- Prime Therapeutics (St. Paul, MN)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description**...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- State of Minnesota (St. Paul, MN)
- … Medicaid . **Minimum Qualifications** Three (3) years of advanced professional experience demonstrating the following: + Experience working on quality improvement ... **Working Title: Sr Healthcare Quality Improvement Analyst** **Job Class: Agency...+ **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Exempt - Administrative… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Senior Technology Leadership Professional is responsible for all aspects of software or ... hardware product delivery and performance. The Senior Technology Leadership Professional work assignments involve moderately complex to complex issues where the… more
- Evolent (St. Paul, MN)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst, Scope Management plays a crucial role in supporting the… more
- Humana (St. Paul, MN)
- …put health first** We are seeking a highly skilled and innovative Senior Automation Engineer to lead and drive quality assurance initiatives across enterprise-scale ... experience in lieu of degree. + 7+ years of professional experience in software QA and test automation. +...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (St. Paul, MN)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... meet compliance requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary teams at Humana to… more
- CenterWell (St. Paul, MN)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ancillary, ... hospital, and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (St. Paul, MN)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (St. Paul, MN)
- …help us put health first** We are seeking a talented and motivated Senior Cognitive/Machine Learning Engineer to join our dynamic team. The traditional candidate ... machine learning and emerging generative AI technologies. As a Senior Cognitive/Machine Learning Engineer, you will play a key...related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar… more
- CenterWell (St. Paul, MN)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates… more
- Humana (St. Paul, MN)
- …or a related field, or equivalent experience. + Progressive experience as a senior application and/or solution architect or technical lead in large company spanning ... native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS.… more
- Humana (St. Paul, MN)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... skills, with the ability to communicate complex results and insights to senior leaders and non-technical audiences. + Experience collaborating with both financial… more
- Humana (St. Paul, MN)
- …caring community and help us put health first** The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery ... and performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity...+ Ability to communicate effectively and deliver presentations to senior leaders + Advanced experience leading special projects and… more
- Evolent (St. Paul, MN)
- …+ Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate with ... cross-functional teams, including **clinical reviewers, product, management, and senior leadership,** to improve decision-making and care outcomes. + Assist in… more