- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Des Moines, IA)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Cardinal Health (Des Moines, IA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- Molina Healthcare (Des Moines, IA)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- CVS Health (Des Moines, IA)
- …within network as well as other business areas (clinical, operations, Medicare segment). **Required Qualifications** + Successful project management experience in ... increasingly more complex projects across a highly-matrixed organization + Project/ program expertise in stakeholder facilitation, communications and relationship management… more
- Prime Therapeutics (Des Moines, IA)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Cardinal Health (Des Moines, IA)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- Mathematica (Des Moines, IA)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Humana (Des Moines, IA)
- …is seeking a marketing savvy, strategy and solutions oriented, highly organized, Project Manager 2 to join our innovative team at The Hive, Humana's in-house agency, ... and motivate change through brand expression. As the Project Manager 2, you will manage all aspects of a...to prepare and provide project presentations during meetings with Senior Management + Strong analytical and problem-solving skills +… more
- CenterWell (Des Moines, IA)
- …health outcomes for seniors, serving as a behavioral health (BH) strategy, program and operations expert, and advancing BH goals through innovative, data-driven ... position formulates national goals and strategies, benchmarks best practices, drives program design and implementation, evaluates program effectiveness, and… more
- Primary Health Care (Des Moines, IA)
- …+ Maintains knowledge of current health benefit options and practices, Medicaid, Medicare , Commercial Insurance, sliding fee discount program , and outreach along ... provide a consistent patient experience. + Collaborates with Project Manager , HIT staff, Area Directors, and IT staff to...insurance landscape. Serves as PHC's primary contact for the Senior Health Insurance Information Program (SHIIP). Serves… more
- CenterWell (Des Moines, IA)
- …other government sponsored support such as Low Income Subsidy (LIS) and the Medicare Savings Program (MSP) for medication assistance. Works within defined ... at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more