- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CenterWell (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Highmark Health (St. Paul, MN)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CVS Health (St. Paul, MN)
- …execution on Aetna's overall strategic plan, roadmap, and investment areas for its behavioral health and employee assistance businesses. This role reports to the ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The Lead Director , Mental Well-being Strategy is responsible for leading the… more
- Highmark Health (St. Paul, MN)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- The Cigna Group (Bloomington, MN)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... The Director of Medicaid and Marketplace Strategy leads a...Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals,… more
- Family Voices of Minnesota (St. Paul, MN)
- …disabilities or special health care needs. This includes developmental, physical, medical , mental health , behavioral , or rare conditions. KEY ... monthly or quarterly grant invoicing * Work with Assistant Director to strengthen programmatic and staff policies and develop...a child, youth, or adult with disabilities or special health care needs preferred and/or experienced in the disability… more
- Sevita (Woodbury, MN)
- …reviews data and attests to accuracy; submits accurate data to the Program Director or appropriate billing authority. ** Health Care:** 1. General Health ... Monitors health of persons being served; documents; communicates with medical professionals as appropriate; implements preventive strategies to limit illness and… more
- BrightSpring Health Services (Woodbury, MN)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... monitors and ensures staff follows procedures to promote optimum health care and behavior supports, including the implementation of...be required to be certified as a Food Service Director About our Line of Business ResCare Community Living,… more
- The Cigna Group (Bloomington, MN)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... impacts on rebated drug products. Reporting to the Clinical Program Director , this position provides clinical support in documenting formulary placement/positioning… more
- The Cigna Group (Bloomington, MN)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... with little to no modeling oversight by Sr. Manager/Clinical Director + Identifies and recommends process improvement to streamline...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Dorsey & Whitney LLP (Minneapolis, MN)
- …comprehensive medical insurance with coverage for infertility, gender-affirming care, behavioral health , and access to virtual providers; dental insurance; ... and superb audience experience. - Work with the Professional Development Director to plan and implement annual Professional Development budget administration… more