- Molina Healthcare (Sioux City, IA)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Healthfirst (IA)
- …+ Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference ... requirements and provide feedback to stakeholders regarding feasibility of claims business rule and program changes. +...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Healthfirst (IA)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... projects related to the development and configuration of new business , member benefits and products, claims editing,...of new business , member benefits and products, claims editing, reference data and their enhancements including … more
- Molina Healthcare (Des Moines, IA)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Public Consulting Group (Des Moines, IA)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… more
- Public Consulting Group (Des Moines, IA)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do… more
- Molina Healthcare (Des Moines, IA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Molina Healthcare (Davenport, IA)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** We're looking for a Business Intelligence Analyst to join our Data and Analytics Consulting Team. In this role, you'll make key data & metrics ... and 3rd party data, including sales, customer, operations, and claims data + Build and maintain sophisticated Business...**Job Level** We'll consider talent at the next level ( Business Intelligence Analyst III) with the right… more
- Delta Dental of Iowa (Johnston, IA)
- Operations Business Analyst Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time Description Come ... Join the Delta Dental of Iowa team as anOperations Business Analyst . We are seeking a dynamic...for end-to-end operations experience including group and product setup, claims processing, telecom, web applications, and other projects. You… more
- Great River Health (West Burlington, IA)
- …and other corporate departments to facilitate system usage and acceptance. The analyst handles complex build and configuration tasks, resolves advanced issues, and ... ensure reliable application system availability and performance. Additionally, the analyst designs, verifies, documents, and refactors software configurations, investigates… more
- HomeSafe Alliance (Des Moines, IA)
- **Title:** Lead IT Business Process Analyst (Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... **_About the Role:_** Acts as a liaison between IT development groups and business units for the development and implementation of new systems and enhancement of… more
- Robert Half Management Resources (West Des Moines, IA)
- Description We are offering an opportunity for a Business Analyst with experience Derivatives Trading to join our team in the finance industry in West Des ... Moines, Iowa. You will be tasked with conducting comprehensive business analysis, designing and documenting business process...* Experience in Claim Administration to manage and process claims effectively. Robert Half is the world's first and… more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Sumitomo Pharma (Des Moines, IA)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Evolent (Des Moines, IA)
- …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
- TelCom Construction (Sioux City, IA)
- …telecommunications industry. We are currently hiring an individual to fill our Safety Analyst role reporting to our Omaha, NE location. **Connecting you to great ... gym memberships, pet insurance, and much more! **The Safety Analyst is responsible for the following areas of safety...Assists with investigating and administering property and utility damage claims in a timely and professional manner + Conducts… more