- Elevance Health (Mendota Heights, MN)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes… more
- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Director of Treasury over PBM Claims . The Treasury Director is responsible for managing the claim payment ... process, working with numerous internal business partners and senior leadership to establish companywide system processes and controls to ensure the appropriate application of regulatory guidance and contractual terms, while optimizing cashflow impacts. This… more
- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (St. Paul, MN)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Zurich NA (St. Paul, MN)
- AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims ... role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor… more
- Blue KC (Workman, MN)
- …system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical policy, notifies providers and members, if transplant ... network. + Ensures proper payment of pre-transplant, transplant, and post-transplant claims . Sets up transplant pre-pay review for each individual claim. Reviews… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- …those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets ... the broader overall TA strategy determined by the Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
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