Medical Records Specialist Coloplast CorpMedical Records SpecialistMinneapolis, MNReview each medical record for missing documentation; check physician's notes for appropriate diagnosis to justify Comfort Medical's service; verify that the correct person has signed all paperwork such as physician's orders, and other documentation requiring signature. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!
Clinical Medical Review - Oncology (Underwriting) (JR192475) Elevance Health IncClinical Medical Review - Oncology (Underwriting) (JR192475)Mendota Heights, MN$79,200–$129,600 / yearWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidDuluth, MNFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Red Lake, MN$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianMNMENU Sign in My jobs Profile Resumes & documents Search preferences Notifications Sign out My jobs Profile Resumes & documents Notifications Search preferences Sign out Events Help Center Search Back to results Apply Medical Records Technician Department of Health and Human Services Indian Health Service Various locations across the Agency Apply Print Share Save. Perform a variety of medical records technician duties which include the complete and accurate process and maintenance of hybrid paper-electronic environment of analyzing filing compiling scanning releasing information retrieving and dispatching charts and documents file managing archiving Third Party and entering data of treatment provided to patients within a complex health care facility.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadMinneapolis, MNRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Supervisor, Clinical Quality Review Medica Health Plans IncSupervisor, Clinical Quality ReviewMinnetonka, MN$78,700–$118,020 / yearTranslates regulatory and coding requirements into practical guidance for internal teams and external partners Serves as a clinical subject matter resource during internal, vendor, or provider discussions Assists Director and Manager as needed to develop, introduce and support overall goals Develops linkages with specific departments on behalf of the Clinical Review area such as Data Management, Legal, Network Management, Compliance, Pharmacy and Complementary Networks. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Clinical Claim Review RN UnitedHealth Group IncClinical Claim Review RNPlymouth, MN$29–$52 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Employees in this position receive limited supervision within a broad framework of policies and procedures and possess a comprehensive understanding of the claim review process including clinical claim review, medical record review, and a broad knowledge of applicable processes, procedures and billing guidelines.
Clinical Claim Review LPN - Remote UnitedHealth Group IncClinical Claim Review LPN - RemoteEden Prairie, MNRemote$20–$36 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
IBR Clinical Review RN UnitedHealth Group IncIBR Clinical Review RNPlymouth, MN$28.94–$51.83 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Claim Review: Conduct Forensic Reviews using independent clinical knowledge to compare and analyze charge details of various amounts of total billed charges to determine benefit of full clinical review and estimation of adjustments for the purpose of meeting Optum"s core business operations.
Staff Nurse - Utilization Review (ED) Hennepin County Medical CenterStaff Nurse - Utilization Review (ED)Minneapolis, MNThe comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Staff Nurse - Utilization Review (ED) (260411) 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.
Lead Reviewing Physician Consultant (Bid) MaximusLead Reviewing Physician Consultant (Bid)Minneapolis, MNFull timeAfter completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Mental Health Reviewing Consultant (Bid) MaximusMental Health Reviewing Consultant (Bid)Minneapolis, MNFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Alternate Vision Reviewing Physician Consultant (BID) MaximusAlternate Vision Reviewing Physician Consultant (BID)Minneapolis, MNFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Maintain working knowledge of Office of Personnel Management (OPM) medical and suitability policies and ensure all consultations reflect current clinical best practices, regulatory requirements, and program objectives.
Insurance Company Collateral Review Manager Federal Home Loan Bank Of Des MoinesInsurance Company Collateral Review ManagerMN$114,474–$135,938 / yearResponsible for managing the Bank's Member Collateral Verification (MCV) loan review program for Non-Depository members, including verifying the existence, quality and eligibility of pledged loan collateral, validating pledge data accuracy and providing member collateral education. Accountabilities: Responsibilities/Duties/Function/Tasks: Select, manage and develop high-performing employees that apply critical analysis, proactive risk management and thoughtful member support through the MCV program of pledged loan collateral reviews.
Medical Billing Specialist Mary T IncMedical Billing SpecialistCoon Rapids, MN$25–$30 / hourGenerates various billing and accounts receivable reports including Billing Report, Deposit/Collection Report, Income Report, Aging Report and other reports as needed by location, by client and by payor. The Billing Specialist is responsible for full-cycle billing, including processing claims, payments, and other related paperwork to various payors, and ensures the paperwork is submitted correctly and in a timely manner.
Medical Coder - Risk Adjustment Specialist Volunteers of America, Inc.Medical Coder - Risk Adjustment SpecialistEden Prairie, MN$58,000–$66,000 / yearPart timeJoin Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best .
Medical Coder - Risk Adjustment Specialist Volunteers of America National ServicesMedical Coder - Risk Adjustment SpecialistEden Prairie, MinnesotaJoin Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best .
Group Medical Director - Heartland VCA Animal HospitalsGroup Medical Director - HeartlandMinnesotaCoach and guide Medical Directors and Associates on time management and efficiency, including optimized ways of working with credentialed veterinary technicians and patient care assciate team to provide exceptional client experience and patient outcomes. Accountable for hospital performance across financial, medical quality and safety, operational, client experience, and Associate engagement outcomes, measured through core KPIs such as Associate Experience, Doctor Productivity, Associate Retention, Patient Safety compliance, Client NPS, and Quality Medical Reports.
Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical Director - Spine and Brain Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2358222 Job category: Medical & Clinical Operations Primary location: Minneapolis, MN Additional locations: Phoenix, Arizona | Denver, Colorado | Miami, Florida | Houston, Texas | Baltimore, Maryland | Dallas, Texas | Atlanta, Georgia Date posted: 05/05/2026 Overtime status: Exempt Travel: No.
Behavioral Health Medical Director - AI Policy & Governance CVS Health CorpBehavioral Health Medical Director - AI Policy & GovernanceMN$174,070–$374,920 / yearRole summary: The Behavioral Health (BH) Medical Director (MD) for AI Policy & Governance provides clinical leadership to ensure artificial intelligence (AI)including predictive models and generative AIis designed, validated, implemented, and monitored in ways that are clinically sound, ethical, safe, compliant, and equitable. -Ensure equitable performance across populations (e.g., depending on how model was trained, training data may not always be representative), identify and mitigate algorithmic bias in care decisions; align AI deployment with organizational values and patient trust.
Senior Inpatient DRG Medical Coder UnitedHealth Group IncSenior Inpatient DRG Medical CoderEden Prairie, MN$23.41–$41.83 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As part of the growing family of UnitedHealthGroup, 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.
Clinical Quality LPN UnitedHealth GroupClinical Quality LPNEden Prairie, MN$20.38–$36.44 / hourThis role evaluates the quality and completeness of clinical documentation, by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. 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._.
Manager of HEDIS Program Management Blue Cross Blue Shield of MinnesotaManager of HEDIS Program ManagementEagan, MinnesotaRemoteThis includes ensuring program designs meet existing and emerging market, provider, and member requirements; resolving complex business challenges; identifying and shaping new opportunities; and supporting effective change management. Manage related ongoing program management work to understand what is needed to recommend strategy and solutions, while influencing and steering others to accomplish that strategy across multiple complex programs.
Senior Clinical Practice Performance Coordinator UnitedHealth Group IncSenior Clinical Practice Performance CoordinatorPlymouth, MN$24–$43 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Ability to perform key functions in chase management/retrieval tools regarding updating provider demographics, multiple levels of provider group collection detail requirements, creating and scheduling requests, modifying requests, and creating, editing and managing provider groupings, etc.