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Clinical Insurance Reviewer Jobs in Minnesota (NOW HIRING)

UnitedHealth Group

IBR Clinical Review RN

Plymouth, MN · On-site

The clinical reviewer is responsible for documenting, researching and identifying adjustments for ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

UnitedHealth Group

IBR Clinical Review RN

Plymouth, MN · Remote

The clinical reviewer is responsible for documenting, researching and identifying adjustments for ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

Abbott

MN · On-site

$45 - $47/hr

Review of study data to detect anticipated and unanticipated issues related to trial data ... Life Insurance Short Term Disability (coverage varies by state) Long Term Disability Critical ...

TPAC Underwriters

Clinical Risk Nurse

Minneapolis, MN · On-site

$90K - $120K/yr

TPAC is looking for a Clinical Risk Nurse to join our team. This is a remote or hybrid, full-time ... review, or risk management * 3+ years of experience in a stop-loss, reinsurance, health insurance ...

Abbott

Clinical Data Manager

Maple Grove, MN · On-site

$45 - $47/hr

Review of study data to detect anticipated and unanticipated issues related to trial data ... Supplemental Life Insurance * Short Term Disability (coverage varies by state) * Long Term ...

AHL Healthcare Group Inc.

Clinical Director

Duluth, MN · On-site

$80K - $100K/yr

... of insurances to suit your needs. Hours of Position: * Full-time * Typical hours are Monday ... Review daily documentation and provide feedback and revisions to meet DHS standards * Actively ...

New

AHL Healthcare Group

Clinical Director

Duluth, MN

$80K - $100K/yr

... of insurances to suit your needs. Hours of Position: * Full-time * Typical hours are Monday ... Review daily documentation and provide feedback and revisions to meet DHS standards * Actively ...

New

Cynet Systems

Clinical Data Manager

Maple Grove, MN · On-site

$41.42 - $46.42/hr

Review of study data to detect anticipated and unanticipated issues related to trial data ... Medical, Dental, and Vision Insurance * 401(k) Retirement Plan * Health Savings Account (HSA)

New

CYNET SYSTEMS

Clinical Data Manager

Maple Grove, MN · On-site

$41.42 - $46.42/hr

Review of study data to detect anticipated and unanticipated issues related to trial data ... Medical, Dental, and Vision Insurance 401(k) Retirement Plan Health Savings Account (HSA ...

New

CYNET SYSTEMS

Clinical Data Manager

Maple Grove, MN · On-site

$41 - $46/hr

Review of study data to detect anticipated and unanticipated issues related to trial data ... Medical, Dental, and Vision Insurance * 401(k) Retirement Plan * Health Savings Account (HSA)

New

Thrifty White Pharmacy

Clinical Pharmacy Technician

MN · On-site

$15.85 - $25.50/hr

Health insurance * Opportunity for advancement * Paid time off * Profit sharing * Training ... Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs) * Immunization ...

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Clinical Insurance Reviewer information

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$35

$45

How much do clinical insurance reviewer jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for clinical insurance reviewer in Minnesota is $35.18, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $39.57 per hour, depending on experience, location, and employer.

What is a clinical insurance reviewer?

A Clinical Insurance Reviewer evaluates medical claims to ensure they meet insurance policies and clinical guidelines. They review patient records, verify medical necessity, and determine coverage eligibility. This role requires knowledge of medical terminology, coding, and insurance regulations. Clinical Insurance Reviewers help prevent fraud, ensure compliance, and support fair reimbursement for healthcare providers and patients.

What are the key skills and qualifications needed to thrive as a clinical insurance reviewer?

To thrive as a Clinical Insurance Reviewer, you need a solid understanding of clinical practices, medical terminology, and insurance guidelines, often supported by a background in nursing or other healthcare professions. Familiarity with electronic medical records (EMRs), claims management systems, and utilization review software is highly valuable, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills set top performers apart in this role. These skills are crucial for accurately evaluating medical claims, ensuring compliance, and facilitating clear communication between healthcare providers and insurance companies.

What are the typical daily responsibilities of a clinical insurance reviewer?

Clinical Insurance Reviewers spend much of their day reviewing medical records and patient documentation to determine the medical necessity and appropriateness of treatments for insurance coverage. They assess claims against clinical guidelines, communicate their findings with healthcare providers or case managers, and may also participate in peer-to-peer reviews or appeals. Most positions involve working closely with other reviewers, physicians, and administrative staff, either remotely or in a collaborative office setting. This role requires strong organizational skills as well as the ability to manage multiple case reviews and deadlines simultaneously.

What are popular job titles related to Clinical Insurance Reviewer jobs in Minnesota? For Clinical Insurance Reviewer jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Clinical Insurance Reviewer jobs in Minnesota look for? The top searched job categories for Clinical Insurance Reviewer jobs in Minnesota are:
Clinical Insurance Reviewer jobs near you
Infographic showing various Clinical Insurance Reviewer job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $73,169 per year, or $35.2 per hour.

Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care

Shakopee, MN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

Fresenius Medical Care rating

6.8

Company rating: 6.8 out of 10

Based on 1,328 frontline employees who took The Breakroom Quiz

494th of 887 rated healthcare providers

Job description

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.
Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.
Our culture: We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.
Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
PRINCIPAL RESPONSIBILITIES AND DUTIES
CLINIC OPERATIONS:
  • Manages the operations of the clinic, including costs, processes, staffing, and quality standards.
  • Provides leadership, coaching, and development plans for all direct reports.
  • Partners with internal Human Resources, Quality, and Technical Services departments.
  • Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.
  • Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
  • Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.
  • Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.
  • Responsible for all required network reporting and on-site state or federal surveys.

PATIENT CARE:
  • Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
  • Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.
  • Acts as a resource for the patient and family to address concerns and questions.
  • Accountable for timely completion of patient care assessments and care plans.
  • Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.
  • Plans, coordinates, and validates patient eligibility for treatment.
  • Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.

STAFF:
  • Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.
  • Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.
  • Provides support for all clinical staff members at regular intervals and encourages professional growth.
  • Maintains current knowledge regarding company benefits, policies, procedures, and processes.
  • Completes employee evaluations and establishes annual goals.
  • Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
  • Manages staff scheduling and payroll.

PHYSICIANS:
  • Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
  • Responsible for strong physician relationships and ensures regular and effective communication.
  • Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.

EDUCATION AND REQUIRED CREDENTIALS:
  • Bachelor's Degree or an equivalent combination of education and experience.
  • Graduate of an accredited School of Nursing (RN).
  • Current appropriate state licensure.

EXPERIENCE AND SKILLS:
  • Required:
    • 6+ years business operations experience in a healthcare facility.
    • 12 months experience in clinical nursing.
    • 6 months chronic or acute dialysis nursing experience.
    • Successfully pass the Ishihara Color Blind Test.
  • Preferred but not required:
    • 3+ years supervisory or project/program management experience.
    • Med/surg or ICU/CCU experience.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians
  • Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.
  • The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
  • May be exposed to infectious and contagious diseases/materials.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Rate: $XX - $XX
Non-Bonus Eligible Positions: include language below.
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Bonus Eligible Positions - include language below.
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

What Fresenius Medical Care employees say

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

Social media

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