- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- Ebenezer (Edina, MN)
- **Overview** We are looking for an **Executive Director /Nursing Home Administrator** to join our team!This position is responsible for providing managerial and ... Health Services Executive (LHSE) by BELTSS Board **_or_** + Licensed Nursing Home Administrator (LNHA) **_and_** Licensed Assisted Living Director (LALD) +… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (Mendota Heights, MN)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
- Sanofi Group (St. Paul, MN)
- …& Outcomes (MVO) team member (Senior Manager, Associate Director or Director ) serves as the medical scientific lead for population-based healthcare decision ... Identify, develop and maintain credible scientific partnerships with key medical , pharmacy, quality & health economics/outcomes/analytics healthcare… more
- Elevance Health (Mendota Heights, MN)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** Join the **Jones-Harrison** Senior Assisted Living/Memory Care team as the ** Director of Health Services (DHS) RN!** Wage ranges between $98K - ... retirement monies, tuition reimbursement/direct pay for college, wellness dollars, medical , dental) https://www.ebenezercares.org/employee-benefits . Plus eligible for RN student… more
- CVS Health (Bloomington, MN)
- …branded pharmaceutical utilization for CVS Caremark; a proud member of the CVS Health family of companies.In this non-supervisory Director level position, you ... Bring your heart to CVS Health . Every one of us at CVS ...lowering costs and improving quality of care. In this Director level role you will have the opportunity to… more
- Cardinal Health (St. Paul, MN)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Ebenezer (Burnsville, MN)
- **Overview** Join our **Arbor Lane Memory Care** Team in Burnsville, MN as the ** Director of Health Services (DHS) RN!** This is a full time, salaried nursing ... benefits package (paid time off, matching retirement monies, tuition reimbursement, medical , dental, wellness reimbursement and RN student loan reimbursement option… more
- Ebenezer (Minneapolis, MN)
- **Overview** Join the **Jones-Harrison** Senior Assisted Living/Memory Care team as the ** Director of Health Services (DHS) RN!** Wage ranges between $98K - ... retirement monies, tuition reimbursement/direct pay for college, wellness dollars, medical , dental) https://www.ebenezercares.org/employee-benefits . Plus eligible for RN student… more
- Evolent Health (St. Paul, MN)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (St. Paul, MN)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Ebenezer (Bloomington, MN)
- …determinations will be based on similar experience._** We are looking for an **Assistant Director of Health Services (ADHS)** to join our team! This position is ... responsible for ensuring that the safety and health needs of the clients are met while providing...day shift + Full Benefit Eligible: (paid time off, medical , dental, tuition reimbursement, matching retirement monies. Cash Out… more
- Danaher Corporation (Minneapolis, MN)
- …healthcare challenges. Join our team as our Performance Partnership Discovery & Delivery Director . You will have the opportunity lead a team of highly skilled ... client business processes by ensuring continuous, sustained improvement across the health system enterprise, achieved through the implementation of Danaher Business… more