- 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
- 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 arise from outpatient, inpatient or post-acute care environments. The Medical Director will have 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
- Norstella (St. Paul, MN)
- Director , Engineering - Technology (Eastern Time Zone) Company: Panalgo Location: Remote, United States Date Posted: Mar 5, 2025 Employment Type: Full Time Job ID: ... to generate insights into improving population health, quality of care , and managing costs. Now, Panalgo is proud to...**The Role:** We are seeking a talented and creative Director , Engineering with experience in big data for our… more
- State of Minnesota (St. Paul, MN)
- …issues regarding provision of maternal and child health services through both managed care and fee-for-service structures. + Variety of experiences working ... Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director...and technical reports. + Understanding of the department's health care purchasing strategies, data systems , and the… more
- 3M (Maplewood, MN)
- …Role In this role, you will be responsible for overseeing the managed services provider (MSP) that conducts day-to-day third-party cybersecurity risk assessments, ... you will play a key role in protecting our organization's data and systems from external threats, thereby safeguarding our business operations and maintaining the… more
- Hilton (St. Paul, MN)
- …part of a Revenue Management Consolidated Center \(RMCC\) that offers owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\. ... As an Assistant Director \- Premier, you will support the team that's...or team management experience + Proficient in Revenue Management systems , hotel property management systems , and industry\-related… more
- Ebenezer (Lakeville, MN)
- …Services Director for our Senior Assisted Living & Memory Care Community in Lakeville, MN. This leadership position provides general oversight and ... & grounds) including all major utility, life safety and security systems . Supervises maintenance and housekeeping staff. Ensures 24/7 emergency on-call response… more
- Fairview Health Services (Lakeville, MN)
- …Environmental Services Director for our Senior Assisted Living & Memory Care Community in Lakeville, MN. This leadership position provides general oversight and ... & grounds) including all major utility, life safety and security systems . Supervises maintenance and housekeeping staff. Ensures 24/7 emergency on-call response… more
- Fresenius Medical Center (Golden Valley, MN)
- …to achieve or exceed budgets and key performance indicators. + Works closely with Managed Care resources to increase the payor mix and to retain commercial ... and procedures, to provide high quality dialysis service and superior patient care to the community. Participates in the implementation of divisional and company… 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
- 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
- Highmark Health (St. Paul, MN)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- St Croix Hospice (Vadnais Heights, MN)
- …Description The Manager of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. This position is responsible ... hospice personnel to case as needed. Conferences with Medical Director or Hospice Physician regarding any questions about an...as an effective member of the hospice and health care delivery system . + Promotes customer service… 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 ... care across a fragmented and complex health care system . **About the Role** The Chief... organization. + Experience in health plan operations and/or managed care highly desirable. + High level… more
- Cassia (Edina, MN)
- …to work with our growing department that focus on billing for Medicare A, Managed Care , and Medicaid. The Accounts Receivable Specialist reports to the ... Director of Reimbursement. At our recently renovated Edina Home...of healthcare billing experience. + Must have Medicare A, Managed Care , Medicaid billing experience. + Great… more
- State of Minnesota (St. Paul, MN)
- …issues regarding provision of maternal and child health services through both managed care and fee-for-service structures. + Variety of experiences working ... / MAPE DHS Central Office + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director...and technical reports. + Understanding of the department's health care purchasing strategies, data systems , and the… more