- Medtronic (Minneapolis, MN)
- …in a more connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly ... + Reviews of insurance policies and endorsements for accuracy ** Claims Management and Certificate of Insurance (COIs) (30%)** + Key point of… more
- Humana (St. Paul, MN)
- … claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies, ... + 8-9 + years of quality improvement, developing & advancing enterprise strategy, insurance operations experience, ie: claims , UM, CM, call center, enrollment,… more
- Elevance Health (Mendota Heights, MN)
- **DRG Coding Auditor Principal ** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal ** is responsible for auditing inpatient medical records on claims… more
- Manulife (Workman, MN)
- Day-to-day management of one or more customer support / operations teams. Work on and lead departmental and enterprise-level initiatives and projects. **Position ... Responsibilities:** **Individual Responsibilities: 50% Management ** + Ensure compliance with company procedures and industry regulations + Day to day management … more
- Oracle (St. Paul, MN)
- …of inpatient/outpatient workflows including verification, dispensing, automation, inventory, and claims management + Strong communication and presentation ... **Job Description** ** Principal Consultant - Outpatient Pharmacy** **Travel: Up to...which includes the following: 1. Medical, dental, and vision insurance , including expert medical opinion 2. Short term disability… more
- Oracle (St. Paul, MN)
- **Job Description** As a senior principal consultant on the HDI Implementation team within the Analytics Center of Excellence, you will be responsible for working ... the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among other disciplines. You will work… more
- Medtronic (MN)
- …vendor credentialing requirements + Practical and demonstrated knowledge of project/program management practices desired for Senior and Principal Levels with ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Oracle (St. Paul, MN)
- …as generating real-time clinical summaries and assisting in patient care management . * Integrate LLM capabilities with healthcare datasets, ensuring robust ... AI to synthesize insights from multi-modal healthcare data (eg, EHRs, imaging, claims , and demographics) to enhance patient care and operational efficiency. *… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …individual pulls and synthesizes data across multiple domains, including utilization management , prior authorization, claims , denials, and appeals. Their work ... to process, analysis, and research methods. * Works with principal positions and management to understand and...degree. * Knowledge of managed care and health care claims preferred. * Experience with Databricks preferred. Compensation and… more
- UIC Government Services and the Bowhead Family of Companies (Fort Snelling, MN)
- …CLERK III (ICE-MN-2025-24265): Bowhead seeks a General Clerk III to provide Document Management Support Services to the Office of Principal Legal Advisor (OPLA). ... The duties primarily include maintaining and organizing files, mail management , scanning of documents, enter/upload data into PLAnet (OPLA's electronic… more
- Manulife (Workman, MN)
- …ensure documentation is in accordance with our established guidelines. + Assist management with various research projects pertaining to risk assessment. + Process ... and complaints. + Review underwriting fraud referrals for appropriateness and assist management with book of business reviews. + Review contestable claims … more
- Manulife (Workman, MN)
- …effectively to join us on our transformation journey to simplify the insurance process for our customers. This role is accountable for providing underwriting ... for targeted initiatives. + Analyze underwriting data through various studies and claims experience if applicable. + Prioritize project work, focusing on generating… more
- nVent (Anoka, MN)
- …brands that are recognized globally for quality, reliability and innovation. + Our principal office is in London and our management office in the ... Authority) thresholds, regional price variability recommendations, driven indexing, ship-and-debit claims impact analytic, price waterfall model, cost-to-serve analysis as… more