- Norstella (Des Moines, IA)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- CVS Health (Des Moines, IA)
- …Excel and Microsoft Word **Preferred Qualifications** + 2-4 years experience as a medical assistant, office assistant or claim processor. + MedCompass, CEC, or ... day. **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and redirects… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a ** Claim Analyst 3** on our individual disability team, your day will be anything but routine. This is a small team with a collaborative ... and refer claims to other resources (senior claims personnel, Medical , Law, etc) with appropriate...medical conditions, restrictions & limitations, disability policy provisions, claim decisions, and all other aspects of the … more
- Molina Healthcare (Des Moines, IA)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Des Moines, IA)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- Public Consulting Group (Des Moines, IA)
- … claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to ensure… more
- RxBenefits (Des Moines, IA)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL...+ Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5163273) Apply Insurance Complaint Analyst Salary $62,337.60 - ... The Iowa Insurance Division is seeking a highly motivated analyst to join our Market Regulation Bureau. This crucial...dishonest market conduct. If you have experience in insurance claim operations, or other policy and consumer facing operations,… more
- Elevance Health (West Des Moines, IA)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Prime Therapeutics (Des Moines, IA)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- Intermountain Health (Des Moines, IA)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring… more
- Rocket Software (Des Moines, IA)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- Molina Healthcare (Des Moines, IA)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
- Humana (Des Moines, IA)
- …first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the ... seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily...data ie. Provider, Insurance, etc. + Experience with pharmacy claims data + Advanced knowledge of Excel (ex. Pivot… more
- Evolent (Des Moines, IA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Humana (Des Moines, IA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (Des Moines, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology Work… more
- Cognizant (Des Moines, IA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- Molina Healthcare (Des Moines, IA)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to ... early signs of trends or other issues related to medical care costs. * Designs and performs actuarial studies...effectively communicates results. * Assists in the preparation of claim experience reports, rate models and state regulatory reports.… more
- Molina Healthcare (Des Moines, IA)
- …and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and… more