- CVS Health (St. Paul, MN)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- State of Minnesota (St. Paul, MN)
- …Title: Director, Special Compensation Fund** **Job Class: State Program Administrator, Manager Principal** **Agency: Labor & Industry Dept** + **Job ID** : 89428 ... Status** : Classified + **Bargaining Unit/Union** : 220 - Manager /Unrep + **FLSA Status** : Exempt - Executive +...will: * Lead and direct Minnesota's Workers' Compensation Division's Special Compensation Fund (SCF) in the performance of its… more
- Synchrony (St. Paul, MN)
- …other production team members as needed. + Perform other duties and/or special projects as assigned. **Qualifications & Requirements:** + Bachelor's Degree with 6+ ... and all our voices matter, tell us about your special way of influencing others. **Grade/Level: 12** The salary...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Planate Management Group LLC (Minneapolis, MN)
- …with other US federal agencies, all over the world. The Construction Project Manager (CPM) will be responsible for overseeing all work performed under the Bureau ... between sites Key responsibilities: + Oversee project planning, studies, site investigations , and surveys. + Prepare and manage project budgets, cost estimates,… more
- Synchrony (St. Paul, MN)
- …through ongoing professional development. + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree in finance, ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …intervenes for resolution and education with Provider Relations, or if necessary involve Special Investigation Unit. * Monitors and analyzes the delivery of ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective Location: Remote Career Area: Health Services About… more
- Synchrony (St. Paul, MN)
- …R **Role Summary / Purpose** The Governance, Risk, & Compliance (GRC) Program Manager is responsible for enhancing the maturity and integration of Synchrony's GRC ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- ASM Research, An Accenture Federal Services Company (St. Paul, MN)
- …designs content, oversees processing of daily escalations, research requests, special projects, and contact center focused operational activities; interface with ... Subject Matter Experts (SMEs) to discuss and present resolutions for multiple special interests; attend meetings to contribute to the internal branding and universal… more
- Travelers Insurance Company (St. Paul, MN)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage,...+ Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical… more
- City of Minneapolis (Minneapolis, MN)
- …of these topics: Application process and educational requirements + Background Investigation information + Medical, psychological, physical and drug & alcohol ... techniques + Recovers abandoned property + Assists in traffic control of special events, major fires, parades and accidents + Assists department officers or… more
- CVS Health (St. Paul, MN)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- BioLife Plasma Services (St. Paul, MN)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- BioLife Plasma Services (St. Paul, MN)
- …customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to ... Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community… more
- Travelers Insurance Company (St. Paul, MN)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Synchrony (St. Paul, MN)
- …Anything, etc..,), to develop materials and systems to increase Practice Development Manager productivity and adherence to role expectations. + Provide regular sales ... Compliance and Regulatory requirements. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's Degree and 6+… more
- Synchrony (St. Paul, MN)
- …requirements while meeting measurement goals. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree or, in ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Synchrony (St. Paul, MN)
- …audits related to model governance + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree in Finance, ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- State of Minnesota (St. Paul, MN)
- …Assist with special projects as assigned by the Program Operations Manager , the Financial Operations Division Director, or other FOD managers. + Exercise ... that the individual selected for this position successfully complete a background investigation prior to employment, that may include the following components: +… more
- Synchrony (St. Paul, MN)
- …+ You must be willing to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding process + You must be able ... consistently meet performance expectations and have approval from your manager to post (or the approval of your ...interpreter, or using specialized equipment. + If you need special accommodations, please call our Career Support Line so… more
- CDM Smith (Minneapolis, MN)
- …(TKM) by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more