- Humana (Des Moines, IA)
- …first** The Actuarial Analyst 2 utilizes SAS and Excel to run the monthly Medicaid Inpatient Early Indicator Report, which is an actuarial model that estimates admit ... count and spend for each of Humana's Medicaid states. The analyst calculates inpatient trends, exercises actuarial...exams + Meets requirements for Humana's Actuarial Professional Development Program (APDP) + Strong communication skills + Must be… more
- Humana (Des Moines, IA)
- …cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically ... (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + MAAA + Strong communication skills + Must be… more
- Humana (Des Moines, IA)
- …and promoting a culture that thrives on change. + Effectively represents the Medicaid Program Transformation (MPT) - LTSS team in discussions/processes within ... accelerates ideation and development of LTSS strategic plans and supports program transformation that maximize member outcomes and health plan performance. They… more
- Public Consulting Group (Des Moines, IA)
- …work experience with government and/or nonprofit finance office, accounting firm, consulting firm, Medicaid or other policy office + 5+ years experience in ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- CVS Health (Des Moines, IA)
- …oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and ... clinical policy revisions/reviews. - Directors will spend a portion of...(PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
- Public Consulting Group (Des Moines, IA)
- …and supports (LTSS) programs, including home and community-based services (HCBS) waivers, Program of All Inclusive Care for the Elderly (PACE), and transitions and ... such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge...financial data. + Ability to research, analyze and interpret policy , legal briefs, and regulations. + Able to work… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …disability (ID/DD) services. This is done in close coordination and cooperation with Iowa Medicaid and as a part of the state non- Medicaid disability services ... deadlines and takes prompt action to accomplish objectives; champions policy / practice changes instituted by upper management as well...(State of Iowa matches up to $75/month) + Health, Dental and Vision Insurance (See below for more details)… more
- Elevance Health (West Des Moines, IA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Director I Medicare Operations** ... function operations teams on Tier I contract with primary responsibility for Program Management and/or Medicare Integrity Operations. **How you will make an… more
- Public Consulting Group (Des Moines, IA)
- …cost allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary ... responsibilities to team members. + Assess best practices and program risks. + Lead proposal writing teams, including writing...financial data. + Ability to research, analyze and interpret policy , legal briefs and regulations. + Able to work… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …such as assessing service continuum and performance monitoring for contracts. SRC Policy and Procedure Program Coordinator: 1.) Leads drafting administrative ... of individual facility policies. 8.) Monitor implementation of State and Federal policy and procedures. SRC Admission and Discharge Program Coordinator: 1.)… more
- Humana (Des Moines, IA)
- …motivated and self-driven individuals to join our team. Our DOD SkillBridge Internship program will help you obtain your licensing and certification to allow you the ... ability to sell Medicare plans. Our training program will provide you with the fundamentals needed to...Some of our additional products include: Life, Annuity, Indemnity, Dental , Vision, Prescription, and more. Humana has an inclusive… more
- Humana (Des Moines, IA)
- …Release Train (ART). This includes leveraging various Agile methodologies and Program Maturity, Assessments, Metrics, Dashboards to both coach and demonstrate to ... use of SAFe principles, ceremonies and tools for a moderately complex program -Facilitates PI Planning readiness by fostering a Continuous Exploration process that… more
- Humana (Des Moines, IA)
- …wellness and smart healthcare decisions for you and your family: Medical, dental , and vision benefits, Health plan incentives, Paternity leave, etc. **Work Perks ... Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program , Discount programs with major retailers, etc. **Grow With Us -** Humana… more
- Humana (Des Moines, IA)
- …of spending and staffing needs across multiple initiatives + Ensure all Program /Project data is maintained, accessible and useful to various stakeholders and ... IT, business, finance, project management + 10+ years of experience in Program /Project and Portfolio management + 10+ years working with Microsoft Office… more
- Humana (Des Moines, IA)
- …for pharmacy transition processes and claims processing logic. + Speaker during CMS Program audits and compliance mock audits + Ensure compliance with all Federal ... state requirements. + Create, update and maintain various reports and policy /procedure documents. + Lead projects with internal/external areas related to required… more
- Conviva (Des Moines, IA)
- …eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities \#LI-MM1 ... your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid… more
- Humana (Des Moines, IA)
- …architecture, and service level requirements + Understanding of project and program management standards and methods + Experience with Adobe Experience Platform ... dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Interview… more
- Humana (Des Moines, IA)
- …Management experience + Minimum 5 years of experience delivering project, program , and portfolio management + Minimum 5 years of experience consulting/supporting ... your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid… more
- Humana (Des Moines, IA)
- …leadership capacity + Strong organizational skills and experience in initiative and program planning and execution + Demonstrated high learning agility and tolerance ... your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid… more
- Humana (Des Moines, IA)
- …travel with some overnight stays + This role is part of Humana's Driver Safety Program and requires an individual to have a valid state driver's license and proof of ... your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid… more