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Clinical Insurance Reviewer Jobs in Minnesota (NOW HIRING)

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 ...

Job Type Full-time Description Clinical Care Coordinator (TMS) Location: Onsite - St. Paul, MN ... Coordinate peer-to-peer reviews for insurance denials and schedule patients once approvals are ...

Prepares reports/records on activities for review by the Director of Nursing as needed. * Meets ... Our comprehensive benefits package includes health, dental, and vision insurance. As well as ...

... reviews to identify data integrity issues, reporting errors, and process defects. · Use Excel and ... life insurance, short-term disability, additional voluntary benefits, EAP program, commuter ...

Showing results 21-40

Clinical Insurance Reviewer information

See Minnesota salary details

$23

$35

$45

How much do clinical insurance reviewer jobs pay per hour?

As of Sep 3, 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 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 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 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:

Infographic showing various Clinical Insurance Reviewer job openings in Minnesota as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution, with an average salary of $73,169 per year, or $35.2 per hour.

$15.85 - $25.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago


Thrifty White Pharmacy rating

7.2

Company rating: 7.2 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

37th of 113 rated pharmacies


Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Profit sharing
  • Training & development
  • Vision insurance
  • Wellness resources

Clinical Pharmacy Technician
The Clinical Pharmacy Technician supports the pharmacy team by performing both traditional dispensing duties and expanded clinical responsibilities that enhance patient care. This role focuses on patient engagement, medication management, and collaboration with pharmacists to improve health outcomes in all settings including but not limited to community, long-term care and specialty services. Seeking candidates interested in expanding professional role beyond dispensing into patient-centered care and clinical service delivery.
MAJOR RESPONSIBILITIES:
  • Assist pharmacists in the delivery of clinical services, including but not limited to:
  • Medication Therapy Management (MTM)
  • Comprehensive Medication Management (CMM)
  • Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs)
  • Immunization support and documentation
  • Point-of-care testing (e.g., A1c, lood glucose, cholesterol, flu, strep)
  • Remote patient monitoring
  • Chronic disease management initiatives
  • Perform administrative tasks related to clinical services, including scheduling, billing, and maintaining compliance with regulatory requirements.
  • Conduct patient outreach for medication synchronization, adherence programs, and clinical follow-up.
  • Gather and document patient health information to support clinical decision-making.
  • Work collaboratively with clinical teams to accomplish clinical services in an efficient manner for patient and team
  • Assist patients in connecting with community resources
  • Assist with other clinical duties such as prior authorizations, patient messages, benefits investigations, etc.
  • Educate patients on proper medication use, adherence strategies, and self-care practices within scope of practice.
  • Serve as a patient advocate and ensure appropriate, reliable and consistent patient care is provided by clinical team
  • Coordinate with providers, nurses, and other healthcare professionals as part of the care team.
  • Actively contribute to quality improvement initiatives and performance metrics related to patient care and clinical services.
  • Address open quality gaps with patients and work collaboratively with patient towards closure of those gaps
  • Strong communication skills with ability to engage and build rapport with patients and healthcare providers.
  • Detail-oriented with excellent organizational and documentation skills.
  • Comfortable using pharmacy technology platforms, clinical documentation systems, and data reporting tools.
  • Consult with the clinical staff and ancillary department staff to eliminate barriers to efficient delivery of care
  • Participate in regular team meetings, staff meetings and quality improvement projects to improve patient care
  • Support pharmacy operations by assisting with prescription processing, filling, inventory management, and insurance troubleshooting when needed.

Work Environment:
This position is based inside a pharmacy and requires direct interaction with patients, pharmacists, and healthcare providers. The role involves balancing clinical service delivery with traditional pharmacy technician duties in a fast-paced environment.
DESIRED MINIMUM QUALIFICATIONS
Education and experience:
• Graduation from a high school or GED equivalent required.
• Must be age 18 to work as a technician. Working knowledge of business math required. Communications or public relations courses are helpful.
• Current state certification and/or registration as a Pharmacy Technician (CPhT preferred) or willingness to complete required training and certification
• Prefer one year experience in a similar position requiring clinical pharmacy experience
• Completion of pharmacy technician school desirable.
• Prior community pharmacy experience strongly preferred.
• Strong communication skills with ability to engage and build rapport with patients and healthcare providers.
• Detail-oriented with excellent organizational and documentation skills.
• Comfortable using pharmacy technology platforms, clinical documentation systems, and data reporting tools.
• Willingness to receive Community Health Worker Training
Necessary Knowledge, Skills and Abilities:
• Ability to read and converse fluently in English.
• Ability to maintain accurate records.
• Ability to effectively meet and deal with the public in sales situations.
• Ability to perform basic math calculations accurately.
• Ability to handle stressful situations and deal successfully with difficult customers
• Ability to maintain effective working relationships with employees and supervisors
• Ability to understand and carry out written and oral instructions. Ability to focus on detail
• Ability to recognize limits of technician and refer to pharmacist when needed.
• Skill in operation of the following tools and equipment; cash register, computer terminal, copy machine, credit card processing equipment, phone, and calculator.
• Availability to work evenings, weekends and holidays when needed.
• Ability to travel occasionally to assist at other TWD locations.
• Good attendance and punctuality is required in order to fulfill the essential job functions.
• Understands correct use of the intranet time clock.
• Maintain confidentiality of patient information at all times.
• Has current Certification or Registration with the State Board of Pharmacy or Tech in Training Certificate or willingness to obtain. Understands laws concerning Continuing Education requirements and takes responsibility to accomplish them.
• Willingly aids in cross training of other employees and rotation of duties as directed by the Pharmacy manager.
Physical Demands:
  • The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • This position may include long periods of standing. While performing the duties of this job, the employee is also frequently required: to talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms.
  • The employee must occasionally lift and/or move up to 40 pounds. (Review the "Safe Lifting Techniques" policy). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus.

Pharmacy Innovator of the Year by Drug Store News
Compensation: $15.85 - $25.50 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Thrifty White Pharmacy is a pharmacy chain fully owned by our employees. We are committed to the communities we serve and believe that our services and products must exceed the expectations of our customers.
Being an industry leader in innovation, our employee owners have been able to develop and implement several programs and initiatives that allow our team to practice at the top of their license, making them an invaluable asset to our pharmacy operations.
As a dynamic organization, we have a variety of different practice sites and positions
No experience is necessary for most of our Pharmacy Technician positions! As detailed further down this careers page, Thrifty White offers Pharmacy Technician-in-Training programs at no cost to the employee!

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