- CenterWell (St. Paul, MN)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (St. Paul, MN)
- …and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional who initiates, negotiates, and executes physician, ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- Humana (St. Paul, MN)
- …the health of the communities we serve. The Vice President will also provide executive leadership to the National Contracting , Ancillary Contracting , ... provider engagements and issues. + Establish enterprise wide contracting standards, best practices and policies. Collaborate across departments and market… more
- Lumen (St. Paul, MN)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (St. Paul, MN)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Highmark Health (St. Paul, MN)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... to drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions,… more
- Lumen (St. Paul, MN)
- …Role** The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of highly complex indirect goods and services. Contributes to the ... manage Lumen's "Tier 1" vendors, who are our largest and most visible professional services partners. You will monitor market trends, analyze spend data, define… more
- Highmark Health (St. Paul, MN)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- BAE Systems (Minneapolis, MN)
- …under general guidance from the Contracts Manager. + Research and provide presentations on Acquisition/ Contracting topics, strategies, and approaches of ... and contracts with minimal guidance, while demonstrating leadership in contracting strategy and methods. This role requires strong analytical, communication,… more
- CVS Health (St. Paul, MN)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (St. Paul, MN)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- State of Minnesota (St. Paul, MN)
- …**Classified Status** : Classified + **Bargaining Unit/Union** : 213 - Health Treatment Professional /Unrep + **FLSA Status** : Exempt - Professional + Designated ... a national cooperative group purchasing organization (GPO) for government facilities that provide healthcare services. MMCAP is operated by the State of Minnesota,… more
- Cardinal Health (St. Paul, MN)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- Lumen (St. Paul, MN)
- …The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of network equipment and embedded or controlling software installed within ... savings via RFPs, negotiations, demand management, value engineering, etc. ** Contracting ** Manage high-complexity contracts and assist with "handing off" tactical… more
- State of Minnesota (St. Paul, MN)
- …**Classified Status** : Classified + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Exempt - Professional + Designated ... We are seeking an Attorney for the Legal and Compliance unit to provide MMCAP Infuse leadership, staff, and membership with expert-level legal guidance and expertise… more
- CenterWell (St. Paul, MN)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- Medtronic (Minneapolis, MN)
- …compassionate world. **A Day in the Life** A Day in the Life: + ** Provide Contracting Support:** Support the Coronary and Renal Denervation (CRDN) Operating Unit ... by managing and coordinating all aspects of contracting processes. + **Coordinate Physician Engagement:** Oversee the physician engagement process, including… more
- University of St. Thomas (Minneapolis, MN)
- …and others. ESSENTIAL FUNCTIONS + Purchasing Processes Ownership + Manages contracting , vendor database, requisition, and purchase order processes + Responsible for ... purchasing processes and work with key department staff to implement processes + Provide measurable hard and soft savings for university departments + Supervision +… more
- Elevance Health (Mendota Heights, MN)
- …required with understanding of health insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** + ... use of proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying and developing… more