Revenue Integrity Analyst Hennepin County Medical CenterRevenue Integrity AnalystMinneapolis, MNConducts annual cost center quality reviews leveraging reporting tools to evaluate for charge capture gaps as well as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for revenue capture and recognize areas of compliance concern. Revenue Integrity Analyst (260395) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County.
Senior Data Analyst (remote) Intuitive Technology GroupSenior Data Analyst (remote)Eden Prairie, MNRemoteThis individual will partner closely with business analytics stakeholders to identify relevant data sources, interpret complex claims data elements, trace claim activity through the adjudication lifecycle, and uncover patterns that support accurate estimate-to-claim matching. This role will focus on defining and analyzing matching criteria between pre-service member- and provider-facing cost estimates and actual medical claims submitted and adjudicated across multiple lines of business.
Field Access Manager - North Central WI, MN, NE, IA, MO, KS Telix Pharmaceuticals LtdField Access Manager - North Central WI, MN, NE, IA, MO, KSMinneapolis, MNIn addition to Site of Service Access and Reimbursement responsibilities, the FAM will maintain a portfolio of regional payers and be responsible for medical policy planning and development, policy review, and favorable placement of the Telix brand portfolio within regional commercial medical policies, remove restrictions to unfavorable policies, placement of Telix products on state Medicaid fee schedules, and favorable formulary status where applicable. Key Accountabilities: Work directly with site of service support staff, providers, and other important stakeholders involved with patient access for all things reimbursement, including but not limited to, education around billing and coding, appeal or denials, patient support services, and appropriate use criteria for the Telix brand portfolio.
NewDirector, Health Economics & Reimbursementnt Edwards LifesciencesDirector, Health Economics & ReimbursementntMinneapolis, MinnesotaEstablish and maintain effective working relationships with key stakeholders at hospitals engaged in THV procedures, including hospital executives, cardiovascular administrators, quality, finance, documentation integrity, billing, and physicians (interventionists and surgeons), to support the site in establishing and maintaining a THV program through the development and implementation of reimbursement plans (coding, coverage, payment) unique to each provider. This individual will also support the health care providers in obtaining optimal reimbursement (payment rates and market access) by serving as a knowledgeable resource in coding, coverage and payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA) and commercial payers.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementMinneapolis, MNRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Medical Director, Orthopedic Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic Spine Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearCurrent board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewMedical Director, Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director, Vascular Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical Director - Spine and Brain Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Director, General Surgery - Remote UnitedHealth Group IncMedical Director, General Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Coder - Emergency Department UnitedHealth Group IncMedical Coder - Emergency DepartmentEden Prairie, MN$20–$36 / hourIdentify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually.
Profee E/M Medical Coder UnitedHealth Group IncProfee E/M Medical CoderEden Prairie, MN$20.38–$36.44 / hourPrimary Responsibilities: Identify appropriate assignment of CPT, ICD-10 Codes and Modifiers for various E/M services across multiple services including but not limited to: Emergency Department, Hospitalists, Primary Care, etc. Expert knowledge in all ProFee coding specialties; including but not limited to, Evaluation & Management, Critical Care, Trauma while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
Acute Facility CVIR Medical Coder UnitedHealth Group IncAcute Facility CVIR Medical CoderEden Prairie, MN$20–$36 / hourPrimary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, and CPC-A) to be maintained annually.
Medical Coder - Same Day Surgery UnitedHealth Group IncMedical Coder - Same Day SurgeryEden Prairie, MN$20–$36 / hourIdentify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually.
Financial Services Representative Tactile Systems Technology, Inc.Financial Services RepresentativeMinneapolis, MN$20.77–$27.26 / hourA successful Financial Services Representative has excellent communications skills, ability to apply critical thinking to nuanced patient situations, a flexible & proactive approach, eagerness to learn and develop skills, and a commitment to providing a positive patient experience. Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.
Financial Services Representative Tactile MedicalFinancial Services RepresentativeMinneapolis, Minnesota$20.77–$27.26 / hourA successful Financial Services Representative has excellent communications skills, ability to apply critical thinking to nuanced patient situations, a flexible & proactive approach, eagerness to learn and develop skills, and a commitment to providing a positive patient experience. Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.
Senior Inpatient DRG Medical Coder UnitedHealth Group IncSenior Inpatient DRG Medical CoderEden Prairie, MN$23.41–$41.83 / hourAs part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. Primary Responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
Director of Finance - OptumRx UnitedHealth Group IncDirector of Finance - OptumRxEden Prairie, MNIt also stewards key financial models-including pricing inputs workforce and operating expense frameworks and IT product allocation-and leads a high-performing team to enhance financial rigor strengthen cost stewardship and support the organizations long-term performance and growth. This role provides strategic leadership for OptumRx operating costs and operating cost management overseeing financial planning forecasting month-end close and reporting across IT corporate functions and core business operations.
Field Based Community Health Worker - Minnesota UnitedHealth Group IncField Based Community Health Worker - MinnesotaEden Prairie, MNClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Financial Services Representative Tactile Systems Technology IncFinancial Services RepresentativeMinneapolis, MN$20.77–$27.26 / hourA successful Financial Services Representative has excellent communications skills, ability to apply critical thinking to nuanced patient situations, a flexible & proactive approach, eagerness to learn and develop skills, and a commitment to providing a positive patient experience. Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.