Medicare jobs in Minneapolis, MN

Remote or Hybrid

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Today

Remote position Must have Medicare exp & Mobile testing Must Have: 5+ years of Medicare experience 10 + years of experience in technology Quality Engineering. Strong experience with UI and Mobile OS (iOS/Android) testing Proficiency in API testing tools such as Postman, Bruno, or REST Assured. Experience of SDLC processes, agile methodology and QE practices. Agile certification is preferred. Experience with using AWS services like S3, Lambda, DynamoDb etc. Strong experience with UI and database

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Third Party

Enterprise Data Modeler Medicare Advantage

Remote

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6d ago

We are looking for a Senior Enterprise Data Modeler with deep healthcare domain expertise to lead the development of enterprise and domain data models for a strategic data transformation program. You will bridge the gap between business stakeholders and technical execution teams to build resilient, enterprise-wide data structures. Key ResponsibilitiesDesign and maintain Enterprise, Logical, Physical, and Canonical Data Models. Translate complex business concepts into robust domain data models. P

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Contract

Depends on Experience

Clinical Pharmacist Advisor - Medicare - Remote

Remote

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25d ago

Title: Clinical Pharmacist Advisor - Medicare - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelin

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Contract

47 - 52

Data Governance Program Lead

Hybrid in Minneapolis, Minnesota

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4d ago

Hello, I hope youre doing well. Im Abhay from Inceptra solutions llc. I came across your profile and felt it could be a good match for a current opportunity were working on. Please share your updated resume and a good time for a quick conversation. Job Title : DG Program Lead (Data Governance Program Lead) Location : Minneapolis, MN, USA (Client Location: Eagan, MN) Work Model : Onsite/Hybrid - Must be in the office at least 3 days per week. Target Industry: Healthcare Position Summary The DG

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Contract

Depends on Experience

Data Modeler with Medicare Advantage

Remote

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13d ago

Enterprise Data Modeler (Medicare Advantage) Position Summary We are seeking a highly experiencedEnterprise Data Modelerto lead the development of enterprise and domain data models that will serve as the foundation of a strategic enterprise data transformation program. This role will be responsible for creating and maintaining: Enterprise Business Data ModelsCanonical Data ModelsLogical Data ModelsPhysical Data ModelsDomain Data Models across prioritized business domainsCritical Success Factors

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Contract

Depends on Experience

Healthcare Informatics Analyst (Pharmacy OR Medicare Advantage - Fully Remote Contract Role )

Remote

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25d ago

Position 2: Sr. Healthcare Informatics Analyst (Medicare Advantage)Seeking a Senior Healthcare Informatics Analyst! The selected candidate will independently provide analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider en

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Contract

75 - 80

VP AI ML Engineering, Medicare & Retirement

Minnetonka, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. The Vice Pres

Full-time

USD 200,400.00 - 343,500.00 per year

Stop Loss Group Underwriter

Minneapolis, Minnesota

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Today

Title: Stop Loss Group Underwriter Duration: 3 monthContractor to Perm for the right candidate. Location: Hybrid to Minneapolis, preffered. Must be commutable to site if converting to perm. This position offers a Contractor to Perm opportunity for the right candidate, with a hybrid work arrangement preferred in Minneapolis. Candidates must be commutable to the site if converting to permanent employment. The role involves evaluating employer group medical stop loss submissions and supporting und

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Contract, Third Party

$39 - $59

Medicare Benefits Advisor

Remote

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14d ago

Immediate need for a talented Medicare Benefits Advisor. This is a 03 - 04+months contract opportunity with long-term potential and is located in Denver, CO (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-22375 Pay Range: $37/hr - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Work Schedule & HoursPa

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Contract

$37 - $40

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

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12d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

Director Actuarial Services - Remote (Fort Washington, PA Preferred)

Minnetonka, Minnesota

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Today

At UnitedHealthcare, we\'re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Director of Actuarial within UHC Medicare & Retirement will perform various analytics related to

Full-time

Compensation information provided in the description

Senior Director, Applied AI & Data Science - Hybrid in MN

Minnetonka, Minnesota

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Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 159,300.00 - 273,200.00 per year

Director Data Engineering - Remote

Remote or Eden Prairie, Minnesota

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Today

Full-time

USD 134,600.00 - 230,800.00 per year

Director of AI/ML Engineering - Remote

Remote or Eden Prairie, Minnesota

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Today

Full-time

USD 176,700.00 - 302,900.00 per year

Senior Data Analyst - MN or PA Markets - Remote

Remote or Minnetonka, Minnesota

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Today

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subjec

Full-time

USD 91,700.00 - 163,700.00 per year

DG Program Lead (Data Governance Program Lead)

Minneapolis, Minnesota

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Today

Job Title : DG Program Lead (Data Governance Program Lead) Location : Minneapolis, MN, USA (Client Location: Eagan, MN) Work Model : Onsite/Hybrid - Must be in the office at least 3 days per week. Experience Required : 12 to 30 Years Target Industry : Consulting or Healthcare Position Summary The DG Program Lead is the operational engine of the Data Governance Office (DGO). DG Program Lead runs the day-to-day machinery: domain onboarding, policy workflow, Council pack preparation, Alation gover

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Contract, Third Party

70 - 80

AS400/Synon/RxClaim Tech Lead

Remote

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Today

Job title: AS400/Synon/RxClaim Tech Lead Role is remote Years of experience required: SYNON (8+years) and Rxclaim adjudication experience (min 3 years) Mandatory skills: 1.SYNON 2.Healthcare Pharmacy claims adjudication and pricing 3. COBOL/400 We are seeking technical lead with 8+ years of experience to join our team. The ideal candidate will have expertise in SYNON, AS400 along with domain experience in Medicare & Medicaid Claims, Claim Adjudication and pricing knowledge This role requires a p

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Contract

$60 - $70

Product Owner – Capitation & Value-Based Care

Remote

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22d ago

Job Title: Product Owner Capitation & Value-Based Care Location: Remote/Hybrid Experience: 712 Years Position Summary We are looking for a Product Owner with deep experience in Capitation, Value-Based Care (VBC), and Provider Reimbursement. This role will own products supporting capitation payments, provider incentives, attribution, quality programs, and population health analytics while partnering with payer and provider stakeholders. Capitation is a payment model where providers receive a fix

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Contract

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Remote

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7d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Contract, Third Party

Depends on Experience

Claims Examiner - Workers Compensation - W2 Only

Remote

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5d ago

Position: Claims Examiner - Workers Compensation - W2 Only Duration: 03 Months of Contract with possible extension or conversion Pay Range: $52/hr to $56/hr on W2 (without Benefits) Requirements: Only Ex-Sedgwick candidatesAny specific skill/ certification/ license: CA adjuster certificationYears of experience: 3+ years of relevant experience Primary purpose: To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims

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Contract

52 - 56

Medicare jobs in Minneapolis, MN, USA