- CVS Health (St. Paul, MN)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Supervisor - Special Investigations Unit Clinical Location: Hybrid | Eagan, Minnesota Career ... this position, you will be responsible for the daily supervision of fraud investigation activities including ensuring that key steps are being documented to meet all… more
- Synchrony (St. Paul, MN)
- …**Role Summary/Purpose:** The AVP of Account Management Transactional Fraud (AMTF) Special Implementations is a position reporting to the VP, Account Management ... Transactional Fraud (AMTF) Special Implementations. This is an individual contributor position. This...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Ryder System (St. Paul, MN)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Cardinal Health (St. Paul, MN)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …intervenes for resolution and education with Provider Relations, or if necessary involve Special Investigation Unit. * Monitors and analyzes the delivery of ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager PreService & Retrospective - RetroClaims - Location: Remote Career Area: Health… more
- Kohl's (Woodbury, MN)
- About the Role As District Loss Prevention Manager , you will develop and implement the Loss Prevention program for 15+ selling locations. You will drive results by ... Ensure compliance with Apprehension Guidelines/Ethical Standards as related to investigations and apprehensions + Partner with cross-functional teams, law… more
- 3M (Maplewood, MN)
- **Job Description:** **Job title** Senior Manager of Digital IT Shared Services **Collaborate with Innovative 3Mers Around the World** Choosing where to start and ... to a 3M career** . **The Impact You'll Make in this Role** As a Senior Manager of Digital IT Shared Services, you will have the opportunity to tap into your… more
- Thrivent Financial (Minneapolis, MN)
- …and marketing specific tasks as needed. + Prepare correspondence, reports, and special projects as needed. + Collaborate on Marketing/Social Media efforts to grow ... fingerprints will be taken for submission to the Federal Bureau of Investigation to review against nationwide fingerprint records. All persons with securities… more
- Travelers Insurance Company (St. Paul, MN)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage,...+ Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical… more
- CVS Health (St. Paul, MN)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Synchrony (St. Paul, MN)
- …techniques. Provide effective challenges to identify potentials issues requiring further investigation , and resolve problems + Assume complete responsibility for the ... and Model Risk Oversight Committee + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Master's degree and 12+ years'… more
- Travelers Insurance Company (St. Paul, MN)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Synchrony (St. Paul, MN)
- Job Description: **Role Summary/Purpose:** Reporting to the SVP, General Manager - TJX, the VP, Client Development Leader is responsible for partnering closely with ... and culture events._** **Essential Responsibilities** + Collaborate with the General Manager , internal stakeholders and the client to develop detailed growth… more
- Synchrony (St. Paul, MN)
- …& Incentive Strategy:** Create and execute innovative promotional financing, and special offers that resonate with consumers, differentiate SYF's products, and ... the HOME Network. + **Strategic Approach:** Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree or, in… more
- Synchrony (St. Paul, MN)
- …both in engineering and Agile processes + Perform other duties and/or special projects as assigned + Translate business requirements into technical requirements and ... clear, clean, and coherent documentation + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree and a… more
- Synchrony (St. Paul, MN)
- …controls and produce documentation, as needed. + Perform other duties and/or special projects as assigned. **Experiences You'll Need to Succeed:** + Bachelor's ... + Previous experience in retail finance or financial services; special consideration for domain knowledge of SYF Collections processes...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- BioLife Plasma Services (St. Paul, MN)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (St. Paul, MN)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- Synchrony (St. Paul, MN)
- …Committed to Support business initiatives. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree and 3+ ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more