- Highmark Health (St. Paul, MN)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- Summary St. Cloud VA Health Care System is seeking a Medical Director for the Mental Health Integrated Clinical Community (MH ICC). The individual should be a ... general medicine and in psychiatry. The incumbent functions as Medical Director of the MH ICC providing...program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (St. Paul, MN)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- Summary The St. Cloud VA Health Care System (HCS) is seeking an Assistant Medical Director for Primary and Specialty Medicine (PSM) for their Community Based ... patient-centered care at the St. Cloud VAHCS. The Assistant Medical Director , is a department level management...candidate. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months… more
- Elevance Health (Mendota Heights, MN)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician… more
- Sumitomo Pharma (St. Paul, MN)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate** ** Medical Director , Clinical Development - Oncology** . The associate ... medical director is responsible for the leadership, development, and management...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Sumitomo Pharma (St. Paul, MN)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Highmark Health (St. Paul, MN)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Minnesota State (Mankato, MN)
- …on the specified Closing Date (if designated).** **Working Title:** Hall Director - Range B (SA26028) **Institution:** Minnesota State University, Mankato ... has been filled. **POSITION:** Limited, Range B* **Job Description** The Hall Director serves an important leadership role in creating an environment and experience… more
- Oracle (St. Paul, MN)
- **Job Description** Fortune 100 information technology company seeks a Director , State and Local Government Affairs, reporting to the Vice President, State ... Government Affairs. The Director , State and Local Government Affairs will work with...before state and local government officials to advance company policy priorities and other objectives, including data center project… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Otsuka's federal strategies, engagement activities and policy priorities that promote access to therapies, preserve patient/provider choice, and generally protect… more
- Humana (St. Paul, MN)
- …initiatives across Pharmacy, Primary Care, Home Solutions, the Office of the Chief Medical Officer, and Integrated Health. The Director and team will provide ... a part of our caring community and help us put health first** The Director , IT Portfolio Management collaborates with the business portfolio team to align the IT… more
- CenterWell (St. Paul, MN)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... specific package offered will vary based on individual circumstances and company policy . **This is not a remote or work-from-home position. This position requires… more
- Minnesota State (Mankato, MN)
- …IX coordinator on student accommodations, as well as support student experiencing medical emergencies. The Assistant Director works with enrollment management of ... the specified Closing Date (if designated).** **Working Title:** Assistant Director , Accessibility Resources (DI26005) **Institution:** Minnesota State University, Mankato… more