- Fairview Health Services (Edina, MN)
- …or related field. Experience Three to five years' experience in medical social work, care coordination with managed care , state, and public programs and/or ... health care systems . Critical thinking and ability to work with patients...work or related field. Experience Five to seven years care coordination experience with managed care… more
- Fairview Health Services (Edina, MN)
- …clinical nursing experience). **Experience** Three to five years' experience in clinical nursing, care coordination with managed care , state, and public ... programs and/or health care systems . Critical thinking and ability to work with patients...**Experience** Five to seven years' experience in clinical nursing, care coordination with managed care ,… more
- Elevance Health (Mendota Heights, MN)
- …mentoring, training, and/or coaching preferred. + Familiarity with CPT codes preferred. + Managed care experience preferred. For candidates working in person or ... systems /project deliverables. + Configures new designs/updates in the system . + Monitors system and business functionality...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Norstella (St. Paul, MN)
- Technical Lead , Engineering (Eastern Time Zone) Company: Panalgo Location: Remote, United States Date Posted: Apr 28, 2025 Employment Type: Full Time Job ID: R-937 ... to generate insights into improving population health, quality of care , and managing costs. Now, Panalgo is proud to...Role:** We are seeking a talented and creative Team Lead , Engineering with experience in big data for our… more
- Medtronic (Minneapolis, MN)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... the Life** We are seeking a highly skilled Communications Systems expert to join our Structural Heart (SH) Global...the organization. + Strong organization skills, detail oriented. + Self- managed and collaborative work style + Ability to manage… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- State of Minnesota (St. Paul, MN)
- …need for and strategically utilize experts in the areas of: managed care , purchasing, developing service delivery systems , payment systems , rate-setting, ... and Provider Services, Healthcare Eligibility and Access, Integrated Health Partnerships, Managed Care , and other Medicaid divisions throughout the agency… more
- State of Minnesota (St. Paul, MN)
- …the policies outlined above. These may include changes in authorization, changes in managed care contracting, legislative changes to payment policy to support ... Healthcare Improvement and Benefit Design (HIBD). **Responsibilities include:** + Lead the Integrated Care for High-Risk Pregnancies...quality improvement (eg inclusion of managed care quality measures in … more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- State of Minnesota (St. Paul, MN)
- …programs for which SMRT evaluates disability including Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic ... / DHS Central Office MMA + **Division/Unit** : Health Care Administration / Eligibility and Access + **Work Shift/Work...User Acceptance Testing (UAT) to ensure SMRT's Case Management System meets evolving business and compliance needs. + The… more
- Humana (St. Paul, MN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an… more
- Intermountain Health (St. Paul, MN)
- …+ Possesses in-depth business and application knowledge and experience + Knowledge of system analysis and operating systems preferably used in a hospital setting ... pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient… more
- State of Minnesota (St. Paul, MN)
- …Group + Engage end users of the MnCHOICES application including county, tribal nations and managed care organization + Work with the vendor to improve and create ... include: + Work closely with the Aging and Adult Services Administration (AASD); co- lead of the oversight of MnCHOICES and facilitating the MnCHOICES Input… more
- Medtronic (Mounds View, MN)
- …dissemination tools and tactics + Experience working in medical device industry, hospital administration, managed care or related health care field. + Deep ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...therapies. + Maintain expert level understanding of US health care financing systems , changes in payment and… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... we seek to connect the pieces of fragmented health care system and ensure people get the...claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity-… more
- Fairview Health Services (Minneapolis, MN)
- …in strategy development and account management, in the PBM, specialty pharmacy, and/or managed care industry. + 15+ years of relevant work experience performing ... **Job Overview** Lead the strategy, planning, and execution of cutting-edge...analytics in the PBM, specialty pharmacy, and/or managed care industry. + 10+ years of… more
- Prime Therapeutics (St. Paul, MN)
- …of client service experience to include 7 years of account management in PBM or managed care + 8 years of leadership/people management experience + Must be ... Vice President Client Engagement identifies needed investments in capabilities, systems and programs that enhance client market competitiveness and promotes… more
- RTX Corporation (Burnsville, MN)
- …demand planning process and be responsible for leading changes or enhancements in systems and processes to solve problems and improve effectiveness. **WHAT YOU WILL ... manufacturing operations. + Collaborate with the manufacturing team and lead the development of monthly production volume planning using...to improve supply capabilities. + Allocate jobs in the system and kit parts. **WHAT YOU WILL LEARN:** +… more
- Medtronic (Mounds View, MN)
- …post-market product quality and safety issues to ensure patient safety and optimal care . + Lead or facilitate investigations into complex technical problems, ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...Medtronic has been at the forefront of transforming stroke care , leading the fight against both acute ischemic stroke… more
- Evolent (St. Paul, MN)
- …across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and ... experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to… more