• UM Administration Coordinator

    Humana (St. Paul, MN)
    …service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization ... Proficient utilizing electronic medical record and documentation programs + Prior experience with CGX and Genesys + Prior... Prior experience with CGX and Genesys + Prior experience with post-acute authorizations + Prior more
    Humana (01/01/26)
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  • Financial and Regulatory Analyst

    CentraCare (St. Cloud, MN)
    …(eg, Epic, Lawson, Strata, or similar) preferred. + Experience with payer audits, prior authorization processes, and coverage policy review preferred. + Strong ... + Analyze changes in payer coverage determinations, billing guidelines, and authorization policies to assess impact on access, documentation, and reimbursement. +… more
    CentraCare (12/19/25)
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  • Patient Access Representative | TEAMS | 15hrs/week

    Sanford Health (Worthington, MN)
    …responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization ; track patient/resident visits; health information ... patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre- authorization , arranges interpreter services, checks patients/residents in/out, and offers… more
    Sanford Health (12/13/25)
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  • Care Advocacy Case Manager RN - Bilingual Spanish

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …enhance the overall operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in ... Flexibility to work varied hours. * High school diploma (or equivalency) and legal authorization to work in the US Preferred Skills and Experience * Fluent bilingual… more
    Blue Cross and Blue Shield of Minnesota (10/21/25)
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  • Therapy Access Manager…

    United Therapeutics (MN)
    …coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. + Manage… more
    United Therapeutics (10/11/25)
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  • Healthcare Analyst Senior

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …pulls and synthesizes data across multiple domains, including utilization management, prior authorization , claims, denials, and appeals. Their work goes ... business, technical, and/or clinical. * High school diploma (or equivalency) and legal authorization to work in the US Preferred Skills and Experience * Bachelor's… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • Child and Adolescent Psychiatrist - Medical…

    State of Minnesota (Willmar, MN)
    …treatment to some of Minnesota's most vulnerable kids? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
    State of Minnesota (12/07/25)
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  • AMRTC - Psychiatrist 1 or 2

    State of Minnesota (Anoka, MN)
    …treatment to some of Minnesota's most vulnerable adults? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
    State of Minnesota (12/07/25)
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  • Painter 2nd Shift

    Caterpillar, Inc. (Brooklyn Park, MN)
    …be available on a voluntary basis based on business needs and with leader prior authorization . **Top Candidates Will Have:** + Experience in equipment paint ... **What To Expect:** As a **Painter** at Caterpillar you will prepare materials prior to paint application, apply prime paint and topcoat (finish coat) to components… more
    Caterpillar, Inc. (12/24/25)
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  • Medical Director - Medicaid (Oklahoma)

    CVS Health (St. Paul, MN)
    …appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus ... Board certification in Family Medicine, General Surgery or Internal Medicine / Pediatrics - Prior UM experience working at Health Plan / Insurer or experience as a… more
    CVS Health (12/19/25)
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