Counsel | Remote
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
The role orchestrates cross functional reviews and recommendations for coverage and management -e.g ... Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ...
The role orchestrates cross functional reviews and recommendations for coverage and management -e.g ... Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ...
The role orchestrates cross functional reviews and recommendations for coverage and management -e.g ... Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ...
The role orchestrates cross functional reviews and recommendations for coverage and management -e.g ... Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ...
Minneapolis, MN · On-site +1
$68K - $89K/yr
Independent review and analysis of underlying file materials, policies and underwriting materials ... Utilization of artificial intelligence tools and resources (e.g. generative AI) What you bring:
Minneapolis, MN · On-site +1
$68K - $89K/yr
Independent review and analysis of underlying file materials, policies and underwriting materials ... Utilization of artificial intelligence tools and resources (e.g. generative AI) What you bring:
Minneapolis, MN · On-site +1
$102K - $121K/yr
... • Review contract terms to ensure risks are appropriately controlled • Conduct transaction ... Utilization of artificial intelligence tools and resources (e.g. generative AI). What you bring ...
Minneapolis, MN · On-site +1
$102K - $121K/yr
... • Review contract terms to ensure risks are appropriately controlled • Conduct transaction ... Utilization of artificial intelligence tools and resources (e.g. generative AI). What you bring ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
New
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
New
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
New
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
New
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
New
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
New
Plymouth, MN · On-site +1
$70K - $80K/yr
Hybrid remote from Minnesota opportunity * Starting salary range: $70k-80k annually Nexus ... reviews, and improvement initiatives to support effective EHR utilization and data integrity.
Plymouth, MN · On-site +1
$70K - $80K/yr
Hybrid remote from Minnesota opportunity * Starting salary range: $70k-80k annually Nexus ... reviews, and improvement initiatives to support effective EHR utilization and data integrity.
Eden Prairie, MN · Remote
$112K - $193K/yr
Own storage capacity forecasting, utilization reporting, and growth modeling * Analyze platform ... Lead technical reviews, solution design discussions, and complex troubleshooting efforts * Mentor ...
Eden Prairie, MN · Remote
$112K - $193K/yr
Own storage capacity forecasting, utilization reporting, and growth modeling * Analyze platform ... Lead technical reviews, solution design discussions, and complex troubleshooting efforts * Mentor ...
Eden Prairie, MN · On-site +1
$112K - $193K/yr
Own storage capacity forecasting, utilization reporting, and growth modeling * Analyze platform ... Lead technical reviews, solution design discussions, and complex troubleshooting efforts * Mentor ...
Eden Prairie, MN · On-site +1
$112K - $193K/yr
Own storage capacity forecasting, utilization reporting, and growth modeling * Analyze platform ... Lead technical reviews, solution design discussions, and complex troubleshooting efforts * Mentor ...
Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ... and Clinical Program Review * Program Implementation * Use problem solving skills and make ...
Analyze claims utilization and variation, clinical, and quality data to identify opportunities for ... and Clinical Program Review * Program Implementation * Use problem solving skills and make ...
Minneapolis, MN · Remote
$72K - $130K/yr
... to Utilization Management (UM), Care Management (CM), Care Coordination, Quality, and other ... Conduct audits and reviews of clinical documentation, operational processes, and procedures to ...
New
Minneapolis, MN · Remote
$72K - $130K/yr
... to Utilization Management (UM), Care Management (CM), Care Coordination, Quality, and other ... Conduct audits and reviews of clinical documentation, operational processes, and procedures to ...
New
Minnetonka, MN · On-site +1
$106K - $137K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
Minnetonka, MN · On-site +1
$106K - $137K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
| Aspect | Remote Hca Utilization Review | Remote Hca Case Manager |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RN or licensed healthcare professional | Often requires RN, social work, or case management certifications |
| Work Environment | Primarily reviewing medical necessity and insurance coverage remotely | Managing patient cases, coordinating care, and discharge planning remotely |
| Employer & Industry Usage | Used by health insurance companies, healthcare providers, and utilization review organizations | Employed by hospitals, insurance companies, and healthcare organizations |
Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

Full-time
This job post has expired today. Applications are no longer accepted.
9.3
Based on 9 frontline employees who took The Breakroom Quiz
18th of 303 rated insurance