care resources to increase the payor mix and to retain commercial ... and procedures, to provide high quality dialysis service and superior patient care to the community. Participates in the implementation of divisional and company… more
- Ebenezer (Minneapolis, MN)
- …experience instrategy development and account management, in the PBM,specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience ... performing analyticsin the PBM,specialty pharmacy, and/or managed care industry. + 10+ years of leadership/people management experience + In-depth knowledge of… more
- Fairview Health Services (Minneapolis, MN)
- …in strategy development and account management, in the PBM, specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience performing ... analytics in the PBM, specialty pharmacy, and/or managed care industry. + 10+ years of leadership/people management experience + In-depth knowledge of payer/PBM… more
- Highmark Health (St. Paul, MN)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- St Croix Hospice (Vadnais Heights, MN)
- …Description The Manager of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. This position is responsible ... hospice personnel to case as needed. Conferences with Medical Director or Hospice Physician regarding any questions about an...as an effective member of the hospice and health care delivery system . + Promotes customer service… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... Senior Director of Medical Management or Medical Director . + Appropriately identifies potential cases for Care...year of experience with Utilization Review (UM) in a managed care environment** + Cardiology and Oncology… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... care across a fragmented and complex health care system . **About the Role** The Chief... organization. + Experience in health plan operations and/or managed care highly desirable. + High level… more
- Ebenezer (Fridley, MN)
- …older adults, which comes with the peace of mind knowing supportive services and care by Ebenezer is available should your needs change. We offer Independent Living, ... Assisted Living, and Memory Care . Located along bustling University Ave in Fridley, MN...developed by Ivy Properties and United Properties, and is managed by Ebenezer, an experienced provider of residential and… more
- Ebenezer (Brooklyn Center, MN)
- …Access!) https://www.ebenezercares.org/employee-benefits _The Sanctuary of Brooklyn Center is managed by Ebenezer, Minnesota's largest senior housing operator. We ... 158 units in combination of Assisted Living and Memory Care . As the senior housing division of Fairview Health...on task. + Learns and becomes proficient with EMenu System and restaurant style service. + Ensures all dishes… more
- State of Minnesota (St. Paul, MN)
- …issues regarding provision of maternal and child health services through both managed care and fee-for-service structures. + Variety of experiences working ... / MAPE DHS Central Office + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director...and technical reports. + Understanding of the department's health care purchasing strategies, data systems , and the… more
- Fairview Health Services (Fridley, MN)
- …older adults, which comes with the peace of mind knowing supportive services and care by Ebenezer is available should your needs change. We offer Independent Living, ... Assisted Living, and Memory Care . Located along bustling University Ave in Fridley, MN...developed by Ivy Properties and United Properties, and is managed by Ebenezer, an experienced provider of residential and… more
- Fairview Health Services (Brooklyn Center, MN)
- …Access!) https://www.ebenezercares.org/employee-benefits _The Sanctuary of Brooklyn Center is managed by Ebenezer, Minnesota's largest senior housing operator. We ... 158 units in combination of Assisted Living and Memory Care . As the senior housing division of Fairview Health...on task. + Learns and becomes proficient with EMenu System and restaurant style service. + Ensures all dishes… more