- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Des Moines, IA)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Elevance Health (West Des Moines, IA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Des Moines, IA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- CVS Health (Des Moines, IA)
- …the strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise ... make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will… more
- Molina Healthcare (Des Moines, IA)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align the ... IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex issues where the analysis of situations… more
- Humana (Des Moines, IA)
- …and help us put health first** Humana's Marketing organization is seeking a Senior Professional experienced in marketing content and campaign planning to join the ... team. The Senior Marketing Campaign Management Professional reports directly to the...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- Prime Therapeutics (Des Moines, IA)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Cardinal Health (Des Moines, IA)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- CenterWell (Des Moines, IA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Mathematica (Des Moines, IA)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Elevance Health (West Des Moines, IA)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- CenterWell (Des Moines, IA)
- …of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that influence ... or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity… more
- United Therapeutics (Des Moines, IA)
- …analytics to support decisions regarding policy and reimbursement landscape + Support senior management in all financial, sales, and new business modeling + Provide ... support data driven decisions + Facilitate quarterly data review with Contract Manager / National Account Directors to evaluate contract performance, data integrity… more
- Primary Health Care (Des Moines, IA)
- …+ Maintains knowledge of current health benefit options and practices, Medicaid, Medicare , Commercial Insurance, sliding fee discount program , and outreach along ... provide a consistent patient experience. + Collaborates with Project Manager , HIT staff, Area Directors, and IT staff to...insurance landscape. Serves as PHC's primary contact for the Senior Health Insurance Information Program (SHIIP). Serves… more
- CenterWell (Des Moines, IA)
- …other government sponsored support such as Low Income Subsidy (LIS) and the Medicare Savings Program (MSP) for medication assistance. Works within defined ... at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more