- Sanford Health (MN)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Fairview Health Services (Edina, MN)
- **Job Overview** The Care Management Specialist is responsible for establishing and maintaining relationships with providers, patients, families and vendors of ... the health plans for all community enrolled members. The Care Management Specialist directly supports Fairview Partners Care Coordinators. **Responsibilities:**… more
- Takeda Pharmaceuticals (MN)
- …to take charge of your future at Takeda. Join us as a Clinical Sales Specialist for our Minnesota territory. Here, everyone matters, and you will be an important ... contributor to our inspiring, bold mission. As a Clinical Sales Specialist working on the Gastroenterology Specialty Sales Team, you will be empowered to drive… more
- Good Samaritan Society (Nisswa, MN)
- …Range:** 29 - 46.50 **Department Details** Join our team as a Clinical Admissions Specialist ! - Full Time Days - Flexible scheduling; work life balance - Starting at ... and vision benefits! This role will split responsibilities between Hospice and Home Care at our Nisswa, MN Good Samaritan Society. **Job Summary** Responsible… more
- Anywhere Real Estate (Minneapolis, MN)
- The **Commercial** **Sales Specialist ** participates in and supports sales management efforts, by assisting the **Commercial Director** in a range of agent ... be proficient with technology tools and teaching agents on utilization of tools + Must have a valid Real...**(NYSE: HOUS) is moving real estate to what's next.** Home to some of the most recognized brands in… more
- Sanford Health (MN)
- …substantive and procedural aspects of the Health Plan. Knowledge of Managed Care- utilization management and provider reimbursement. Must be able to communicate ... be scheduled in advance. **Job Summary** The Provider Relations Specialist acts as the primary liaison between the Health...a generous time off package to maintain a healthy home -work balance. For more information about Total Rewards, visit… more
- Novo Nordisk (Minneapolis, MN)
- …productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights ... appropriate patients that would benefit in order to ensure early trial and utilization + Generates advocacy for Novo Nordisk products and services by sharing… more
- Evolent (St. Paul, MN)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical...Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- CenterWell (St. Paul, MN)
- …care that affect patient care and population management , such as quality management , utilization management , network management , and payment ... disease prevalence, quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better manage &… more
- Entrust (Shakopee, MN)
- …based on customer-specific data. As the solution and customer base expand, the specialist will assess global business needs and contribute to the strategic growth of ... efficiency, operational effectiveness, and opportunities for improvement. Additionally, the specialist will contribute to Entrust's Professional Services business opportunities… more
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