3 administrative associate jobs found

Principal Attorney Pharmacy & Regulatory About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You'll Have Blue Cross Blue Shield of Minnesota is hiring Principal Attorney Pharmacy & Regulatory in Eagan, MN. In this role, you will provide strategic legal advice and counsel to internal business partners with respect to (1) pharmacy contracting, operations, and initiatives, (2) Federal Employee Program and ancillary services, (3) gender services, (4) health outcomes, and (5) other legal matters as applicable and requested. You will...

Manager Performance Hub - Medicaid About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You'll Have This role serves as an operational anchor for the Medicaid organization, accountable for driving predictable execution, performance visibility, and delivery on contractual commitments. The role supports deliberate planning, year-over-year performance expectations, and ownership of RFP and pursuit cycle readiness and execution. This position ensures enterprise understanding of contract requirements, operational readiness, and implementation...

Director of Utilization Management About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have The Director of Utilization Management leads and directs the utilization review staff is responsible for ensuring policies and procedures incorporate best practices and ensure efficient and effective utilization reviews. They manage and monitor prior authorizations and concurrent reviews through the clinical appeals process to ensure that the member is getting the right care in a timely and cost-effective way. They also manage retrospective...