- Evolent Health (Des Moines, IA)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Humana (Des Moines, IA)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (West Des Moines, IA)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Humana (Des Moines, IA)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Merck (Des Moines, IA)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- GAF (Des Moines, IA)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… more
- Trinity Health (Des Moines, IA)
- …time **Shift:** **Description:** As an integral member of Mercy One's PHSO Care Management department, the Manager of Post Acute and Transition Care management ... Under the direction of the Mercy One PHSO Regional Director of Care Management and Quality, the incumbent is responsible for assuring the development, implementation… more
- Evolent Health (Des Moines, IA)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- Marriott (Des Moines, IA)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Humana (Des Moines, IA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Microsoft Corporation (Des Moines, IA)
- …Mainstream Lifecycle (deployment, maintenance and decommissioning), Inventory & Asset Management Operations, and Critical Environment (CE) Operations Programs. You ... organization. You will use your keen technical, business acumen, and financial management skills to manage our operating costs effectively, while maintaining the… more
- Humana (Des Moines, IA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Des Moines, IA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Des Moines, IA)
- …skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- Trinity Health (Des Moines, IA)
- …time **Shift:** Day Shift **Description:** Provides leadership for the Care Management Department in understanding, supporting, and reflecting the Mercy Mission. In ... conjunction with the Director; plans, coordinates, facilitates and evaluates Case Management /Social Work Services that contribute to the successful achievement of… more
- Elevance Health (Des Moines, IA)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… more
- Ryder System (Des Moines, IA)
- …at all levels and functions across the operation. This position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations ... Management . + Lean background is mandatory + Warehouse Engineer...Manages and completes CI and steady-state engineering projects that lead to improved business results. Assesses CI initiatives and… more
- CBRE (Des Moines, IA)
- …29-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management Location(s) Remote - US - Remote - US - United States of ... construction program process administration across the portfolio. Focus is on ability to lead multiple projects at one time over multiple global locations + Develop… more
- Highmark Health (Des Moines, IA)
- …highly skilled and experienced Senior Architect to join our team and lead the design, development, and implementation of innovative solutions leveraging Salesforce ... between Data Cloud and Marketing Cloud. **ESSENTIAL RESPONSIBILITIES** + Take a lead role to provide strategic consultation to business customers in defining or… more