- Prime Therapeutics (St. Paul, MN)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (St. Paul, MN)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- Leonardo DRS, Inc. (Burnsville, MN)
- …(EAC), variance analysis, revenue and profit forecasting and general support to the program manager / program team with business and financial analysis. + ... and support capabilities. **Job Summary** This position will provide senior -level support for the financial and program ...return on investment (ROI); audit preparation and management; and program review preparation + Provide claims and… more
- Walgreens (Maple Grove, MN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Walgreens (Maple Grove, MN)
- …of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . Strictly adheres to the Walgreen Co. policy regarding… more
- General Motors (St. Paul, MN)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- Breakthru Beverage Group (Minneapolis, MN)
- …**Job Family Group:** Market Operations **Job Description Summary:** The Safety & Security Manager plays a critical role in driving a culture of safety and ... compliance across the state. Acting as a consultant to senior operations and sales leaders, this position leads OSHA compliance, injury prevention, and security… more
- Elevance Health (Mendota Heights, MN)
- …program savings. The ideal candidate will possess extensive experience in PI editing, claims , and program management. **How you will make an impact:** + ... **Strategy & Program Development Director - Payment Integrity Strategy &...compliance, and the strategic design and management of enterprise-wide claims editing projects. This role involves planning, budgeting, and… more
- Walgreens (Circle Pines, MN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager… more
- Walgreens (Hibbing, MN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Medtronic (MN)
- …to meet vendor credentialing requirements + Practical and demonstrated knowledge of project/ program management practices desired for Senior and Principal Levels ... tenured field team + Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire sign-off + Delivers new… more
- Medtronic (Fridley, MN)
- …and Preventive Actions (CAPAs) and Field Clinical Actions (FCAs). + Ensures claims matrices are current and compliant with clinical evidence and regulatory ... teams and in external business collaborations. + Communicates effectively with senior internal stakeholders, external partners, and vendors to align on strategic… more
- CVS Health (Plymouth, MN)
- …and function as our highest level of escalation prior to manager /director involvement. The Advanced Eligibility Consultant will establish and maintain processes ... regarding billing and claims processing, insurance verification and authorization, revenue cycle management,...to coach and mentor others. + Experience as a Senior Eligibility Consultant and/or Senior Eligibility Analyst.… more
- Pearson (St. Paul, MN)
- …staffing agencies and product vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to ensure efficient ... to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main liaison, fostering robust relationships with… more