- Trinity Health (Des Moines, IA)
- … compensation models in accordance with Trinity Health standards and physician agreements. + Models compensation for physicians on productivity models ... and engages them in conversations around their productivity and impact on compensation as necessary. + Works closely with operational finance analyst team to… more
- Prime Therapeutics (Des Moines, IA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of the ... guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff… more
- Evolent Health (Des Moines, IA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of the utilization ... Directors, and health plan members and staff whenever a physician `s input is needed or required. Responsible for acting...+ Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of… more
- Evolent Health (Des Moines, IA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management team. ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as… more
- Humana (Des Moines, IA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Des Moines, IA)
- …the clinical operations team and healthcare organization. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...of business. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- Humana (Des Moines, IA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Evolent Health (Des Moines, IA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- QuickVisit (Des Moines, IA)
- …a Regional Manager, a Provider Lead, Director of Clinical Operations, and a Medical Director who acts as a supervising physician . We have a strong network of ... progress. + Ability to use judgement to determine when to consult supervising physician + Works with manager and other operational team members to ensure consistency… more
- Evolent Health (Des Moines, IA)
- …Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team. We can offer ... Evolent Health is looking for a Behavioral Health Medical Director to be a member of the Evolent clinical...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Takeda Pharmaceuticals (Des Moines, IA)
- …best of my knowledge. **Job Description** **About the role:** Senior Regional Business Director - PI - Mountain meets or exceeds regional sales targets through ... - Primary Immunodeficiency who are responsible for calling on multiple physician specialties including Allergy/Immunology. Territory Consists of multiple states in… more
- Elevance Health (West Des Moines, IA)
- **Provider Network Contracting & Development Director ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within ... a PulsePoint location. The **Provider Network Contracting & Development Director ** develops the provider network through contract negotiations, relationship… more
- Elevance Health (West Des Moines, IA)
- **Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an ... Elevance Health location. The **Provider Network Management Director ** develops the provider network by managing the implementation of strategies for provider… more
- Humana (Des Moines, IA)
- …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...resolution skills * May speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Huron Consulting Group (Des Moines, IA)
- …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... building, coaching/mentoring, and accountability for the performance managementof the team at director and below level + Demonstrated ability to build and maintain… more
- CVS Health (Des Moines, IA)
- …health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models of Care ... physical, behavioral and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management leadership to collaborate across… more
- Trinity Health (Des Moines, IA)
- …Faculty Member with a passion for teaching to join as Associate Program Director . Experience teaching in a Residency or Medical Student setting required. MercyOne ... offers competitive compensation with a $60,000 bonus, up to six figure...Established in 1997 + 7 full-time faculty including Program Director w/ Clinical Responsibilities + Partnered with Primary Health… more
- Huron Consulting Group (Des Moines, IA)
- …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... the cardiovascular service line with a focus on clinical supplies and physician preference items, care delivery optimization and redesign, talent strategy to include… more
- Intermountain Health (Des Moines, IA)
- …sends out letters of intent, notices to terminate employment, confirmation of physician compensation / employment as requested by lending institutions, letters ... organizational units while maintaining respect for confidential information including physician compensation , benefits, disciplinary action, recruitment and… more
- Evolent Health (Des Moines, IA)
- …determination decisions against criteria and policy, escalating questions to the physician reviewer, and creating letters that meet regulatory and Plain Language ... Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director ....or other Departments as requested. + Works with the physician reviewer to monitor the adverse determination process and… more