- CVS Health (Des Moines, IA)
- …non-routine Provider Refunds and Returned Checks. + Review and interpret medical contract language using provider contracts to confirm whether a claim ... and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and… more
- Intermountain Health (Des Moines, IA)
- …**Essential Functions** + Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based ... a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors...Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system… more
- Molina Healthcare (Des Moines, IA)
- …**Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Molina Healthcare (Des Moines, IA)
- …care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, ... and document audit walkthroughs. + Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal. + Research… more
- CenterWell (Urbandale, IA)
- …caring community and help us put health first** As a **Home Health Specialist ** , you will: + Call on physicians, hospitals, skilled nursing facilities' management, ... the market sales plan. + Gather and organize account-related information and provide input on key customer opportunities, service line extensions and proposal or… more
- Merck (Des Moines, IA)
- …who thrive in a team environment and are driven to succeed. The Oncology Sales Specialist is a key member of our customer facing organization and is responsible for ... with HCP customers - knowing when/how to seek and provide additional information + Act as primary point of...prescribed, outpatient vs in-patient infusion, as part of hospital contract , etc. + Demonstrate ability to understand complex account… more
- Oracle (Des Moines, IA)
- …Architect Professional; AWS Certifications: AWS Solutions Architect, AWS Security Specialist , Microsoft Certifications: Azure Security Engineer, Associate , Azure ... and selling AI models to enterprise customers + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex service… more
- Oracle (Des Moines, IA)
- …Architect Professional; AWS Certifications: AWS Solutions Architect, AWS Security Specialist , Microsoft Certifications: Azure Security Engineer, Associate , Azure ... and maintaining AI models in production environments + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex… more
- Merck (Des Moines, IA)
- **Job Description** **Job Description:** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join ... prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract , etc.) + Comprehend complex accounts and local market interdependencies to… more