- The Cigna Group (Bloomington, MN)
- …but is not restricted to locations that are identified in this posting.** Clinical Program Advisor -Supply Chain/Formulary Consulting **JOB SUMMARY** The ... Clinical Program Advisor provides insight and guidance on...consulting team members + Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract… more
- The Cigna Group (Bloomington, MN)
- …execute upon strategic opportunities that align with clinical /financial objectives. The Clinical Program Advisor , Strategic Markets is responsible for ... SUMMARY** This role requires the combination of a strong clinical background, deep understanding of utilization management ...up impacts on rebated drug products. Reporting to the Clinical Program Director, this position provides … more
- The Cigna Group (Bloomington, MN)
- … Advisor will hold a key role in in ensuring that our utilization management (UM) policies align with clinical guidance, drive formulary intent, and are ... + Strong analytical and decision-making skills + Previous experience developing or analyzing clinical criteria in relation to formulary management a strong plus.… more
- The Cigna Group (Bloomington, MN)
- …plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with ... models. They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan. They are the… more
- Highmark Health (St. Paul, MN)
- …health management . Must be a recognized subject matter expert (SME). + Clinical Program Knowledge: A strong understanding of various clinical ... with strategic clients, brokers, and prospects, serving as a clinical subject matter expert (SME) and trusted advisor... clinical subject matter expert (SME) and trusted advisor . Provide a value proposition that demonstrates clinical… more
- CVS Health (St. Paul, MN)
- …all with heart, each and every day. **POSITION SUMMARY:** As an Oncology RPh Advisor in Government Services you will be directly supporting Medicare Part D members ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- Medtronic (Minneapolis, MN)
- …financial planning, portfolio management , Portfolio governance processes, and Project/ Program management . We're seeking a self-starter with strong strategic ... will be responsible for leading a team consisting of Core Team Leaders, Program Managers, and Project Management Specialists. This role is responsible for… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Policy Director** **Job Class: State Program Administrator, Manager Senior** **Agency: Minnesota Management & Budget** + **Job ID** : 86248 + ... + **Closing Date** : 06/03/2025 + **Hiring Agency/Seniority Unit** : Minnesota Management & Budget + **Division/Unit** : Office of Addiction and Recovery +… more
- Option Care Health (St. Paul, MN)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... teams, including the Commercial, Purchasing and Business Development, Revenue Cycle Management , Ambulatory Infusion Center, Naven Health and acquired business teams.… more
- Sedgwick (Eden Prairie, MN)
- …the claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains professional ... Ave West Hills, CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable… more
- Medtronic (Minneapolis, MN)
- …scientific information to regulatory strategy + Serve as the primary regulatory advisor to cross-functional teams and executive leadership. + Experience across a ... standards. + Lead quality initiatives to support product lifecycle management , manufacturing scale-up, and continuous improvement ensuring the highest reliability… more