- Elevance Health (West Des Moines, IA)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- Humana (Des Moines, IA)
- … Director is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Cardinal Health (Des Moines, IA)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Director , Broker Digital Sales (Innovation Portfolio Strategy) utilizes ideas, identifies innovation ... opportunities, and translates ideas into actionable and profitable business. The Director , Innovation Portfolio Strategy requires an in-depth understanding of how… more
- Humana (Des Moines, IA)
- …Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve ... Reporting Relationship: This position reports directly to the Cluster Lead Medical Director . **Use your skills to make an impact** **REQUIREMENTS:** + Doctor of… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range of ... actuarial and business needs for specific product lines. The Director , Actuarial requires an in-depth understanding of how organization capabilities interrelate… more
- Humana (Des Moines, IA)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...of IT initiatives that are vital to our business operations . Your deep understanding of organizational capabilities and your… more
- Trinity Health (Des Moines, IA)
- …Health Ministries to ensure consistency and integration of strategy and operations . Maintaining awareness of new industry developments and standards. Provides ... decision support, operations &/or optimization leadership focus. Our Trinity Health Culture:...delivery system with a multi-specialty medical group and a Medicare advantage health plan. Ability to develop and interpret… more
- Aston Carter (Des Moines, IA)
- …quality and compliant billing data and records. Maintains efficient and effective operations of Medicaid, Medicare , Private Insurance, Private Pay, and other ... Manages and directs the fee-for-service billing and accounts receivable operations to ensure maximization of cash flow while improving patient, client, and customer… more
- Gentiva (Des Moines, IA)
- …in people's lives every day. **Overview** We are looking for an **RN Executive Director Specialist** . You will serve as the administrator on call and are ... all federal and state guidelines. + Knowledge of hospice operations , state and federal regulations and compliance + Strong...time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or… more
- HealthEdge Software Inc (Des Moines, IA)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... particularly in the Payer space, with a perspective on how health plan operations impact willingness to adopt digital transformation and innovation + 7+ years'… more
- Prime Therapeutics (Des Moines, IA)
- …a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities** + 3+ years… more
- Molina Healthcare (Des Moines, IA)
- …related activities. Growth mindset. **KNOWLEDGE/SKILLS/ABILITIES** + Works closely with the AVP/ Director to develop and execute the enrollment growth strategy for a ... increase Medicaid assignment percentages for Molina. + Responsible for day-to-day operations and management of team members, including hiring, training, developing,… more
- Conviva (Des Moines, IA)
- …the clinical education team and will work also closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care Organization. ... This role reports to Associate Director of coding education and has a dotted line...with the divisional clinical educator and insights from coding operations team and clinical excellence team. The training responsibilities… more
- Trinity Health (Des Moines, IA)
- …of the Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory requirements that improve ... that culminate in high reliability. The specialist, under the direction of the Director , assists in achieving excellence in quality and safety work related to… more
- Prime Therapeutics (Des Moines, IA)
- …the team through the full cycle contract management processes for Commercial, Medicare Part D, Medicaid, and Health Insurance Marketplace and the provider relations ... to pharmacy clients by creating a strong interface between contact center operations and provider relations + Develop and maintain relationships with internal and… more