• Claims Adjuster (SCA) HHG/Military Move

    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
    HomeSafe Alliance (08/07/24)
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  • Medical Director - Gulf South

    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
    Humana (09/06/24)
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  • Medical Director - Southeast Region

    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
    Humana (08/20/24)
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  • Behavioral Health Medical Director

    CVS Health (St. Paul, MN)
    …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... and appeal system. + Leads the administration of all medical management activities of the aligned Plans....the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider… more
    CVS Health (08/31/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (St. Paul, MN)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director reviews cases of diverse scope and complexity ranging...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical /surgical utilization management review experience + Experience… more
    Humana (08/10/24)
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  • Assistant Director , TSD…

    Metropolitan Council (Twin Cities, MN)
    …to the Director , TSD Design and Construction-GLE. This position supports the Director in management of the System and SCADA Construction contract and Rail ... qualifications): + Managing contracts including negotiating change orders and resolving claims . + Supervisory and management experience, including providing work… more
    Metropolitan Council (08/31/24)
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  • Senior Director , RWD Analytics…

    Norstella (St. Paul, MN)
    …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
    Norstella (08/07/24)
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  • Safety and Compliance Director

    Reyes Holdings (Eagan, MN)
    …compensation claims on the company including direct costs, ie, medical expenses, indemnity payments, etc. and indirect costs, ie, lost productivity, ... Join the leading beverage provider, Reyes Coca-Cola Bottling! + Benefits: Medical , Dental, Vision, 401K Match, PTO, Education Reimbursement If you enjoy our… more
    Reyes Holdings (07/15/24)
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  • Director , Health Economics and Market…

    J&J Family of Companies (St. Paul, MN)
    Director , Health Economics and Market Access - Wound Closure and Healing and Biosurgery - 2406204292W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Wound Closure & Healing… more
    J&J Family of Companies (09/06/24)
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  • Director , Total Absence, Disability…

    Acosta Group (Minneapolis, MN)
    …leadership and key internal partners, an evolved roadmap for total absence and claims management , disability and accommodation programs that is legally compliant ... our path for growth, we are looking for a Director , Total Absence, Disability and Accommodation Management ...policies, and activities of the Disability, Leaves & Accommodations claims team and vendors as we ensure that our… more
    Acosta Group (07/23/24)
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  • Hurricane View of Risk Advisory Director

    AON (Bloomington, MN)
    Aon is looking for a Hurricane View of Risk Advisory Director to work hybrid in Bloomington, MN! General Description of Role: As part of Aon's View of Risk Advisory ... participate in post-disaster hurricane damage surveys as needed + Conduct hurricane claims analyses and summarize actionable insights for Aon clients + Collaborate… more
    AON (08/15/24)
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  • Business Development Director

    Sedgwick (Minneapolis, MN)
    …Care experience highly preferred + Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director **PRIMARY PURPOSE OF THE ROLE:** To expand and enhance the… more
    Sedgwick (07/26/24)
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  • Director , Managed Care - Navista

    Cardinal Health (St. Paul, MN)
    …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
    Cardinal Health (08/14/24)
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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 ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (07/18/24)
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  • Director , Client Analytics - Healthcare…

    Evolent Health (St. Paul, MN)
    …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
    Evolent Health (09/07/24)
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  • Director , RWD Product

    Norstella (St. Paul, MN)
    Director , RWD Product Company: MMIT Location: Remote, United States Date Posted: Jul 15, 2024 Employment Type: Full Time Job ID: R-440 **Description** Why Norstella? ... assess market potential, and inform strategic decision-making. + Translate product management strategy into actionable data deliverables, guiding development of data… more
    Norstella (08/07/24)
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  • Health & Safety Director (USA & Europe)

    CPM Holdings, Inc. (Blaine, MN)
    …safety for all CPM sites located in the United States and Europe. The Director of Safety will be a strategic and collaborative partner with Executive and Operational ... scope of CPM + Communicate openly and often with management , employees, customers, suppliers and the community + Handle...customers, suppliers and the community + Handle worker's compensation claims in the event of a workplace accident +… more
    CPM Holdings, Inc. (09/06/24)
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  • Director of Human Resources - Target Center

    Compass Group, North America (Minneapolis, MN)
    …and NHL, MLB, NBA, NFL, and MLS All-Star Games. Job Summary As a Director of Human Resources, you will be responsible for overseeing the recruitment, training and ... manager relationships, delivering on our service level agreement, requisition management , posting advertisements, sourcing, screening, and interviewing, candidate correspondence,… more
    Compass Group, North America (09/06/24)
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  • Associate Director Client Advocacy,…

    AON (Bloomington, MN)
    …leader in reinsurance accounting + Lead or assist in project planning, strategic management and development of staff in core areas of expertise + Provide input ... + 5+ years of insurance or reinsurance experience in an accounting, premium, claims , or broker client servicing role. + Successful completion of Aon's technical… more
    AON (08/27/24)
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  • Coordinator, Intake Utilization Management

    Evolent Health (St. Paul, MN)
    …LPCs, and Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Associate Director and Director ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
    Evolent Health (09/07/24)
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