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Results based on filters ( 3257 jobs found )

Provider Contracting Network Rep

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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Summary
About the job:
Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.Provider Contracting Professional 2+ Actively communicates contract terms, payment structures, reimbursement rates to providers internal and external constituents+ Negotiating and maintaining contracts with hospital partners to ensure our network meets regulatory and business requirements.+ Managing relationships with key providers...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Utilization Management Behavioral Health Professional 2

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.**Role Responsibilities**Tasks include, but are not limited to:**70%:** Performing utilization...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Certified Travel Industry Specialist
Security clearance
Board Certified
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Software Engineer - Enterprise Observability

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Why ...
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About the job:
Join Enterprise Observability Engineering?The Enterprise Observability Engineering team is a high-impact, high-autonomy group focused on building intelligent, scalable, and resilient observability solutions. We foster a culture of innovation, agility, and ownership-empowering engineers to solve complex problems, drive strategic initiatives, and shape the future of how we monitor and operate distributed systems.If you're passionate about building tools engineers love, solving unscoped challenges, and leading with...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Insurance Product Project Management

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Humana ...
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Summary
About the job:
Healthy Horizons is seeking a motivated, detail-oriented Senior Insurance Product Content Project Management Professional to join our Medicaid Insurance Product Organization. This role offers a unique opportunity to contribute to the mission of a leading healthcare company committed to improving the health and well-being of the communities it serves.The Senior Insurance Product Content Project Management Professional creates member communication content for insurance products with a focus on provider directories...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Project Management Institute
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sales Support Professional

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers.The _Sales Support Professional 1_ will provide sales support to the Large Group Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Fraud and Waste Professional

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.The Senior Fraud and Waste Professional coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
Certified Coding Specialist
Certified Fraud Examiner
Certified Pension Consultant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Innovation and Rapid Prototyping Principal

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Principal Product Manager Conceives of, develops, delivers, and manages products for customer use. The Principal Product Manager provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience._A high-performing, independent role dedicated to tackling cross-team, cross-functional technology and analytics problems in with a focus on innovation, action, and speed-to-market. Primary focus will be on ensuring complete and accurate diagnosis and follow up for our...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Staff Utilization Management Clinical Pharmacist

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors.**_Earn a $5,000 hiring bonus!_** **Bonus is paid after 180 days...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Principal Solutions Architect

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Principal Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Principal Solutions Architect provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.Discover how your passion can make a difference at Humana. Apply today and embark on your career journey with a company recognized as one of the Best Places to Work and named among Forbes America's Best...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Business Intelligence Engineer

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Senior Business Intelligence Engineer utilizes advanced tools, technologies, and best practices to transform raw data into insightful and actionable business intelligence. This position works collaboratively with stakeholders to gather and understand business requirements, ensuring data integrity, accuracy, and consistency across all deliverables.The ideal candidate will demonstrate independent judgment in addressing moderately complex to complex technical challenges, with significant latitude to establish objectives...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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