Top 3707 Program specialist Jobs in Minnesota

Senior Claim Benefit Specialist - Remote
CVS Health —Minnesota
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Benefits Verification Specialist
CVS Health —Minnesota
- $17.00 - $31.30 an hour
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
5d
Kids Club Program Specialist
Edina Public Schools —Edina, MN
- $30.40 - $32.95 an hour
- Online Application
- CPR Certification
- Mid-level
- Education
- Health insurance
- Dental insurance
13d
Part-time Educational Consultant, Special Programs
Learners Edge, LLC —Eagan, MN
- $645 - $845 a day
- Part-time
- School experience
- Classroom
- 5 years
5d
Program Controls Specialist I
Honeywell Aerospace —Plymouth, MN
- Full-time
- Continuous improvement
- Entry level
Rochester Men's Client Care Specialist
MN Adult & Teen Challenge —Rochester, MN
- $19 an hour
- 8 hour shift
- Clean driving record
- Vital signs
- Addiction Medicine
- Health savings account
- Disability insurance
Staff Development Specialist, RN
Vista Prairie Communities —Champlin, MN
- $80,000 - $85,000 a year
- Full-time
- Background check
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
HR Specialist
Sunburst Chemicals, Inc. —Minneapolis, MN
- $60,000 - $67,000 a year
- Full-time
- Data analysis skills
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Endodontist
Midwest Dental —Saint Anthony, MN
- Dental office
- Doctoral degree
- Surgery
- Health savings account
- Disability insurance
4d
General Dentist
Midwest Dental —Faribault, MN
- Up to $300,000 a year
- Private practice
- CPR Certification
- Dental office
- Health savings account
- Disability insurance
Treatment Supervisor, Full Time/Mental Health Professional
Prairie Community Services —Marshall, MN
- From $93,600 a year
- Online Application
- Background check
- LMFT
- Psychiatry
- Health savings account
- Disability insurance
Quick Apply
Clinical Supervisor (Mental Health)
The Lorenz Clinic, LLC —Rosemount, MN
- $90,000 - $150,000 a year
- Full-time
- LMFT
- Management
- Doctoral degree
- Continuing education credits
- Paid parental leave
9d
Retailer Relationship and Execution Specialist
ACO-US —Eden Prairie, MN
- $21.15 - $22.11 an hour
- Full-time
- Microsoft Outlook
- Sales
- Merchandising
- Health insurance
- Dental insurance
Quick Apply
Insurance Service Specialist - Mankato, MN
Federated Mutual Insurance Company —Mankato, MN
- $25.20 - $34.20 an hour
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- 401(k)
Psychotherapist (Licensed Mental Health Therapist)
The Lorenz Clinic, LLC —Chaska, MN
- $75,000 - $125,000 a year
- Full-time
- Hybrid work
- LMFT
- Doctoral degree
- Mid-level
- Continuing education credits
- Mileage reimbursement
9d
Endodontist - Minneapolis Metro Area
Dentist Headhunter —Minneapolis, MN
- $200,000 - $400,000 a year
- Full-time
- Dental office
- Doctoral degree
- In-person
- Health insurance
- 401(k)
Quick Apply
Regional Program Specialist- (ON CALL/Group home oversight)
Tactical Care Inc —Brainerd, MN
- $22 - $25 an hour
- Overnight shift
- Background check
- Clean driving record
- Mid-level
- Opportunities for advancement
- Flexible schedule
Quick Apply
13d
Certified Veterinary Technician (CVT) - Float
University of Minnesota Veterinary Medical Center —Saint Paul, MN
- $22.53 - $27.60 an hour
- Full-time
- Background check
- Mid-level
- University
- Health savings account
- Paid holidays
Quick Apply
Endodontist - Metro
Dentist Headhunter —Minneapolis, MN
- $300,000 - $500,000 a year
- Email
- Private practice
- Dental office
- Doctoral degree
- Health insurance
- Dental insurance
Quick Apply
Pre-Weatherization Specialist
Sustainable Resources Center —Minneapolis, MN
- From $26.50 an hour
- Email
- Background check
- Clean driving record
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply

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Senior Claim Benefit Specialist - Remote

CVS Health -
Minnesota

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

program specialist jobs in minnesota

Senior Claim Benefit Specialist - Remote

Benefits Verification Specialist

Kids Club Program Specialist

Part-time Educational Consultant, Special Programs

Program Controls Specialist I

Rochester Men's Client Care Specialist

Staff Development Specialist, RN

HR Specialist

Endodontist

General Dentist

Treatment Supervisor, Full Time/Mental Health Professional

Clinical Supervisor (Mental Health)

Retailer Relationship and Execution Specialist

Insurance Service Specialist - Mankato, MN

Psychotherapist (Licensed Mental Health Therapist)

Endodontist - Minneapolis Metro Area

Regional Program Specialist- (ON CALL/Group home oversight)

Certified Veterinary Technician (CVT) - Float

Endodontist - Metro

Pre-Weatherization Specialist

I want to receive the latest job alert for program specialist in minnesota

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