- The Cigna Group (Bloomington, MN)
- …and Problem Management practices and operational implementation of said practices. As a Service Management Advisor in this role, you will be expected to balance ... all problem resolution groups to ensure swift resolution of problems within service level targets + Arrange, run, document, and coordinate all follow-up activities… more
- The Cigna Group (Bloomington, MN)
- The Disaster Recovery Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the MTO datacenter recovery effort using a BCP ... Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of...obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps… more
- Humana (St. Paul, MN)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ... and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support… more
- Humana (St. Paul, MN)
- …through data integrity management and gathering of provider claims data needed for service operations . The Network Operations Coordinator 3 manages provider ... community and help us put health first** The Network Operations Coordinator 3 maintains provider relations to support customer...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Humana (St. Paul, MN)
- …performing team focused on data, data visualization and data science supporting Humana's Service Operations . The team is focused on converting data to actionable ... and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics -...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …and terminating employees; staff development to ensure this department meets the service needs of the organization as follows: * Interview, hire, orient, review ... proper coding procedures are adhered to as defined by CMS regulations, Local Medicare Carrier Review Policies (LMRP), Local Carrier Determinations (LCD), the AMA any… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... position will manage a Provider Activation Team within the Provider Network Operations area under Provider Process & Services. The Manager role is strategic… more
- Public Consulting Group (St. Paul, MN)
- …with our Technology Consulting team, you will help organizations streamline operations and achieve strategic goals to serve the public better. We provide the ... (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and...full spectrum of technology consulting services to help state and local agencies… more
- Public Consulting Group (St. Paul, MN)
- …planning, risk management, and change management. + Comprehensive knowledge of fire service and EMS industry operations including applicable standards and best ... public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of...reports to identify findings and recommendations to help improve operations and service delivery for public safety… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... the Professional will work to identify areas of opportunity to optimize business operations that improve productivity and efficiency. This body of work will span… more
- Fairview Health Services (St. Paul, MN)
- …+ Works under the direction of a primary care director of operations and collaboratively partners with key services including: data analytics, payer relations, ... quality including care maps, specialty service lines, Fairview Physician Associates Network and primary care...year and evaluate new contract terms in partnership with operations to understand what would be impacted and in… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... of variable factors that span across people, process and technology foundations. This foundational body of work will focus...place to support sustained impact and merge into BAU operations + Operate with an iterative design mindset and… more
- Humana (St. Paul, MN)
- …industries (Healthcare, Banking, Cybersecurity) **Additional Information** Solid understanding of operations , technology , communications and processes Must be ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large.… more
- Conviva (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management Program + Facilitate the creation… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... user access in **Prisma portal** based on least privilege roles, and provide operations training and support, as needed. + Participate in a **24/7 on-call rotation**… more
- HealthEdge Software Inc (St. Paul, MN)
- …and innovative 21st-century software company focused onprovidingnext-generation, business-transforming technology products to the healthcare payor market. We enable ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... and help us put health first** Job Description Summary Technology is what will help us create a more...Business Systems Analysis Professional to be a liaison between operations and IT and assist in making decisions on… more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... - Scheduling will manage all scheduling processes in support of call center operations to achieve optimal resource utilization in accordance with service … more
- Humana (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... Essentials** + 7+ years of experience in clinical strategy and/or HealthPlan operations + Professional clinical license (eg, MD, Registered Nurse or Pharmacist) or… more
- Bluestone Physician Services (Eden Prairie, MN)
- …communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate ... (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured by the overall savings per … more