- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care System Lead ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 85852 + ... as an MMIS system expert and business lead for managed care on...+ Managed Care **AND** Eligibility system experience utilizing systems such as Minnesota… more
- Fairview Health Services (Edina, MN)
- …work or related field. + Three to five years' experience in medical social work, care coordination with managed care , state, and public programs and/or ... health care systems . + Critical thinking and ability to work with...or related field. Experience + Five to seven years care coordination experience with managed care… more
- Fairview Health Services (Edina, MN)
- …or related field. Experience Three to five years' experience in medical social work, care coordination with managed care , state, and public programs and/or ... health care systems . Critical thinking and ability to work with patients...work or related field. Experience Five to seven years care coordination experience with managed care… more
- Fairview Health Services (Edina, MN)
- …clinical nursing experience). **Experience** Three to five years' experience in clinical nursing, care coordination with managed care , state, and public ... programs and/or health care systems . Critical thinking and ability to work with patients...**Experience** Five to seven years' experience in clinical nursing, care coordination with managed care ,… more
- Merck (Minneapolis, MN)
- …may not be limited to:** + Manage and oversee region-specific Health Care System Account Management roles + Lead team to facilitate profitable access to our ... and supply chain teams to support healthcare providers and systems care for patients and their communities....ten (10) years' experience in Sales/Account Management, Marketing or Managed Markets within the pharmaceutical industry + Minimum of… more
- Norstella (St. Paul, MN)
- Technical Lead , Engineering (Eastern Time Zone) Company: Panalgo Location: Remote, United States Date Posted: Apr 28, 2025 Employment Type: Full Time Job ID: R-937 ... to generate insights into improving population health, quality of care , and managing costs. Now, Panalgo is proud to...Role:** We are seeking a talented and creative Team Lead , Engineering with experience in big data for our… more
- Medtronic (Minneapolis, MN)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... the Life** We are seeking a highly skilled Communications Systems expert to join our Structural Heart (SH) Global...the organization. + Strong organization skills, detail oriented. + Self- managed and collaborative work style + Ability to manage… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- CenterWell (St. Paul, MN)
- …professional experience in health-related strategy and operations positions + Experience in value-based care , particularly managed care or full risk models + ... of the organization by identifying, evaluating, and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- State of Minnesota (St. Paul, MN)
- …the policies outlined above. These may include changes in authorization, changes in managed care contracting, legislative changes to payment policy to support ... Healthcare Improvement and Benefit Design (HIBD). **Responsibilities include:** + Lead the Integrated Care for High-Risk Pregnancies...quality improvement (eg inclusion of managed care quality measures in … more
- State of Minnesota (St. Paul, MN)
- …Coordinate between Medicaid Provider Audits and Investigations (MPAI), Managed Care Organizations (MCO) and DHS ... Care Program recipients, including services provided through Managed care organizations (MCOs). + Federal oversight...federal mandates. + Local human service agencies, state welfare systems and health care delivery systems… more
- Humana (St. Paul, MN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an… more
- Medtronic (Minneapolis, MN)
- …potential customers on clinical indications and applications of the Bravo pH Monitoring System , the ManoScan Manometry and pH-Impedance systems , the SmartPill ... and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected,… more
- United Therapeutics (St. Paul, MN)
- …(MSLs) + Present at Medicaid meetings when needed + Attend clinical and managed care conferences to present data, attend relevant scientific sessions, and ... national and regional health plans, pharmacy benefit managers, health systems , government payers) in high-quality scientific dialogue about United...build relationships in the managed care community + Serve as a… more
- Intermountain Health (St. Paul, MN)
- …+ Possesses in-depth business and application knowledge and experience + Knowledge of system analysis and operating systems preferably used in a hospital setting ... pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient… more
- State of Minnesota (St. Paul, MN)
- …Group + Engage end users of the MnCHOICES application including county, tribal nations and managed care organization + Work with the vendor to improve and create ... include: + Work closely with the Aging and Adult Services Administration (AASD); co- lead of the oversight of MnCHOICES and facilitating the MnCHOICES Input… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... we seek to connect the pieces of fragmented health care system and ensure people get the...claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity-… more
- State of Minnesota (Vadnais Heights, MN)
- …services such as Medicare, Medical Assistance, Group Residential Housing, MinnesotaCare, managed care and private insurance programs + Drafting policies ... by providing benefits, support resources, and training and development opportunities. Direct Care and Treatment (DCT) is seeking an individual to join our DCT… more
- Fairview Health Services (Minneapolis, MN)
- …in strategy development and account management, in the PBM, specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience performing ... **Job Overview** Lead the strategy, planning, and execution of cutting-edge...analytics in the PBM, specialty pharmacy, and/or managed care industry. + 10+ years of… more