- The Cigna Group (Bloomington, MN)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... of both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a… more
- St Croix Hospice (Oakdale, MN)
- Director of Revenue Cycle Management Job Details Job Location Administration - OAKDALE, MN Position Type Full Time Description Work Where You Matter!At St. Croix ... part of an extraordinary team of caregivers, then come work where you matter. Director of Revenue Cycle Management Position OverviewThe Director of Revenue Cycle… more
- CenterWell (St. Paul, MN)
- …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 moderately complex to...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …leadership for all enterprise quality performance programs across the organization's Medicare, Medicaid , ACA, and Commercial lines of business . This position ... direction for enterprise quality programs that impact reportable measures across Medicare, Medicaid , ACA, and Commercial lines of business , including Medicare… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... Eagan, Minnesota Career Area: Data Analytics & Business Intelligence About Blue Cross and Blue Shield of...Impact You Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …appropriate; and reviewing complex or high-profile data sets. * Oversee the development , implementation, and automation of business and reporting strategies by ... risk adjustment and quality analytics models across ACA Commercial, Medicare, and Medicaid . * Develop, lead, and provide strategic direction for a high performing… more
- Humana (St. Paul, MN)
- …the broader business objectives. You will champion automation across the development lifecycle to minimize manual toil and improve efficiency. You will build ... community and help us put health first** The Associate Director of DevOps Engineering is a strategic and technical...partnerships across the software development and operations engineering teams and be a conduit… more
- Sumitomo Pharma (St. Paul, MN)
- …to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on ... a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face… more
- Baylor Scott & White Health (St. Paul, MN)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Chief Health Actuary** **Job Class: Director Actuarial and Regional Policy Analyst** **Agency: Commerce Department** + **Job ID** : 90317 + ... in employees by providing benefits, support resources, and training and development opportunities. Hybrid work schedule available, up to 50% telework depending… more
- Guidehouse (St. Paul, MN)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle ... types of authoritative information. + Maintains current knowledge of Medicare, Medicaid , and other third-party payer billing compliance guidelines and requirements.… more
- Cardinal Health (St. Paul, MN)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- Cardinal Health (St. Paul, MN)
- … division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be ... Transformation and Change office. **Qualifications** . Bachelor's degree in Business , Organizational Development , Healthcare Administration, or related field,… more
- Humana (St. Paul, MN)
- …total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver ... projects and initiatives, with an emphasis on Medicare Advantage strategy development . As a Senior Strategy Advancement Professional, you will deconstruct issues… more
- Prime Therapeutics (St. Paul, MN)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting ... plan and Prime client engagement leadership teams across all lines of business . This position interacts directly with Prime's clients, account leaders and internal… more