Jobs near Eden Prairie: 9,220
RS
Relevance Score ranked on: CLINICAL
Pre-Service Clinical Review Coordinator - RN - Central Time - Remote
Eden Prairie
Complete process as it relates to pre-service authorizations Participate in the clinical phone queue to ensure customers Service Level Agreements are met Provide written and verbal coordination of care communication with a full team which may consist of, but is not limited to, Medical Directors, Skil...
Search Terms: RN, Clinical, Clinic, Medical Director, Coordinator
91.4
0mi
Updated: September 21
Pre-Service Clinical Review Coordinator - RN - Central Time - Remote
Eden Prairie
Complete process as it relates to pre-service authorizations Participate in the clinical phone queue to ensure customers Service Level Agreements are met Provide written and verbal coordination of care communication with a full team which may consist of, but is not limited to, Medical Directors, Skil...
Search Terms: RN, Clinical, Clinic, Medical Director, Coordinator
91.4
0mi
Updated: September 21
National Medical Director - Optum HouseCalls Clinical Field Operations - Remote
Eden Prairie
Clinical Model Support: Support clinical strategy, efficacy and effectiveness of House. Calls referrals; internally and partner programs Lead coordinating the ongoing House. Calls value proposition studies through various values analytic initiatives and studies e. House. Calls documentation improveme...
Search Terms: Medical Director, Clinical, Field, Operations, Director
91.4
0mi
Updated: September 21
National Medical Director - Optum HouseCalls Clinical Field Operations - Remote
Eden Prairie
Clinical Model Support: Support clinical strategy, efficacy and effectiveness of House. Calls referrals; internally and partner programs Lead coordinating the ongoing House. Calls value proposition studies through various values analytic initiatives and studies e. House. Calls documentation improveme...
Search Terms: Medical Director, Clinical, Field, Operations, Director
91.4
0mi
Updated: September 21
Clinical Claim Review Nurse - Remote
Eden Prairie
Perform clinical coverage review services which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information Function as a member of a self-directed team to meet specific individual and team performance metrics Communicate in wr...
Search Terms: Clinical, Nurse, Medical Director, Remote, Health
91.1
0mi
Updated: September 21
Clinical Claim Review Nurse - Remote
Eden Prairie
Perform clinical coverage review services which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information Function as a member of a self-directed team to meet specific individual and team performance metrics Communicate in wr...
Search Terms: Clinical, Nurse, Medical Director, Remote, Health
91.1
0mi
Updated: September 21
Clinical Claim Review Nurse - Remote
Eden Prairie
Perform clinical coverage review services which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information Function as a member of a self-directed team to meet specific individual and team performance metrics Communicate in wr...
Search Terms: Clinical, Nurse, Medical Director, Remote, Health
91.1
0mi
Updated: September 21
Senior Consultant, Clinical Variation Reduction - Remote
Eden Prairie
Collect, analyze and synthesize, and interpret qualitative and quantitative data to inform client recommendations Oversee and/or perform detailed data analytics and financial projections (e.g., Excel, Power BI) and translate findings to operational stakeholders Perform project management activities, ...
Search Terms: Clinical, Consultant, Business Development, Clinic, Remote
90.3
0mi
Updated: September 17
Senior Consultant, Clinical Variation Reduction - Remote
Eden Prairie
Collect, analyze and synthesize, and interpret qualitative and quantitative data to inform client recommendations Oversee and/or perform detailed data analytics and financial projections (e.g., Excel, Power BI) and translate findings to operational stakeholders Perform project management activities, ...
Search Terms: Clinical, Consultant, Business Development, Clinic, Remote
90.3
0mi
Updated: September 17
Account Manager Pharmacist Clinical Consultant, Health Plans - Remote in CST or EST
Eden Prairie
Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary...
Search Terms: Clinical, Account Manager, Health, Pharmacist, Consultant
89.9
0mi
Updated: September 14
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