- CVS Health (St. Paul, MN)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Supervisor - Special Investigations Unit Clinical Location: Hybrid | Eagan, Minnesota Career ... this position, you will be responsible for the daily supervision of fraud investigation activities including ensuring that key steps are being documented to meet all… more
- Elevance Health (Mendota Heights, MN)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... and/or teams across the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- Synchrony (St. Paul, MN)
- …**Role Summary/Purpose:** The AVP of Account Management Transactional Fraud (AMTF) Special Implementations is a position reporting to the VP, Account Management ... Transactional Fraud (AMTF) Special Implementations. This is an individual contributor position. This...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Ryder System (St. Paul, MN)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Cardinal Health (St. Paul, MN)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …intervenes for resolution and education with Provider Relations, or if necessary involve Special Investigation Unit. * Monitors and analyzes the delivery of ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager PreService & Retrospective - RetroClaims - Location: Remote Career Area: Health… more
- Planate Management Group LLC (Minneapolis, MN)
- …with other US federal agencies, all over the world. The Construction Project Manager (CPM) will be responsible for overseeing all work performed under the Bureau ... between sites Key responsibilities: + Oversee project planning, studies, site investigations , and surveys. + Prepare and manage project budgets, cost estimates,… more
- Kohl's (Woodbury, MN)
- About the Role As District Loss Prevention Manager , you will develop and implement the Loss Prevention program for 15+ selling locations. You will drive results by ... Ensure compliance with Apprehension Guidelines/Ethical Standards as related to investigations and apprehensions + Partner with cross-functional teams, law… more
- 3M (Maplewood, MN)
- **Job Description:** **Job title** Senior Manager of Digital IT Shared Services **Collaborate with Innovative 3Mers Around the World** Choosing where to start and ... to a 3M career** . **The Impact You'll Make in this Role** As a Senior Manager of Digital IT Shared Services, you will have the opportunity to tap into your… more
- City of Minneapolis (Minneapolis, MN)
- …of these topics: Application process and educational requirements + Background Investigation information + Medical, psychological, physical and drug & alcohol ... techniques + Recovers abandoned property + Assists in traffic control of special events, major fires, parades and accidents + Assists department officers or… more
- Travelers Insurance Company (St. Paul, MN)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage,...+ Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical… more
- CVS Health (St. Paul, MN)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Balchem (Faribault, MN)
- …business segment with those of its employees by assisting the HR Manager in planning, recommending, implementing and administering personnel policies, practices, and ... programs + Acts as liaison between employees and management; conducts investigations and recommends corrective action; assists management in the utilization of… more
- Synchrony (St. Paul, MN)
- …techniques. Provide effective challenges to identify potentials issues requiring further investigation , and resolve problems + Assume complete responsibility for the ... and Model Risk Oversight Committee + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Master's degree and 12+ years'… more
- Travelers Insurance Company (St. Paul, MN)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Synchrony (St. Paul, MN)
- …controls and produce documentation, as needed. + Perform other duties and/or special projects as assigned. **Experiences You'll Need to Succeed:** + Bachelor's ... + Previous experience in retail finance or financial services; special consideration for domain knowledge of SYF Collections processes...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Synchrony (St. Paul, MN)
- …matter expertise and counsel to management regarding vendors, technologies, and special projects. + Support the preparation of appropriate reports and communicate ... setting realistic and challenging goals + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree in Computer… more
- Travelers Insurance Company (St. Paul, MN)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Travelers Insurance Company (St. Paul, MN)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more