4 behavioral health program manager jobs found in Saint Paul

Company : enGen Job Description : JOB SUMMARY This job supports one or more analytical aspects of the business products and services life cycle, including capability enablement with cross-team dependencies within a product scope. Uses significant judgement and discretion to collaborate with customers on complex data and reporting issues in order to understand capability needs, gather project and data specifications, create data sets, operational reports, and analytical deliverables to translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues....

Company : Highmark Inc. Job Description : JOB SUMMARY This job executes operational, regulatory and compliance audits and advisory engagements to determine whether Highmark Health and its subsidiaries controls and governance processes, as designed and operated by management, are adequate and functioning. Follows established procedures and guidelines to contribute to the activities of the audit team. Collects information about the organization's systems and processes by reviewing manuals, policies, reports, financial statements, and other written materials. Assesses whether the processes and controls provide reasonable assurance that risk are identified and managed appropriately. Identifies and documents aspects of the organization's systems and processes that do not comply with regulations, laws, and standards or do not comply with the organization's policies and operating procedures. ESSENTIAL RESPONSIBILITIES Collaborate with team members to perform...

Company : Highmark Inc. Job Description : JOB SUMMARY This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office. Work with Pharmacy Markets business owners, stakeholders and other management, as required, to achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor and evaluate the progress, status and alignment of activities. Perform corrective action as needed to maintain the viability, relevance and timeliness of the work. Communicate regularly and effectively with customers regarding issues or concerns. Depending on the Pharmacy Markets business unit, may be responsible for one or more of the following: Perform research on projects and manage and lead projects to successfully meet business objectives. May manage all size projects (small, medium, large, enterprise). Analyzes data to determine business...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Office of Sponsored Research (OSR) provides centralized administrative services and oversight for clinical research programs, and activities include, but not limited to: Medicare Coverage Analysis and associated filings with the Center for Medicare and Medicaid, budgetary development, protocol review, contract and budget negotiations. The incumbent is responsible for negotiating and executing clinical trial agreements and preparing budgets based on study protocol optimizing reimbursement from Sponsors. In addition, incumbent will build and maintain the study within Clinical Trial Management System (CTMS) along with performing Medicare Coverage Analysis (MCA) to support billing compliance efforts. Assists and contributes with the development and maintenance of Office of Sponsored Research (OSR) policies and procedures. Participates and contributes in process improvement initiatives within OSR....