Jobs near Minnetonka: 9,018
RS
Relevance Score ranked on: CLINICAL
Associate Director Business Process, Clinical Operations - Remote
Minnetonka
Lead UHCPs implementation process for On-cycle Prescription Drug List (PDL) changes and pharmacy program updates. This includes accountability for the required controls over the PDL grid as well as auditing and quality management activities Vendor and financial management of the Pharmacy Look-Up Tool...
Search Terms: Operations, Clinical, Director, Business, Associate
88
0mi
Updated: August 14
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
87.8
4.3mi
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
87.8
4.3mi
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
87.8
4.3mi
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
87.8
4.3mi
Updated: September 21
Clinical Program Director, Laboratory & Genomics - Remote
Minnetonka
Initiative Implementation and Oversight Manage resources including flexible and agile pool of Program Managers, assign projects and efficiently move it through the project lifecycle from end-to-end Oversee effective implementation of programs that have a variety of approaches and requirements in part...
Search Terms: Program Director, Clinical, Laboratory, Genomics, Director
87.6
0mi
Updated: August 10
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
87.5
4.3mi
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
87.5
4.3mi
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
87.5
4.3mi
Updated: September 21
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