- Humana (Des Moines, IA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Des Moines, IA)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Humana (Des Moines, IA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...PHC's training opportunities including: PHC University, Emerging Leaders, and medical and dental assistant training programs. What You Will… more
- Cardinal Health (Des Moines, IA)
- …are used. **What this position contributes to Cardinal Health:** The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
- Sedgwick (Des Moines, IA)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | CST & EST Time Zones...EST Time Zones **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be… more
- Takeda Pharmaceuticals (Des Moines, IA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Wells Fargo (Des Moines, IA)
- …Analytics Team. A part of the Chief Operating Office under Fraud and Claims Operations, the team provides analytic support and internal fraud detection capabilities ... including, but not limited to, Model Risk, Fraud Risk and Allegations Management . This position will have direct interaction/engagement with independent risk … more
- Wells Fargo (West Des Moines, IA)
- …Analytics Team. As part of the Chief Operating Office under Fraud and Claims Management , the team provides analytic support and internal fraud detection ... education **Desired Qualifications:** + 5+ years project and program management experience + Demonstrable experience in process and procedure documentation… more
- Wells Fargo (Des Moines, IA)
- …Analytics Team. A part of the Chief Operating Office under Fraud and Claims Operations, the team provides analytic support and internal fraud detection capabilities ... + 3+ years of Internal Fraud, Fraud Detection, Anti-Money Laundering, or Conduct Management experience **Desired Qualifications:** + 7+ years of SQL experience + 7+… more
- HomeSafe Alliance (Des Moines, IA)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Evolent Health (Des Moines, IA)
- …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
- Iowa Department of Administrative Services (Des Moines, IA)
- …complaint, investigative and disciplinary process. A background in investigations or case management , including detailed reporting and management of a high ... and over the phone, including the ability to deescalate stressful situations. MANAGEMENT /COORDINATION OF COMPLAINTS AND INVESTIGATIONS + Serve as key contact, to… more
- Planate Management Group LLC (Des Moines, IA)
- Planate Management Group (PMG ) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with ... South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a...a unique opportunity to work closely with the Project Director (PD) and Office of Building Operations (OBO) staff,… more
- Intermountain Health (Des Moines, IA)
- …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
- Fujifilm (Des Moines, IA)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more