• Associate Director , Product…

    Evolent (St. Paul, MN)
    …mission. Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for an Associate Director , Product Management to be a key member of the ... Product Management leadership team. This individual will play a critical...using industry standard analysis (ie, data flow modeling, use case analysis, workflow analysis, functional decomposition analysis, data modeling,… more
    Evolent (03/07/25)
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  • Medical Director --Claims Management

    Humana (St. Paul, MN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (03/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (St. Paul, MN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
    Humana (03/11/25)
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  • Medical Director - Florida

    Humana (St. Paul, MN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (03/22/25)
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  • Physician Medical Director - LTSS

    Humana (St. Paul, MN)
    …of Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could need ... us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the… more
    Humana (01/25/25)
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  • Behavioral Health Medical Director

    Humana (St. Paul, MN)
    …least five years of experience post-training providing clinical services . Experience in utilization management review and case management in a health plan ... community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral… more
    Humana (02/15/25)
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  • Business Intelligence Team Supervisor - State…

    State of Minnesota (St. Paul, MN)
    …modeling, unified modeling language (UML), Lean Kaizen, diagramming dataflows, and use case writing. + Strong project management standards, principles, and ... Title: Business Intelligence Team Supervisor** **Job Class: State Program Administrator, Director ** **Agency: Administration Dept** + **Job ID** : 84918 +… more
    State of Minnesota (03/20/25)
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  • Regional Sales Director - Southern…

    Trustmark (St. Paul, MN)
    …to our colleagues, clients and communities. **About the role** Regional Sales Director - Southern California Trustmark Voluntary Benefits is a division of Trustmark ... benefits; establishing, updating and managing target account lists and pipeline management ; following a comprehensive sales process that will include marketing… more
    Trustmark (03/22/25)
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  • Manager of Clinical Services

    St Croix Hospice (Vadnais Heights, MN)
    …visits, to determine hospice/home care needs. Assigns appropriate hospice personnel to case as needed. Conferences with Medical Director or Hospice Physician ... Manager of Clinical Services Job Details Level Management Job Location Vadnais Heights MN - Vadnais Heights, MN Education Level 2 Year Degree Job Shift Day Job… more
    St Croix Hospice (01/21/25)
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  • Senior Pharmacist

    Highmark Health (St. Paul, MN)
    …pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, and consult with the ... and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case / disease management initiatives;… more
    Highmark Health (02/21/25)
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  • Maintenance Process Excellence Manager

    GAF (Minneapolis, MN)
    …team and works closely with corporate peers focusing on Reliability Engineering, Materials Management , and Training pillars. This role will report to the Sr. ... Director of Operations Maintenance Transformation. **Job Summary** This collaborative...deploy the adoption of technology, and improve Maintenance Work Management Processes. This is a dynamic role, working with… more
    GAF (03/16/25)
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