- 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
- Healthfirst (IA)
- **Duties & Responsibilities** : + Lead and deliver projects related to the development and configuration of new business, member benefits and products, claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- HomeSafe Alliance (Des Moines, IA)
- **Title:** Lead IT International Household Goods Movement Analyst (Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer** **Feedback and Continuous Improvement:** +… more
- Molina Healthcare (Cedar Rapids, IA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… 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 ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… 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 ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… more
- Evolent (Des Moines, IA)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Evolent (Des Moines, IA)
- …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Molina Healthcare (Davenport, IA)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… 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 Smile ... with Us! Join the Delta Dental of Iowa team as anOperations Business Analyst . We are seeking a dynamic individual to plan, develop, and manage business systems and… more
- Athene (West Des Moines, IA)
- …employee benefits and eager to make a significant impact? As an HR Sr Benefits Analyst at Athene, you'll play a pivotal role in delivering and managing our employee ... state, and local regulations, including ERISA, ACA, COBRA, and HIPAA. Independently lead and participate in benefits-related projects to ensure timely and successful… more
- Molina Healthcare (Sioux City, IA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Sioux City, IA)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations) + Performs… more
- Lumen (Des Moines, IA)
- …connect the world and shape the future. **The Role** We are seeking a Lead Product Marketing Manager to drive the creation and delivery of unique market positioning ... to identify and develop valuable messaging that will drive engaging content. The Lead Product Marketing Manager is expected to be a content marketing expert across… more
- Prime Therapeutics (Des Moines, IA)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- Access Dubuque (Dubuque, IA)
- …Account Specialist McGraw Hill CUSTOMER SERVICE- SALES ASSISTANT Sedona Staffing Services Lead Analyst , Strategic Sales Operations McGraw Hill Entry Level Sales ... - Transportation Cottingham & Butler/ SISCO Sales Executive - Casualty Claims (Fully Remote) Cottingham & Butler/ SISCO Technology Rep/Sales Training Bodensteiner… more