- Insmed Incorporated (Minneapolis, MN)
- …for the future of science, we're in. Are you?About the Role:The Associate Director Medical Science Liaison will develop and maintain professional relationships ... insights to Insmed.Support research and development programs as requested by R&D, Clinical Operations, and Medical Affairs Departments. This may include trial… more
- Highmark Health (St. Paul, MN)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (St. Paul, MN)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- The Cigna Group (Bloomington, MN)
- … delivery models. They will partner with the Client's Clinical team, Pharmacy Director , Medical Director and/or clinical staff to provide a ... to locations that are listed in this posting.** **Job Summary:** The Sr. Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who… more
- The Cigna Group (Bloomington, MN)
- …delivery models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical staff to provide a comprehensive management ... to locations that are identified in this posting.** **JOB DESCRIPTION** The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist… more
- Presbyterian Homes and Services (Bloomington, MN)
- Overview Presbyterian Homes & Services of Bloomington is seeking a Director of Nursing / Clinical Administrator to join our Assisted Living team leading the ... the Housing Administrator and directly supervises all managers of clinical services which may include: Clinical...fitness center access - Discounted employee meals Responsibilities The Director of Nursing / Clinical Administrator is… more
- Presbyterian Homes and Services (Arden Hills, MN)
- Overview Presbyterian Homes & Services - Johanna Shores is seeking a Director of Nursing / Clinical Administrator to join our Long Term Care team leading the ... the care setting) and directly supervises all managers of clinical services which may include: Clinical...Care, Long Term Care with Memory Care Responsibilities The Director of Nursing / Clinical Administrator is… more
- Prime Therapeutics (St. Paul, MN)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Highmark Health (St. Paul, MN)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Cognizant (St. Paul, MN)
- …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more
- Grifols Shared Services North America, Inc (West St Paul, MN)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- Humana (St. Paul, MN)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (St. Paul, MN)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
- Humana (St. Paul, MN)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more
- CenterWell (St. Paul, MN)
- … Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Humana (St. Paul, MN)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Evolent (St. Paul, MN)
- …non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Evolent (St. Paul, MN)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Humana (St. Paul, MN)
- …a part of 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...medical interpretation and decisions regarding the appropriateness and medical necessity of services provided by other… more
- Cardinal Health (St. Paul, MN)
- …development within the market verticals of Access and Patient Support, Clinical Services and Reimbursement Services . The Director will build key customer ... **Together, we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services , is responsible for… more
