• Consultant , Ethics & Compliance (Audit)

    Cardinal Health (Des Moines, IA)
    …experience will be considered + Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.). Auditing certification preferred. ... fee coding and auditing. + Working knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… more
    Cardinal Health (03/18/25)
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  • Process Consultant - Qxnt SME

    Molina Healthcare (Des Moines, IA)
    …the organization's business and industry requirements. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... Experience** * 5 years of process improvement experience **Required License, Certification , Association** LEAN certification and/or Lean Six Sigma Green… more
    Molina Healthcare (03/20/25)
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  • Sr Business Solutions Consultant - Process…

    Molina Healthcare (Des Moines, IA)
    …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
    Molina Healthcare (03/20/25)
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  • RN Medicare Compliance

    Sedgwick (Des Moines, IA)
    …in a state or territory of the United States required. **Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… more
    Sedgwick (02/14/25)
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  • Medical Group Manager Quality and Safety

    Trinity Health (Des Moines, IA)
    …outcomes. + Achieves the best outcomes aligned to Centers for Medicare and Medicaid Services (CMS) and other pay for performance programs, including those aligned to ... interactions with discretion, tact & courtesy. + Strong relationship builder, consultant and demonstrate the ability to deal successfully with inherent ambiguities… more
    Trinity Health (02/19/25)
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  • Manager, Provider Engagement Team (Remote)

    Molina Healthcare (Des Moines, IA)
    …in support of business objectives. * Serves as a Provider Engagement internal consultant and subject matter expert; works collaboratively to ensure the PETs and ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
    Molina Healthcare (03/16/25)
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