- Fairview Health Services (St. Paul, MN)
- …Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems . Demonstrated ... position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... Director of Value-Based Operations to join our Primary Care Leadership Team. This role will be a key...management experience** **Leadership role within a value based primary care organization (ACO or Managed Services Organization)… more
- CenterWell (St. Paul, MN)
- …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... caring community and help us put health first** The Director , Complex Care Strategy Advancement will play...can connect the dots and understand how to optimize system -level processes + Curious, quick learner, innovator but data-… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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
- Conviva (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... the Director of Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the … more
- Humana (St. Paul, MN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
- Humana (St. Paul, MN)
- …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the care received by members in… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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
- Medtronic (Mounds View, MN)
- …efficiency within functions. The role will effectively engage and manage system implementation partners to successfully deliver using fixed price contracts and ... managed services arrangements. The role will be responsible for...solutions. * Lead large scale global transformation programs, managing system implementation vendors in fixed price engagements to deliver… more
- Elevance Health (Mendota Heights, MN)
- …account management) to ensure seamless execution of programs. * Knowledge of managed care , healthcare infrastructure, familiarity with healthcare regulatory and ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . CarelonRx is looking for a **Program Director ** to join… more
- Prime Therapeutics (St. Paul, MN)
- …Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed , and (Earnings before Interest, Depreciation, ... fuels our passion and drives every decision we make. **Job Posting Title** Director Account Management, PACE - Remote **Job Description** + Owns overall account… more
- Ebenezer (Minneapolis, MN)
- …experience instrategy development and account management, in the PBM,specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience ... performing analyticsin the PBM,specialty pharmacy, and/or managed care industry. + 10+ years of leadership/people management experience + In-depth knowledge of… 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 ... compliance with labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. + Independently authors/manages… more
- Fairview Health Services (Minneapolis, MN)
- …in strategy development and account management, in the PBM, specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience performing ... analytics in the PBM, specialty pharmacy, and/or managed care industry. + 10+ years of leadership/people management experience + In-depth knowledge of payer/PBM… more
- Ebenezer (Minneapolis, MN)
- …+ PharmD Degree in Pharmacy (RPH) + 7+ years of leadership experience in managed care or specialty pharmacy + Managerial experience or experience developing ... external partners, including payers (health plans), employers, and health system clients, fostering collaboration and driving transformative solutions. **Responsibilities/Job… more
- Fairview Health Services (Minneapolis, MN)
- …+ PharmD Degree in Pharmacy (RPH) + 7+ years of leadership experience in managed care or specialty pharmacy + Managerial experience or experience developing ... external partners, including payers (health plans), employers, and health system clients, fostering collaboration and driving transformative solutions. **Responsibilities… more
- Intermountain Health (St. Paul, MN)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... compliance to preferred suppliers and to product standards throughout the system . 6) Ensures Intermountain's contractual obligations are met and that expiration… more
- Essentia Health (Duluth, MN)
- …provide patient care . This individual is also responsible for creating system and process improvements by engaging direct reports, other supply chain employees, ... distribution, optimization of technology, and receiving processes at all locations managed . Required Qualifications: * Minimum of 5 years' experience in supply… more
- Astellas Pharma (Minneapolis, MN)
- …multiple customer segments including, but not limited to, managed care organizations (MCO), integrated health systems (IHN), group purchasing organizations ... Medical Affairs, Americas: Medical Directors; Directors, HEOR + Commercial/Health Systems : Directors, Managers + Other: Director , Government...of US healthcare delivery systems (eg, accountable care , managed care , pharmacy benefit… more
- Evolent (Workman, MN)
- … care , Medicare, or Medicaid * Strong knowledge of managed care terminology; broad knowledge of delivery systems and related industry terms * Excellent ... we seek to connect the pieces of fragmented health care system and ensure people get the...working with internal teams, external partners, or complex healthcare systems , your focus on building trust, delivering results, and… more