- 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
- Fairview Health Services (St. Paul, MN)
- **Overview** The Director of Revenue Cycle provides leadership and accountability for operational excellence of one or more of the major functions within Revenue ... Cycle. The Director of Revenue Cycle will implement effective strategies to...Job Description** **Job Expectations:** + Provides Strategic Direction for management of the Charge Description Master (CDM) and fee… 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
- 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
- Takeda Pharmaceuticals (St. Paul, MN)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… 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
- 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
- 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 (Eagan, MN)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data + Advanced excel and query proficiency, highly ... business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and… more
- The Cigna Group (Bloomington, MN)
- …and support delivery of plan KPIs. + Oversee end-to-end operations, including claims management , contract administration, account management , and producer ... revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting...risk, and presenting innovative solutions to the market. The management process will pull in dedicated leaders who drive… more
- Mathematica (St. Paul, MN)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- St Croix Hospice (Mendota Heights, MN)
- …the ins and outs of a variety of rewards programs and employee leave management while having a direct, positive impact on our employees. The Benefits Specialist ... This individual provides technical and administrative support to the Director of Total Rewards. Essential Job Functions/Responsibilities + Maintains confidentiality… more
- Sedgwick (St. Paul, MN)
- …and goals for cloud-based infrastructure services in conjunction with senior IT management . The Director Infrastructure Services - Cloud designs and drives ... This role is responsible for the overall planning and management of the company data center and corporate IT...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more