Manager, Care Management Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
operational performance of an integrated health management team while ensuring high quality care... lines of business
Accountabilities
Manages and leads the overall care management activities and day... the design, development, implementation and maintenance of projects/process related to care management More ...
Seen at Blue Cross Blue Shield of Minnesota 2311 days ago
RN Care Manager Pre-Service Retrospective Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
plan benefit structure and claims payment knowledge to pre- service and retrospective reviews... Sign on Bonus! This job implements effective utilization management strategies including: review... of managed care experience (e.g. case management, utilization management and/or auditing experience More ...
Seen at Blue Cross Blue Shield of Minnesota 2304 days ago
RN Care Manager Pre-Service Retrospective Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
plan benefit structure and claims payment knowledge to pre- service and retrospective reviews... Sign on Bonus! This job implements effective utilization management strategies including: review... of managed care experience (e.g. case management, utilization management and/or auditing experience More ...
Seen at Blue Cross Blue Shield of Minnesota 2311 days ago
Manager Network Negotiation Support Analysis Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
workgroups and committees related to Network Management.
Owner of care system and other custom contract... with care systems and other custom providers.
Support analysis related to utilization and trends committee... to support the network provider negotiations of institutional, professional, and allied services More ...
Seen at Blue Cross Blue Shield of Minnesota 2306 days ago
Manager Network Negotiation Support Analysis Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
workgroups and committees related to Network Management.
Owner of care system and other custom contract... with care systems and other custom providers.
Support analysis related to utilization and trends committee... to support the network provider negotiations of institutional, professional, and allied services More ...
Seen at Blue Cross Blue Shield of Minnesota 2311 days ago
Operations Account Manager Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
, auditing, health management, provider management, Select Account, pharmacy manager, IT, outside..., claim, and access to care readiness by effective date. Typically involved in new account... activities including performance guarantees, claims performance, IT implementations, care management More ...
Seen at Blue Cross Blue Shield of Minnesota 2311 days ago
Manager Enterprise Risk Adjustment Coding Job
USA-MN-Eagan - Blue Cross and Blue Shield of Minnesota
at a company that cares.
Description Summary
This position supports the enterprise risk adjustment... enterprise risk adjustment optimization across Medicare, Medicaid, and Exchange populations in the following... experience.
Experience with risk adjustment coding and methodology.
Strong experience with ICD-9 More ...
Seen at Blue Cross Blue Shield of Minnesota 2311 days ago
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