Average salary: $118,552 /yearly
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- ...A healthcare solutions company in Minnesota is seeking a Medicare IT Analyst to manage and analyze pricing procedures while ensuring compliance with Medicare guidelines. The role entails collaboration with internal teams, maintaining documentation, and assisting with...SuggestedRemote work
WPS Health Solutions
Minneapolis, MN2 days ago - ...Submissions Healthcare Data Analyst to perform data analysis, quality assurance, and regulatory submissions focused on Risk Adjustment and Medicare Advantage data. Candidates must have extensive experience in healthcare data analytics, SQL, and Power BI, with a strong grasp of...SuggestedRemote work
Blue Cross Blue Shield of Minnesota
Saint Paul, MN4 days ago - ...A healthcare company in Saint Paul, Minnesota, seeks a Compliance Lead to ensure adherence to Medicare Part C regulations. The role includes developing compliance policies, performing audits, and serving as a subject matter expert. Ideal candidates should have a Bachelor...Suggested
Humana
Saint Paul, MN4 days ago $115.2k - $158.4k
...scope and complexity ranging from moderate to substantial. The focus of this role is compliance and oversight of clinical UM for Medicare Part C. The Compliance Lead develops and implements compliance policies and procedures. Researches compliance issues and recommends...SuggestedFull timeContract workTemporary workRemote workHumana
Saint Paul, MN4 days ago$25k
...requires traveling 75-90% of the time within an assigned area in Wayne and/ or Macomb County to conduct in-home visits with Medicare/Medicaid members. Position Responsibilities: The RN Field Care Manager will be responsible for managing a caseload and...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Shoreview, MN5 days ago- ...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedBi-weekly payFull timeContract workApprenticeshipWork experience placementInternshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work
Humana
Saint Paul, MN3 days ago $94.9k - $130.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedFull timeTemporary workApprenticeshipRemote workHumana
Saint Paul, MN3 days ago$65k - $88.6k
...Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensure encounter submissions exceed all compliance standards via and develop tools to enhance the encounter acceptance rate by Medicaid...SuggestedFull timeTemporary workFor contractorsApprenticeshipRemote workWork from homeHome officeHumana
Saint Paul, MN7 hours ago$223.8k - $313.1k
...policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. You will learn Medicare, Medicaid, and Medicare Advantage requirements and understand how to operationalize this knowledge in their daily work. Your...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Saint Paul, MN5 days ago$115.2k - $158.4k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedBi-weekly payFull timeTemporary workWork at officeRemote workWork from homeHome officeHumana
Saint Paul, MN2 days ago$25k
...Become a part of our caring community The Senior Network Optimization Professional ensures Humana's Michigan Medicare/Medicaid provider network meets compliance standards and delivers value. Responsibilities include analyzing network performance, supporting provider...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipRemote workWork from homeHome officeMonday to FridayHumana
Saint Paul, MN2 days ago$106.9k - $147k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office3 days per weekHumana
Saint Paul, MN8 hours ago$142.3k - $195.7k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Saint Paul, MN5 days ago$94.9k - $130.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleRemote workWork from homeHome officeHumana
Saint Paul, MN2 days ago$94.9k - $130.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at...SuggestedFull timeTemporary workApprenticeshipRemote workHumana
Saint Paul, MN4 days ago$53.1k - $72.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana, Inc.
Saint Paul, MN2 days ago$94.9k - $130.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...Full timeTemporary workFor contractorsApprenticeshipRemote workWork from homeHome officeHumana
Saint Paul, MN2 days ago$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical Director reviews and determines whether healthcare services provided...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Saint Paul, MN1 day ago$223.8k - $313.1k
...(hospitalist-level acuity, ED, ICU, or hospital-based FP/IM). Prior experience in utilization management or inpatient review (Medicare Advantage, Managed Medicaid, or Commercial lines of business). Familiarity with MCG® or InterQual® guidelines. Experience providing...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend workHumana
Saint Paul, MN2 days ago$48.3k - $65.9k
...Minimum of 3 years' experience as a Certified Medical Coder Demonstrate ability to problem-solve complex coding issues Experience with Medicare and Medicaid coding guidelines Strong data entry and attention to detail skills with the ability to manage multiple tasks in a...Bi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to FridayHumana
Saint Paul, MN4 days ago$70k - $91k
...Join the revolution and make a meaningful difference in the lives of patients and families every day. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations...Full timeLocal areaWeekend workAveanna Healthcare LLC
Rochester, MN1 day ago$60.2k - $107.4k
...Optum is seeking an Actuarial professional to build and maintain models used for performance forecasting in Medicare Advantage Plans. Candidates should hold a related degree and have experience with Excel and SQL. The role offers flexibility to work remotely from anywhere...Remote workOptum
Eden Prairie, MN8 hours ago$76.1k - $126.9k
...excellence and client success. As a Product Management Lead Analyst, you will help shape how we support members and clients across Medicare, Medicaid, and Marketplace businesses. This role is ideal for someone who enjoys solving complex problems, influencing outcomes,...Full timeWork at officeLocal areaRemote workWork from home$71.2k - $127.2k
...bachelor's degree and at least 2 years of actuarial experience, along with proficiency in Excel. Responsibilities include preparing Medicare Advantage bids, conducting data analysis, and understanding healthcare trends. This role offers a hybrid schedule and a salary...$223.8k - $313.1k
...Medical Director National OP Medicare Become a part of our caring community The Medical Director National OP Medicare relies on medical background and reviews preauthorization requests for services. You will work assignments that involve moderately complex to complex...Bi-weekly payTemporary workRemote workWork from homeHome office$53.1k - $72.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...Bi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$19.75 per hour
...rigorous COVID-19 protocols, including providing protective equipment to all employees. About Us: Milaca Elim Meadows is a Medicare/Medicaid-certified facility offering 24-hour skilled nursing care, on-site rehabilitation, and restorative nursing programs. As part...Local areaShift workPROCare HR
Milaca, MN5 days ago- ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics Centrum Health and Premier...Internship
$150 per hour
...Navy: 1960 • Air Force: 46FX • Marines: MED • Coast Guard: HS About Home Health Care, Inc.: We are a locally owned, Medicare-certified home health agency serving 21 counties across Minnesota for over 30 years. Our model is built for clinicians who want flexibility...Home Health Care
Circle Pines, MN4 days ago$89k - $121.4k
...evaluation of variable factors. This position utilizes financial modeling of operational revenues and analytics skills while working in Medicare risk adjustment. Additionally, you will work to build consensus with multiple stakeholders and deliver insights that will help...Bi-weekly payTemporary workApprenticeshipWork from homeHome office
