- Evolent Health (St. Paul, MN)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Kepro (Minneapolis, MN)
- …partner for health solutions in the public sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team. ... expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an… more
- Humana (St. Paul, MN)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (Mendota Heights, MN)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Wells Fargo (Minneapolis, MN)
- …maximize resource utilization and improve processes while reducing cost + Lead , design, develop, test and implement applications and system components, tools and ... escalated platform issues of a technically challenging nature + Lead team to ensure compliance and risk management... Lead team to ensure compliance and risk management requirements for supported area are met and work… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Merck (Minneapolis, MN)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- US Bank (Minneapolis, MN)
- …senior, highly seasoned and experienced position requiring strong leadership and people management skills. The leader will partner with other Sales Enablement and ... business goals. The VP, WCIB Marketing Sales Enablement will lead teams comprised of both senior and junior resources...the development of Sales content + Launching, training, and utilization of Sales Enablement software and tools + Creating… more
- GAF (Minneapolis, MN)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… more
- Humana (St. Paul, MN)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Evolent Health (St. Paul, MN)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- Marriott (St. Paul, MN)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Grant Thornton (Minneapolis, MN)
- As a Transaction Management Director, you'll focus on buy-side and sell-side transaction management engagements, serving dynamic organizations with experienced ... and help you achieve more, confidently. Your day-to-day may include: + Lead and manage transaction advisory engagements, including coordination with the Financial… more
- Jostens (Minneapolis, MN)
- …Knowledge of systems analysis and/or design activities. Knowledge of basic project management techniques with the ability to lead smaller projects. Strong ... JOB TITLE: Sr. Business Analyst - Order Management JOB TYPE: Full-Time ABOUT YOU: This role...platforms and the business units that they. Though the utilization of best-in-class technical software, such as AWS, Tableau,… more
- The Cigna Group (Bloomington, MN)
- …position is responsible for the oversite of implementation activities related to formulary management and utilization management on the pharmacy and medical ... business strategy intent is met. Affordability solutions encompass activities that include utilization management edits at point of service, preferred drug list… more
- Elevance Health (Mendota Heights, MN)
- **Account Service Manager Sr - Pharmacy Account Management ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live ... Service Manager Sr** is responsible for providing highly advanced account management representation and strategic planning for assigned large accounts and unit.… more
- Boehringer Ingelheim (Minneapolis, MN)
- …in appropriate patient types. This individual will serve as strategic account management lead to engage Marketing, Specialty Market Access/HEOR, Health Systems, ... **Description** The Strategic Account Manager will uncover opportunities for utilization of approved BI oncology product and optimal clinical benefit in appropriate… more
- Humana (St. Paul, MN)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Medtronic (Minneapolis, MN)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... to ensure consistency, efficiency, and scalability. + Define data requirements and lead data governance efforts to ensure data integrity, quality, and accessibility… more
- Humana (St. Paul, MN)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more