- Lincoln Financial Group (St. Paul, MN)
- …for LTD. You will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on current and ... + Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management. + Develops and executes claim… more
- Ryder System (St. Paul, MN)
- …and metrics Intermediate, Preferred + Demonstrated ability to handle and manage complex insurance and contractual coverage claims Intermediate, Preferred + ... by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director … more
- CVS Health (St. Paul, MN)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Humana (St. Paul, MN)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (St. Paul, MN)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Humana (St. Paul, MN)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Travelers Insurance Company (St. Paul, MN)
- …benefit programs, including health and wellness, savings, retirement, and work-life. As a Director of Health and Welfare Programs, you will be responsible for the ... administration, SLA's. For example, completing financial reconciliations of benefit program claims , administrative fees, and vendor billing, as well as supporting… more
- Presbyterian Homes and Services (Roseville, MN)
- …relations and employment law. + Proven experience in handling high-risk and complex investigations, sensitive employee relations matters, employment claims , and ... is responsible for overseeing employee relations, managing high-risk employment claims and workplace investigations, and proactively mitigating risks. This role… more
- Cognizant (Minneapolis, MN)
- …who live in **New Jersey and Chicago, IL** willing to travel. Associate Director **About Cognizant** Cognizant (Nasdaq-100: CTSH) is one of the world's leading ... and able to manage and maintain all facets of complex assignments. . Demonstrable problem-solving abilities with the aptitude...CRM-Marketing along with domain expertise in Medicare and Medicaid Claims Claims and Payer. This hybrid role… more
- Zurich NA (Edina, MN)
- …The Zurich Way of Underwriting Framework within delegated authority levels on highly complex accounts. We focus strongly on our customers and are seeking someone ... Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Zurich NA (Edina, MN)
- …at a Level 7 (Senior Regional VP) or Level 8 (Territory Underwriting Director ). The hiring manager will determine the appropriate level based upon the selected ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...in risk selection and assessment + Ability to manage complex portfolios + Technical knowledge of insurance industry operations… more
- Cardinal Health (St. Paul, MN)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... outcomes for training and historical purposes. + Assist the Director in the development and creation of Compliance Committee...but not limited to: Anti-Kickback Statute, Stark Law, False Claims Act & Civil Monetary Penalty Law and CMS… more
- Medtronic (Minneapolis, MN)
- …more connected, compassionate world. **A Day in the Life** Reporting to the Director of Medical Science, the **Senior Medical Science Specialist** is responsible for ... heavily on several factors: + Synthesizing succinct messages from complex data and information; + Applying critical thinking to...with marketing to ensure all key product messages and claims are scientifically valid and accurate. + Maintains a… more
- Prime Therapeutics (St. Paul, MN)
- …is responsible for managing, analyzing, and delivering Treasury reporting, including complex liquidity reporting and claim payment process reporting for a variety ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- State of Minnesota (St. Paul, MN)
- …Central Office + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director + **Work Shift/Work Hours** : Day Shift / 8:00am - 4:30pm + ... of the development of value-based payment models, risk adjustment methodologies, claims and clinical data analysis . Planning, executing, evaluating, and reporting… more