EmploymentCrossing Jobs

Business Litigation Healthcare Associate - USA-MN-Minneapolis

Fri, 09 Dec 2022 00:00:00 CST

Business Litigation Healthcare Associate The candidate should have strong academic credentials and 2 - 5 years of complex business litigation experience. In addition to strong research and writing sk...

Commercial Medical Director - Work At Home - USA-MN-Minneapolis

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Float Clinical Manager for MN - USA-MN-Robbinsdale

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000BICAvailable Openings 1Position Specific Information This role requires floating throughout the state to cover as Clinical Manager as needed. PURPOSE AND SCOPE: Supports FMCNA’s mission, ...

Medical Director - Florida Medicaid - USA-MN-Minneapolis

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work a...

Credentialing Professional - USA-MN-Minneapolis

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Credentialing Professional in Minneapolis Minnesota Description The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Creden...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-MN-Minneapolis

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Behavioral Health Medical Director - USA-MN-Minneapolis

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Behavioral Health Medical Director - USA-MN-Minnetonka

Fri, 23 Dec 2022 00:00:00 CST

Medical Director-KY Medicaid - USA-MN-Minneapolis

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Grievances and Appeals Medical Director - Nationwide - USA-MN-Minneapolis

Fri, 14 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - Claims Management - USA-MN-Minneapolis

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-MN-Minneapolis

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-MN-Minneapolis

Thu, 20 Apr 2023 00:00:00 CDT

Dir Operations (multi-facility outpatient dialysis) - USA-MN-Roseville

Thu, 04 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:Directs, administers and controls the day to day operations and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and re...

Certified Peer Specialist ACT - USA-MN-Saint Paul

Tue, 30 May 2023 00:00:00 CDT

$2,000 Sign-on Bonus! Salary: Starts at $58,327 The Certified Peer Specialist will promote hope and recovery by sharing life experiences and lessons learned as a person in recovery. The Peer Speciali...

Certified Peer Specialist Forensic ACT - USA-MN-Saint Paul

Tue, 30 May 2023 00:00:00 CDT

Faculty Physician - Endocrinologist (Assistant Professor - Academic/Clinician Track) - USA-MN-Minneapolis

Thu, 01 Jun 2023 00:00:00 CDT

******* (M Physicians) is a non-profit organization seeking driven individuals in both clinical and non-clinical areas to help transform health and medicine. Headquartered in Minneapolis, our orga...

Faculty Physician-Assistant Professor-Pediatric Hematology-Oncology, Academic Track - USA-MN-Minneapolis

Fri, 02 Jun 2023 00:00:00 CDT

******* (M Physicians) is a non-profit organization seeking driven individuals in both clinical and non-clinical areas to help transform health and medicine. Headquartered in Minneapolis, our orga...

Nurse Practitioner or Physician Assistant Critical Care - UMMC-West Bank - USA-MN-Minneapolis

Fri, 02 Jun 2023 00:00:00 CDT

******* (M Physicians) is a non-profit organization seeking driven individuals in both clinical and non-clinical areas to help transform health and medicine. Headquartered in Minneapolis, our orga...

Mid-Level Pharmacy Associate Attorney - USA-MN-Minneapolis

Wed, 29 May 2024 00:00:00 CDT

A law firm is seeking a Mid-Level Pharmacy Associate Attorney with expertise in pharmacy regulation and compliance. Here's a detailed job description:

Job Overview:

The Mid-Level ...