- Humana (St. Paul, MN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- HomeSafe Alliance (St. Paul, MN)
- …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
- Humana (St. Paul, MN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... 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
- Merck (St. Paul, MN)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Humana (St. Paul, MN)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (St. Paul, MN)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (St. Paul, MN)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- AECOM (Minneapolis, MN)
- …Leads integration of risk/change management processes during delivery, including claims management . + Ensure that project controls measures are implemented. ... select large or complex assignments. + Lead or assist with dispute resolution, claims , and other conflict management issues. + Facilitate planning activities,… more
- United Therapeutics (St. Paul, MN)
- …orphan diseases. **How you'll contribute** The Associate Analytics, Insights and Operations Director , Market Access will lead data support across all functions of ... Compliance, Legal, Information Technology, Sales & Marketing Operations, Finance, and Medical Affairs / HEOR. Additionally, this role will support special pricing… more
- HomeSafe Alliance (St. Paul, MN)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- Merck (St. Paul, MN)
- …deliver measurable impact in commercial pharma landscape. + Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive mindset ... **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater… more
- Elevance Health (Mendota Heights, MN)
- …family of companies. We are a third_ _-_ _party_ _administrator (TPA) of medical benefits, also providing medical management , human resource_ _consulting ... **Planning & Performance Director ( Chief of Staff)** **Locations:** Alternate locations may...for supporting the annual planning, strategy and business change management for a VP/GM. **How you will make an… more
- Philips (Plymouth, MN)
- …Minimum of 6 years' experience with Master's in areas such as Medical Devices, Pharmaceutical/Biotech, Healthcare Management , Consulting, Strategic Planning or ... ** Director , Health Economics and Outcomes Research** This role...current on trends. They also manage talent, advancing data management and developing innovative strategies for product success. **Your… more
- Takeda Pharmaceuticals (St. Paul, MN)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Fairview Health Services (Minneapolis, MN)
- …and Execution (35%):** + Involved in the development, implementation, and management of a comprehensive, market-based payer strategy. + Direct innovative programs, ... risk methodology and algorithms, data analytics, and health outcomes research. **Account Management & Sales (20%)** + Account and relationship management of… more
- Zurich NA (St. Paul, MN)
- …Member of the Bar + Extensive experience in and in-depth knowledge of Casualty claims management + Highly detail-oriented with a strong focus on accuracy + ... AVP, Medical Bill Review Litigation 119916 Zurich Insurance is...and other legal filings + Maintain accurate and up-to-date claims documentation, ensuring compliance with best practices for high-complexity… more
- Gentiva (Minneapolis, MN)
- …care, partnering with them and other specialists to offer advanced illness management , a specialized form of high-touch palliative care designed to provide relief ... **Overview** We are looking for an **AIM (Advanced Illness Management ) Program -** **Care Coordinator** to join our team...branch administrative position, and will directly report to the Director of AIM. The Care Coordinator is responsible for… more
- HomeSafe Alliance (St. Paul, MN)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- AON (Bloomington, MN)
- …to internal and external clients. + Working with the Resident Managing Director , leads critical best practice client management efforts including Strategic ... to assist clients in unusual circumstances such as large claims , etc. + Helps resolve internal issues with geographies,...and external clients. + Working with the Resident Managing Director , leads critical best practice client management … more
- Prime Therapeutics (St. Paul, MN)
- …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... with business partners across client facing divisions, product/ project management , analytics, operations, and IT to enable data-driven strategic decisions.… more