- HomeSafe Alliance (Des Moines, IA)
- …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
- Humana (Des Moines, IA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Des Moines, IA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- CVS Health (Des Moines, IA)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... and appeal system. + Leads the administration of all medical management activities of the aligned Plans....the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider… more
- Broadlawns Medical Center (Des Moines, IA)
- …to the highest standards of safety, efficiency, and regulatory compliance. The Director oversees all construction and project management related activities, ... written notification. I hereby release such employers, schools, persons, organizations and Broadlawns Medical Center from all liability for any claims or damage… 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 reviews cases of diverse scope and complexity ranging...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical /surgical utilization management review experience + Experience… more
- Broadlawns Medical Center (Des Moines, IA)
- …donor engagement for the Broadlawns Foundation in support of the Broadlawns Medical Center mission. The Foundation Director will successfully cultivate financial ... written notification. I hereby release such employers, schools, persons, organizations and Broadlawns Medical Center from all liability for any claims or damage… more
- Norstella (Des Moines, IA)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- J&J Family of Companies (Des Moines, IA)
- Director , Health Economics and Market Access - Robotics and Interventional Solutions - 2406204289W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Robotics and Interventional… more
- Cardinal Health (Des Moines, IA)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… 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
- Evolent Health (Des Moines, IA)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
- Norstella (Des Moines, IA)
- Director , RWD Product Company: MMIT Location: Remote, United States Date Posted: Jul 15, 2024 Employment Type: Full Time Job ID: R-440 **Description** Why Norstella? ... assess market potential, and inform strategic decision-making. + Translate product management strategy into actionable data deliverables, guiding development of data… more
- Evolent Health (Des Moines, IA)
- …LPCs, and Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Associate Director and Director ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
- Broadlawns Medical Center (Des Moines, IA)
- …written notification. I hereby release such employers, schools, persons, organizations and Broadlawns Medical Center from all liability for any claims or damage ... The Broadlawns Medical Center campus includes an acute care hospital,...Operations (FT) Under the supervision of the Plant Operations Director , the Electrician is responsible for the installation, inspection… more
- Broadlawns Medical Center (Des Moines, IA)
- …written notification. I hereby release such employers, schools, persons, organizations and Broadlawns Medical Center from all liability for any claims or damage ... The Broadlawns Medical Center campus includes an acute care hospital,...culture, and more! Under the supervision of a Nursing Director , the Nursing Supervisor provides supervision and leadership to… more
- Prime Therapeutics (Des Moines, IA)
- …experience conducting complex analysis on enterprise level data sets of pharmacy, claims , medical , and/or financial data + Extensive experience with analytic ... to create new business insights related to total cost management , products and services and drives recommendations for improvements...to adjust focus **Reporting Structure** + Reports to Manager, Director or Senior Director in the Consulting… more
- Prime Therapeutics (Des Moines, IA)
- …(such as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical , and/or financial data + Previous experience in a client ... adjust focus **Reporting Structure** + Reports to a Sr Professional, Manager, or Director in the Network Management , Consulting Analytics, Operations & Planning… more