- Humana (St. Paul, MN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (St. Paul, MN)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (St. Paul, MN)
- …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director , is accountable for Humana's Medicaid segment strategy and operationalizing the… more
- Evolent Health (St. Paul, MN)
- …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
- Sumitomo Pharma (St. Paul, MN)
- …a dynamic, highly motivated, and experienced individual for the position of ** Director , Market Access Insights** to support US Market Access strategic and tactical ... navigating complex organizational structures / experience in highly matrixed environments. The Director will be a member of the Commercial Insights team. This… 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 ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Evolent Health (St. Paul, MN)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
- Compass Group, North America (Minneapolis, MN)
- …and NHL, MLB, NBA, NFL, and MLS All-Star Games. Job Summary As a Director of Human Resources, you will be responsible for overseeing the recruitment, training and ... manager relationships, delivering on our service level agreement, requisition management , posting advertisements, sourcing, screening, and interviewing, candidate correspondence,… more
- Philips (Plymouth, MN)
- **Senior Director of HEMAR, Image Guided Therapy** The Image Guided Therapies (IGT) Systems and Devices HEMAR leader will provide vision and strategic leadership to ... Also work to ensure HEOR plans support market access (models, value dossiers, claims analysis, etc.) **You're the right fit if:** + Bachelor's degree in health… more
- HomeSafe Alliance (St. Paul, MN)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Prime Therapeutics (Eagan, MN)
- …thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes / ... requirements, system specifications, process flows, process change and/or project management + Participates in adopting operational best practices and standard… more
- Robert Half Office Team (Minneapolis, MN)
- …market * Conduct provider outreach to verify and confirm provider demographics and medical record requests * Perform medical record reviews for risk adjustment, ... EMR access or onsite * Schedule on-site reviews with provider offices, medical groups and other clinical facilities depending on geographical location * Maintain… more
- Prime Therapeutics (St. Paul, MN)
- …+ Experience writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... as assigned **Minimum Qualifications** + Bachelor's Degree in Business Administration, Management , Economics or related area of study, or equivalent combination of… more
- Sedgwick (St. Paul, MN)
- …and goals for cloud-based infrastructure services in conjunction with senior IT management . The Director Infrastructure Services - Cloud designs and drives ... This role is responsible for the overall planning and management of the company data center and corporate IT...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Fujifilm (St. Paul, MN)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
- Prime Therapeutics (St. Paul, MN)
- …value based contracts, provider accountable care organization pharmacy metrics, medical policy, utilization management , medication adherence, and medication ... learning, predictive modeling, and reporting for complex pharmacy and medical health insurance clinical programs and services (eg, pharmaceutical manufacturer… more