Director, Utilization Management & Clinical Operations
Blue Cross & Blue Shield of Minnesota
Blue Cross and Blue Shield of Minnesota is hiring a Director, Clinical Operations in Eagan, MN. You will provide strategic and clinical leadership for Utilization Management, partnering across clinical, medical, product, data, and technology teams to drive quality, affordability, and positive member outcomes.
The role requires transforming enterprise priorities into an operational vision, building leaders, and delivering performance insights to guide decisions.
#J-18808-Ljbffr$184.87k - $324.19k
...Advisory.KPMG is currently seeking a Director, SAP IS-U -Power & Utilities for our Consulting practice.... ...and print workbench configurations, manages the structuring of rates, billing schemas... ...Management) for front-office operations and SAP EAM (Enterprise Asset Management...OperationsContract workH1bLocal area- ...Director Transformers, T&D Hardware & Utility Remote, Nationwide A fast-moving infrastructure supply organization... ...teams, estimators, project managers, and executive stakeholders to win... ...opportunities. Partner with sourcing, operations, and logistics teams to solve lead...OperationsFor contractorsRemote work
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...Concentra is seeking a full time Associate Director of Clinical Physical Therapy Services. Our... ...experience. Accountable for therapy management of all sites (centers and onsites) within... .... Works collaboratively with operations to ensure appropriate support work flows...OperationsDaily paidFull timeTemporary workLocal areaRelocation packageFlexible hours- ...development, employee experience, change management and beyond. Visit us here to find out... ...why for each direction Design AI-enabled operating models where humans focus on judgment,... ...of 1 year of experience serving utilities clients (electric, gas, or water) or in...OperationsLive inWork at officeLocal areaShift work
- UnitedHealth Group is seeking an Associate Director of Clinical Operations to lead Clinical Itemized Bill Review (IBR) for UnitedHealthcare and commercial payers. As a Nurse leader with deep revenue cycle expertise, you will guide review strategies to identify reimbursement...Operations
- ...with workforce reinvention, AI-enabled operating models, role redesign, skills for the machine... ..., Enterprise Wide and Support Functions Manage project teams to use data collection and... ...of 1 year of experience serving utilities clients (electric, gas, or water) or in...OperationsWork experience placementLive inWork at officeLocal areaShift work
- ...Job Description: We are seeking an Associate Director, Clinical Operations to provide strategic leadership and operational planning expertise... ...programs. We are looking for an experienced Clinical Program Manager who can lead the creation and high-quality implementation...OperationsRemote work
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...Associate Director of Clinical OperationsOptum Insight is improving the flow of health data and... ...organizations reduce costs while improving risk management, quality and revenue growth. Ready to... ....The Associate Director of Clinical Operations is responsible for leading Clinical...OperationsMinimum wageFull timeWork experience placementLocal areaRemote work- UnitedHealth Group is seeking an Associate Director of Clinical Operations - Itemized Bill Review (IBR) for a remote role in the U.S. This senior clinical leader will manage IBR operations for UnitedHealthcare and commercial payer clients, directing clinical review strategies...OperationsRemote job
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...POSITION SUMMARY: The Sr. Manager/Director of Solution Management is responsible for defining... ...in particular, the service area(s) of Clinical Engineering, Medical Equipment Rental,... ...solution offerings from marketing, sales, operations, finance, legal, and others as...OperationsDaily paidFull timeTemporary workLocal areaRemote workFlexible hours$70k - $75k
...experienced and visionary Director of Fraser Preschool... ...leadership for school operations, program quality,... ...4-Star standards. Utilize data and outcomes to drive... ...operational improvements. Manage budgets, grants, and... ...Behavioral Health Clinics (CCBHCs) in the state....OperationsFull timeTemporary workMonday to FridayFlexible hours- ...are committed to strong clinical standards, operational consistency, and long-term... ...patient outcomes. Rehab Director - Janesville, MN Blue Stone... ...productivity and utilization standards. What You’ll Do... ...scheduling, and utilization management Provide clinical oversight...OperationsFlexible hours
$149.3k - $298.7k
...provision of device and management solutions for the... ...business development, and clinical research efforts... ...strategic and dynamic Director of Business Human Resources... ...strategies for Global Operations, R&D, and Quality functions... ...and Analytics: Utilize strong communication skills...OperationsWork at officeWorldwideShift work$66.7k - $106.7k
...Description The Associate Territory Manager (ATM) provides field-level... ...potential new customers in the utilization of our acute urology products and clinical services. The ATM will travel extensively... ...of excellence and ensure smooth operations, while also recognizing the...OperationsWork at officeLocal areaRemote workWork from homeHome officeShift workNight shift- ...Associate Director, Adult Program Weekly outpatient... ...to supervise, manage and mentor therapists... .../family/group therapy operations. This includes administrative... ...Perform and support other clinical roles as needed... ...experience of group dynamics utilizing CBT, ACT, DBT, and...OperationsWork at officeLocal area
- Wealth ManagementThe Wealth Management Director job leads an integrated team of advisors for a specific... ...across all touch points (NCC, Retail Operations, Technology, etc.) to ensure advocacy... .... Ensures client facing advisors are utilizing TIAA’s broad range of resources,...OperationsFull timeWork at office
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...they do.Position SummaryThe Director of Cybersecurity leads the organization... ...’s information, technology, operations, and digital assets from... ...security governance, risk management, security operations,... ...repetitive motions such as utilize a computer mouse, keyboard,...OperationsFull timeWork at office$149.52k - $175.9k
...Job DescriptionThe Voice Platform Director leads the strategy, management, optimization, and ongoing evolution... ...aligned with customer, employee, operational, and enterprise priorities.The... ...management across multiple operational utilities, products, or customer segments.·...OperationsFull timeWork at officeLocal area3 days per week$200k - $250k
...impact?West Monroe is seeking a Director to help grow our Life... ...complex transformations across clinical research, patient services,... ...commercialization, strengthen operations, and build more resilient... ...leadership, strategic planning, risk management, and change management...OperationsLocal areaImmediate startFlexible hours$185.36k - $315.11k
...alert: Integrated BESS Execution Director Date: Oct 2, 2026... ...environments supporting critical operations. These projects may include battery... ...renewable energy assets, substations, utility interconnections, energy management systems (EMS), microgrid controllers...OperationsContract workFor subcontractorWork at officeLocal areaRemote work2 days per week3 days per week- ...Role: Sr Director for Revenue Cycle (Front End) Job Type: Full Time Mode of Work: Fully Remote This requires ability to influence and work collaboratively with a clinical operations team and RCM vendor. Continuous improvement of key metrics, cost reduction of...OperationsFull timeRemote work
- ...Minnesota Dfl: Voter Protection Director - Mn Dfl Coordinated... ...will develop, implement, and manage a robust program to expand access... ...: **Build a strong volunteer operation to identify and respond to voting... ...to vote**Data Management: **Utilize rigorous standards for data...OperationsFull timeLocal area
$112.7k - $193.2k
...expertise in health care network operations. You've set your sights on... ...will go. As an Associate Director within our network contracting... ...as well as unit cost management activities through financial... ...developing product pricing and utilizing financial modeling in making...OperationsMinimum wageFull timeWork experience placementLocal areaRemote work$137.2k - $254.8k
...Director, HRBP - Operations and Technology The Director, HR Business Partner partners with the Partnerships... ...on all aspects of growing and managing the business (not restricting... ...Understanding Data and Creating Insight Utilize metrics and analytics to guide management...OperationsTemporary workWork at officeLocal areaFlexible hoursShift work- ...engineers, architects, construction management staff, environmental,... ...The Major Bridge Technical Director opportunity is designed for... ...with or ability to guide teams utilizing industry-standard bridge... ...construction, heavy lifting operations, geometry control systems, and...OperationsContract workWork at office
$136k - $259k
...currently seeking an Associate Director, Web Personalization to join... ...basic A/B testing; utilize machine learning capabilities... ...impactExcellent stakeholder management skills, with experience acting... ...trustworthiness, and safeguard business operations and company reputation....OperationsH1bLocal areaImmediate startShift work$137.2k - $254.8k
...Job Description As Director, North America Benefits, you own the strategic direction of... ...You lead a strong team of expert benefits managers and analysts across both countries, and... ...company. Key Responsibilities Strategic Operations Work with your team to drive the design,...OperationsContract workLocal areaFlexible hours$95k - $115k
...Resources Business Partner - Manager Job Description Employment... ...patient-centric Primary Care clinics are dispersed across Minneapolis... ...and special projects. Utilize data, metrics, and reporting... ...maintain connection with clinic operations. For candidates outside of...OperationsFull timeWork at officeLocal areaRemote workWork from homeMonday to Friday- ...The Chief Operating Officer (COO) is responsible for the day-to-day operational leadership... ...and execution of the business across its managed IT and print/imaging service lines.... ...budget, including service margins, labor utilization, and cost control. Partner with Finance...OperationsContract work
- ...customers, sales, marketing, operations, R&D, and other cross-... ...profitable business growth. The Director provides overall leadership... ...capability, optimizing resource utilization, leading training and... ...commercial, technical, or technical management roles, along with the...Operations
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