- Guardian Life (St. Paul, MN)
- ** Complex Claims Manager , LTD Claims ** The Complex Claims Manager , LTD Claims is responsible for making accurate decisions on assigned ... honest manner + Demonstrates self-awareness and embraces feedback **Reporting Relationship:** The Complex Claims Case Manager , LTD Claims reports to the… more
- Zurich NA (St. Paul, MN)
- …an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area Complex /Loss Sensitive Casualty AVP UnderwriterBasic ... Complex /Loss Sensitive Casualty Underwriter, AVP 110891 Zurich is...offices within the region). You will partner with your manager to set a flexible work schedule that supports… more
- US Bank (Minneapolis, MN)
- …Description** **Job Description** The Corporate Audit Services (CAS) Senior Audit Manager supports internal audit leadership in providing the Audit Committee and ... CAS Operations audit team, with a primary focus on claims , disputes, complaints, and card operations processes. The Senior...disputes, complaints, and card operations processes. The Senior Audit Manager will lead a team of audit professionals and… more
- CVS Health (St. Paul, MN)
- …more personal, convenient and affordable. Position Summary The key objective for the Manager , Reporting Strategy within CVS Health is to lead the creation of ... You will enjoy taking on new challenges and solving complex problems. You'll manage multiple projects and activities in...required: project management, solution strategist and data analyst. Project Manager duties: + Manage and lead all phases of… more
- Humana (St. Paul, MN)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives… more
- Aimbridge Hospitality (Minneapolis, MN)
- Job Summary The Human Resource Manager will report directly to the Director of Human Resources or General Manager (property specific). As a member of the ... associate compensation and benefits. + Investigates and manages workers compensation claims and hotel safety related issues. + Administrates facilitates monitors… more
- Elevance Health (Mendota Heights, MN)
- …as part of consideration for employment. **eCOB Specialist II** + Job Family: CLM > Claims Support + Type: Full time + Date Posted:Apr 16, 2024 + Anticipated End ... members on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable… more
- J&J Family of Companies (St. Paul, MN)
- …for growth, integrity and innovation. This position will work closely with the Manager of Promotional and Educational Compliance as well as content creators across ... will prepare instruction manuals, and other supporting documents that communicate complex and technical information to customers. This position has overall… more
- Elevance Health (Mendota Heights, MN)
- …is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover ... corporate and client funds paid on fraudulent claims . Candidate will need a strong pharmacy investigation background. **How you will make an impact:** + Claim… more
- Elevance Health (Mendota Heights, MN)
- …are all pharmacy processes and processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How you ... work as assigned and acts as auditor in charge on small and less complex audits. + Participates in pre and post implementation audits of pharmacy operational… more
- Humana (St. Paul, MN)
- …the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Elevance Health (Mendota Heights, MN)
- …II** provides comprehensive services to the provider community through researching more complex provider issues. **How you will make an impact:** + Serves as ... issues that may impact provider satisfaction. + Researches and resolves the more complex provider issues and appeals for prompt resolution. + Coordinates prompt … more
- Xcel Energy (Minneapolis, MN)
- …and effectively executed. + Ensure proper management of all administrative aspects of complex or highly sensitive leave claims and work; closely with the ... providing Leave of Absence related services and counsel on complex cases to employees and leaders. Acts as program... cases to employees and leaders. Acts as program manager of leave or absence related programs and an… more
- Metropolitan Council (St. Paul, MN)
- …system in the Twin Cities metropolitan region. It also provides coordinated long -range water resources and supply planning, and air and water quality monitoring ... in this job + Provides input to the Project Manager and project team during the planning and design...The position is required to stand and walk for long periods, sit occasionally, and climb or balance frequently.… more
- Elevance Health (Mendota Heights, MN)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... measures and validating HEDIS Results in HEDIS software. + Ability to articulate complex HEDIS measures. + Experience working with State and National HEDIS auditors.… more