- Elevance Health (West Des Moines, IA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Des Moines, IA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- Cardinal Health (Des Moines, IA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- CVS Health (Des Moines, IA)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . In addition to your compensation, enjoy the rewards… more
- Elevance Health (West Des Moines, IA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- CVS Health (Des Moines, IA)
- …more compassionate. And we do it all with heart, each and every day. This Senior Manager , Regulatory Affairs position is a crucial contributor to the Medicare ... PBM business. This position reports directly to the Director of Medicare Regulatory Affairs. **Duties and Responsibilities:** *Abiity to provide comprehensive market… more
- Highmark Health (Des Moines, IA)
- …delivery of data to vendors and internal partners, supporting successful Medicare Advantage and Dual-Special Needs Plan member satisfaction strategies, including ... Medicare CAHPS and the Health Outcomes Survey. Additional responsibilities...Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain … more
- Cardinal Health (Des Moines, IA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… 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
- Elevance Health (West Des Moines, IA)
- …member-centered, lasting pharmacy care. The ** Senior Test Lead (Business Change Manager Senior )** will be responsible for working with management to identify ... ** Senior Test Lead - Pharmacy Benefit Manager...you will make an impact:** + Manage relationships with project/ program stakeholders (IT and business). + Develop and implement… more
- CenterWell (Des Moines, IA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...supports one clinical platform for three Medicaid and two Medicare plans; integration between Clinical and 4+ other systems… more
- CVS Health (Des Moines, IA)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... support of business strategies across multiple lines of business, including Medicare Advantage, Medicaid, ACA, and Commercial. + Develops relationships with… more
- CenterWell (Des Moines, IA)
- …to execution, propose solutions, and drive results to meet organizational goals. ** Program Management & Delivery:** + Lead the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes.… more