- CVS Health (St. Paul, MN)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Principal Provider Performance Clinical Consultant Location: Hybrid | Eagan, Minnesota Career Area: Strategic ... and leading consultative conversations with provider groups about opportunities to improve clinical and cost/ utilization trend. * Responsible for developing and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and leading consultative conversations with provider groups about opportunities to improve clinical and cost/ utilization trend. * Responsible for developing and ... all lines of business. The role works in tandem with the Manager of Clinical Consultation, Pr Provider Performance Clinical Consultants, and the Medical Director… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …and medical supplies. Indirect patient care activities include pharmacy benefits management , staff development, quality assurance, medication utilization review, ... Summary The Inpatient Rotational Clinical Pharmacist is responsible for all aspects of...met in a timely, cost efficient manner. E. Project Management : 1. Participates in the development and implementation of… more
- CVS Health (Bloomington, MN)
- …understand trends, and provide clients with recommendations on formulary and utilization management strategies. You will establish relationships both internally ... our custom formulary clients. CFC consultants leverage financial and clinical acumen to assist clients with custom formulary decisions....and externally, and articulate potential management strategies with a deep understanding of the rebate… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …This individual pulls and synthesizes data across multiple domains, including utilization management , prior authorization, claims, denials, and appeals. Their ... focus in the department include but are not limited to provider, health management , quality, product development and client/member analytics. A typical day for the… more
- Cardinal Health (St. Paul, MN)
- …payers, pharmacists and manufacturers for integrated care coordination and better patient management . Backed by nearly 100 years of experience, with more than 40,000 ... currently have a career opening for a Reimbursement Solutions Analyst. **What Clinical Operations contributes to Cardinal Health** Clinical Operations is… more
- Medtronic (Mounds View, MN)
- …as we work together to engineer the extraordinary. The Cardiac Rhythm Management (CRM) Integrated Operating Unit tirelessly strives to improve and save the ... reinforce the value of investment. + Act as a consultant for the Patient Care Systems Functional Unit to...train physicians, hospital personnel and Medtronic staff on product utilization . Support ongoing sales training and new hire training… more