• Director I Claims

    Elevance Health (Mendota Heights, MN)
    ** Director I Claims ** **Location** : _This role requires associates to be in-office_ **_3 days per week_** _, fostering collaboration and connectivity, while ... unless an accommodation is granted as required by law._ The ** Director I Claims ** is responsible for directing the auditing of claim payments. Provides… more
    Elevance Health (10/03/25)
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  • Director II, Digital Claims

    Elevance Health (Mendota Heights, MN)
    ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes… more
    Elevance Health (10/10/25)
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  • Medical Director - Gulf South

    Humana (St. Paul, MN)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/03/25)
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  • PRN Crisis Care Triage (RN)

    Sedgwick (St. Paul, MN)
    …visit for the claim. + Maintains communication with the customer, Client Service Director , and Claims Examiner providing timely updates on changes in injured ... guidelines. + Maintains ongoing communication with the client, Client Service Director , and Claims Examiner until the assigned Field Case Manager arrives onsite.… more
    Sedgwick (10/10/25)
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  • Medical Director - Northeast Region

    Humana (St. Paul, MN)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (07/25/25)
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  • Claims and Insurance Paralegal

    Essentia Health (Duluth, MN)
    **Job Description:** Claims Paralegal's primary duties include claims management and administration for Essentia's major lines of insurance, including medical ... Office of General Counsel ("Legal Department"), Treasury and 3rd party claims administrator (for medical professional liability and general liability only), the… more
    Essentia Health (09/16/25)
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  • AVP, Complex Construction Claims - NY Labor…

    Zurich NA (St. Paul, MN)
    AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims ... role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor… more
    Zurich NA (08/08/25)
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  • Clinical Nurse, Case and Disease Management - High…

    Blue KC (Workman, MN)
    …system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical policy, notifies providers and members, if transplant ... network. + Ensures proper payment of pre-transplant, transplant, and post-transplant claims . Sets up transplant pre-pay review for each individual claim. Reviews… more
    Blue KC (09/17/25)
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  • Medical Director , Global Medical Affairs,…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    …those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets ... the broader overall TA strategy determined by the Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Associate Director , Commercial Data…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... and utility of Otsuka's data assets. **Job Description** Reporting to the Director CDM, this role will be responsible for providing strategic insight and… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Licensed Assisted Living Director

    COH Holdings (St. Paul, MN)
    Licensed Assisted Living Director : Metro Area Pay Range: $75,000+ White Pine and Gracewood Senior Living is seeking an Assisted Living Director Our company ... to be provided throughout our organization. Our Assisted Living Director is responsible for the overall day to day...served better than anywhere else. + Manage work comp claims , FMLA, unemployment claims , payroll, food costs,… more
    COH Holdings (10/12/25)
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  • Director , Global Integrated Evidence…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    …evidence generation strategy, operational excellence and digital innovation. The Director , Global Integrated Evidence Strategy is an important leadership position ... evidence planning, leveraging both strategic and operations excellence. The Director , Global Integrated Evidence Strategy is responsible for developing Integrated… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Director , Global Value Evidence Operations

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Associate Director , Field Strategy,…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Associate Director , Established Brands…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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  • Senior Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Director , Early Commercial Planning

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Position Summary** The Director , Early Commercial Planning is responsible for supporting early-stage commercialization efforts, ensuring that Otsuka's pipeline ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Associate Director , Small Molecule…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Associate Director , Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Associate Director , MSAT, Downstream Drug…

    Otsuka America Pharmaceutical Inc. (St. Paul, MN)
    **Job Summary** **​** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (07/18/25)
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