• Pharmacy Program Manager

    CVS Health (St. Paul, MN)
    …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
    CVS Health (10/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mendota Heights, MN)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (10/22/25)
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  • Government Programs Partner Relations Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …of semi-annual delegate training, conducting annual care plan audits and ensuring post- audit follow up, serving as a regulatory and Blue Plus subject matter ... execution of annual care plan audits, including assisting in the development of the audit protocol and process design and required post audit follow up.… more
    Blue Cross and Blue Shield of Minnesota (10/22/25)
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