• System Director of Managed

    Fairview Health Services (St. Paul, MN)
    …Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems . Demonstrated ... position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician… more
    Fairview Health Services (11/20/24)
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  • Medical Director - Florida

    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 (12/14/24)
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  • Medical Director - South Central

    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 predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
    Humana (11/08/24)
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  • Medical Director - National Medicare Team

    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
    Humana (11/08/24)
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  • Medical Director - Mid West Region

    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 (10/29/24)
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  • Medical Director - Acute Rehab Team

    Humana (St. Paul, MN)
    …management, and acute 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 (12/31/24)
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  • Director of Global Payroll Services

    Western Digital (St. Paul, MN)
    …in the world. From energizing the most competitive gaming platforms, to enabling systems to make cities safer and cars smarter and more connected, to powering ... in data. **Job Description** **Job Overview:** We have an opening for a Director of Global Payroll Services who will oversee and optimize our organization's payroll… more
    Western Digital (12/27/24)
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  • Director of Operations

    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
    Fresenius Medical Center (12/31/24)
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  • Director Account Management, PACE - Remote

    Prime Therapeutics (St. Paul, MN)
    …Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed , and (Earnings before Interest, Depreciation, ... fuels our passion and drives every decision we make. **Job Posting Title** Director Account Management, PACE - Remote **Job Description** + Owns overall account… more
    Prime Therapeutics (12/19/24)
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  • Director Specialty Pharmacy Payer Strategy

    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
    Ebenezer (12/20/24)
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  • Associate Director , Global Labeling Lead…

    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 ... compliance with labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. + Independently authors/manages… more
    Takeda Pharmaceuticals (10/16/24)
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  • Director Specialty Pharmacy Payer Strategy

    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
    Fairview Health Services (11/30/24)
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  • Director of Clinical Pharmacy Development

    Ebenezer (Minneapolis, MN)
    …+ PharmD Degree in Pharmacy (RPH) + 7+ years of leadership experience in managed care or specialty pharmacy + Managerial experience or experience developing ... external partners, including payers (health plans), employers, and health system clients, fostering collaboration and driving transformative solutions. **Responsibilities/Job… more
    Ebenezer (12/20/24)
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  • Director of Clinical Pharmacy Development

    Fairview Health Services (Minneapolis, MN)
    …+ PharmD Degree in Pharmacy (RPH) + 7+ years of leadership experience in managed care or specialty pharmacy + Managerial experience or experience developing ... external partners, including payers (health plans), employers, and health system clients, fostering collaboration and driving transformative solutions. **Responsibilities… more
    Fairview Health Services (11/06/24)
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  • Supply Chain Solutions Director

    Intermountain Health (St. Paul, MN)
    …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... compliance to preferred suppliers and to product standards throughout the system . 6) Ensures Intermountain's contractual obligations are met and that expiration… more
    Intermountain Health (12/18/24)
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  • Expert, Medical Value & Access, Medical Affairs…

    Astellas Pharma (Minneapolis, MN)
    …multiple customer segments including, but not limited to, managed care organizations (MCO), integrated health systems (IHN), group purchasing organizations ... Medical Affairs, Americas: Medical Directors; Directors, HEOR + Commercial/Health Systems : Directors, Managers + Other: Director , Government...of US healthcare delivery systems (eg, accountable care , managed care , pharmacy benefit… more
    Astellas Pharma (11/07/24)
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  • Provider Engagement Manager - Oncology

    Evolent (St. Paul, MN)
    care , Medicare, or Medicaid * Strong knowledge of managed care terminology; broad knowledge of delivery systems and related industry terms * Excellent ... we seek to connect the pieces of fragmented health care system and ensure people get the...working with internal teams, external partners, or complex healthcare systems , your focus on building trust, delivering results, and… more
    Evolent (12/09/24)
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  • Sr. Incident Response Engineer

    Baylor Scott & White Health (St. Paul, MN)
    …above the minimum qualification + EXPERIENCE - 7 Years of Experience As a health care system committed to improving the health of those we serve, we are ... and coordinate internal incident response efforts between operations team, and managed security services. + Develop Incident Response initiatives that improve our… more
    Baylor Scott & White Health (12/26/24)
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  • Operations Supervisor - Move Management…

    HomeSafe Alliance (St. Paul, MN)
    …the coordinators handling the designated international activity + Liaise with Customer Care counter parts to ensure service excellence is rendered to the customers ... achieved or exceeded regularly. Performance is monitored through regularly updated systems reporting mechanisms that must measure performance for the following… more
    HomeSafe Alliance (01/01/25)
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  • Specialist, Credentialing Operations - NCQA…

    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 ... Word, Excel, PowerPoint, Outlook- **Required.** + General understanding of US health care , Managed Care Organizations, Medicare and/or Medicaid-… more
    Evolent (12/05/24)
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