- Ryder System (St. Paul, MN)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- CVS Health (St. Paul, MN)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … more
- Humana (St. Paul, MN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (St. Paul, MN)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (St. Paul, MN)
- **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any… more
- COH Holdings (Mendota Heights, MN)
- …Assisted Living Director responsibilities may include: + Manage work comp claims , FMLA, unemployment claims , payroll, food costs, employee files and overall ... Float Licensed Assisted Living Director Wage Information: $72,000 DOQ White Pine &...with rules and regulations, employee performance, budgeting and operational management . + Build and maintains an impactful leadership team… more
- COH Holdings (Mendota Heights, MN)
- Licensed Assisted Living Director : Mendota Heights Pay Information: $65,000 DOQ White Pine and Gracewood Senior Living is seeking an Assisted Living Director ... top notch service to be provided throughout our organization. Our Assisted Living Director is responsible for the overall day to day operations of the community… more
- AECOM (Minneapolis, MN)
- …Leads integration of risk/change management processes during delivery, including claims management . + Ensure that project controls measures are implemented. ... select large or complex assignments. + Lead or assist with dispute resolution, claims , and other conflict management issues. + Facilitate planning activities,… more
- Prime Therapeutics (St. Paul, MN)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
- Ebenezer (Minneapolis, MN)
- …and Execution (35%):** + Involved in the development, implementation, and management of a comprehensive, market-based payer strategy. + Direct innovative programs, ... risk methodology and algorithms, data analytics, and health outcomes research. **Account Management & Sales (20%)** + Account and relationship management of… more
- Fairview Health Services (Minneapolis, MN)
- …and Execution (35%):** + Involved in the development, implementation, and management of a comprehensive, market-based payer strategy. + Direct innovative programs, ... risk methodology and algorithms, data analytics, and health outcomes research. **Account Management & Sales (20%)** + Account and relationship management of… more
- Trustmark (St. Paul, MN)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- Cognizant (Minneapolis, MN)
- …who live in **New Jersey and Chicago, IL** willing to travel. Associate Director **About Cognizant** Cognizant (Nasdaq-100: CTSH) is one of the world's leading ... a client facing role in a consulting firm or an account/engagement management role in the IT professional services offshore/outsourcing industry. . **Industry,… more
- Medtronic (Minneapolis, MN)
- …in a more connected, compassionate world. **A Day in the Life** Reporting to the Director of Medical Science, the **Senior Medical Science Specialist** is ... with marketing to ensure all key product messages and claims are scientifically valid and accurate. + Maintains a...organizations. + Utilizes advanced subject matter expertise to provide medical input to various functions (General Management ,… more
- Intermountain Health (St. Paul, MN)
- …on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health ... assistant- + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within four (4) years of… more
- Evolent (St. Paul, MN)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... necessary/required. + Participates in continuing education initiatives. + Collaborates with Claims , Quality Management and Provider Relations Departments as… more
- State of Minnesota (St. Paul, MN)
- …MAPE DHS Central Office + **Division/Unit** : Health Care Administration / Office of Medicaid Medical Director + **Work Shift/Work Hours** : Day Shift / 8:00am - ... advanced data analytics to improve maternal health outcomes through the integration of medical and social complexity measures and requires a robust skill set in data… more