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Utilization Manager Jobs Near Saint Paul, MN

Care Mgr PreService & Retrospective- Behavioral Health

Completes review of both medical documentation and claims data to assure appropriate resource utilization, identification of opportunities for Case Management, identify issues which can be used for ed...

Posted 1w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Sr Business Analyst

Manage multiple relationships across the organization, and at times with external parties and clients. Be the main point of contact to answer questions within business analyst area of expertise. Act a...

Posted 3d ago

  •   5 - 7 years exp.  •  Finance & Insurance

Behavioral Medical Director

Responsible for oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities...

Posted more than 4w ago

  •   Healthcare

Clinical Services Director - Operations

Provide leadership and mentor to assigned operations area leaders, while team building, ensuring operational preparedness, regulatory compliance, Clinical Service analytics and performance management...

Posted 2w ago

  •   5 - 7 years exp.  •  Healthcare

Care Mgr PreService & Retrospective

Maintains confidentiality of member and case information by following corporate and divisional privacy policies. Accountable for timely and comprehensive review of clinical data with concise documenta...

Posted 1w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Pharmacy Services – Clinical Pharmacist

This position will interact regularly with medical pharmacy vendors, the pharmacy benefit manager, strategic clients, as well as with other members of the Pharmacy team, Heath Services team, and the...

Posted 1w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Sales, Territory Manager - Image-Guided Therapy Devices, Coronary
$100K — $150K

Achieving sales of all applicable disposable products and services in your territory. Assisting in advancing revenue and market position consistent with Company goals...

Posted 4d ago

  •   5 - 7 years exp.  •  Healthcare

Senior Scrum Master

Drives quicker delivery and continuous improvement by utilizing feedback and metrics to identify areas of opportunity. Facilitates team transparency by escalating impediments and shares progress by t...

Posted 3w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Analytics Consultant - Clinical Performance

Accountable for delivering daily/weekly/monthly/quarterly operational and programmatic reports for clinical programs, ideally within self-service tools...

Posted 3w ago

  •   5 - 7 years exp.  •  Healthcare

Cloud Engineer

Mentoring peers and Service Desk on reactive and proactive support tasks, policies and best practices.

Posted 2w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Director of Professional Services

The Director of Professional Services oversees and manages all client engagements as well as daily operations required to support and scale our Professional Services organization...

Posted 4d ago

by Catherine Kraft

  •   5 - 7 years exp.  •  Hospitality & Recreation

Medical Cost Management Clinical Consultant

The position will partner with multiple cross-functional teams and will be accountable to analyze and develop executable initiatives.

Posted 3w ago

  •   5 - 7 years exp.  •  Healthcare

Senior Design Assurance Engineer

Key member of medical device development project teams to ensure compliance to Design Controls requirements. Responsible for quality activities and deliverables on the cross-functional development tea...

Posted 1w ago

  •   5 - 7 years exp.  •  Pharmaceuticals & Biotech



Senior Electrical Engineering Manager

Responsible for driving high-level strategic direction of engineering activities and new product development projects; responsible for enforcing all safety initiatives and ensuring compliance with sta...

Posted more than 4w ago

by Joe Szlosek

  •   11 - 15 years exp.  •  Manufacturing & Automotive

Pr. Engineer, Design Quality

This position may have direct-reporting responsibilities for daily activities of site Quality personnel (responsibility dependent on geographic organizational structure). Must be knowledgeable of, and...

Posted 1w ago

  •   8 - 10 years exp.  •  Healthcare

Senior Consultant

Provide work stream/project oversight, manage and track issue resolution and make key decisions for the project with the project sponsor.

Posted 3w ago

  •   5 - 7 years exp.  •  Healthcare

Strategy and Organizational Change Manager
$100K — $150K

Develop business cases for strategic initiatives; design and set up cross-functional programs to drive these initiatives; lead one or more transformation initiatives by building strong partnerships wi...

Posted 3w ago

  •   5 - 7 years exp.  •  Consumer Technology

Director, Sales Analytics and Business Solutions

Partner with sales and category management teams to ensure spending is managed within budget parameters. Conduct monthly spending review meetings with sales teams. Support the development of correctiv...

Posted 2w ago

  •   11 - 15 years exp.  •  Food & Beverages

Lead Test Automation Engineer

Utilize advanced SQL and ETL techniques to validate data in advanced database structures (e.g. NoSQL, data lakes, data warehouse and SAP BI reporting tools)...

Posted 4d ago

  •   8 - 10 years exp.  •  Healthcare

Sr. Manager, Clinical Project Manager

Encourages and facilitates communication between: Medical Science, Field Clinical Affairs, Sales & Marketing, R&D, Regulatory Compliance, Training, Senior Management and external customers...

Posted 2w ago

  •   8 - 10 years exp.  •  Healthcare

Senior Manager-Business Intelligence
$150K — $200K

Create and participate in the delivery of presentations to internal groups to educate, inform and validate marketplace trends and business strategy. Utilizing business intelligence knowledge, align te...

Posted 3d ago

  •   8 - 10 years exp.  •  Finance & Insurance

Vice President Quality Assurance & Regulatory Affairs

Provide Quality Assurance oversight of vendors; prepare and maintain quality agreements. Promotes and maintains Certified Supplier programs, including required audits...

Posted 3w ago

  •   15+ years exp.  •  Healthcare

CRM Enablement Specialist

The CRM (Customer Relationship Manager) Enablement Specialist will enable and train the commercial organization to foster growth by developing and deploying a lasting CRM strategy. Within this role yo...

Posted 4d ago

  •   5 - 7 years exp.  •  Healthcare

Lead Test Automation Engineer

Perform requirements and user story analysis to create detailed test designs and conditions. Develop configurable, maintainable, reusable and dependable test automation tools...

Posted Yesterday

  •   8 - 10 years exp.  •  Healthcare

Sr. Business Analyst-Corp. Finance & Controlling

Interface with Business Users, Business Analysts, Developers and Infrastructure team to determine the most efficient and cost-effective IT approach to meet business requirements...

Posted 5d ago

  •   8 - 10 years exp.  •  Manufacturing & Automotive