- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Director of Regulatory Compliance develops and implements compliance programs aimed ... requirements and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Associate Director , Software Engineering leads software development application team based on ... business requirements. The Associate Director , Software Engineering requires a solid...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (St. Paul, MN)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (St. Paul, MN)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... 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 (St. Paul, MN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Humana (St. Paul, MN)
- …community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for development, ... clinical practices and processes for clinical community within the enterprise. The Director , Clinical Strategy and Practice requires an in-depth understanding of how… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- CenterWell (St. Paul, MN)
- …a part of our caring community and help us put health first** The Director , Account Management is responsible for growing membership within existing accounts and for ... directly managing business relationships with client accounts. The Director , Account Management requires an in-depth understanding of how organization capabilities… more
- Humana (St. Paul, MN)
- …on the same as needed **Strategic Planning & Execution** + Partner with the Director of Program Delivery for CliniOps to enable and accelerate execution of strategic ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (St. Paul, MN)
- …(Medicaid Network Implementation) who is accountable for working with the Director , Network Implementations, Provider Strategy & Operations, to assist with driving ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (St. Paul, MN)
- …Work Arrangements Available **Reporting Information** + You will report to the Director of Enterprise DevOps and Enterprise Engineering Enablement. + You will be ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more