• Medical Director - Commercial

    CVS Health (Des Moines, IA)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals more
    CVS Health (11/13/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Des Moines, IA)
    Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse ... scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (10/29/24)
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  • Medical Director - South Central

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/08/24)
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  • Medical Director - Mid West Region

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical more
    Humana (10/29/24)
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  • Clinical Integration Specialist

    Trinity Health (Des Moines, IA)
    …the Regional Director of Quality, Access and Growth for the Medical Group. **What You'll Do:** + Knows, understands, incorporates, and demonstrates the MercyOne ... of the Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory requirements that improve… more
    Trinity Health (08/29/24)
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