- Humana (Des Moines, IA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Des Moines, IA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Des Moines, IA)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (Des Moines, IA)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Des Moines, IA)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- Wells Fargo (West Des Moines, IA)
- …small business fraud activity + Collaborate with and influence immediate fraud and claims management colleagues, card partners, and branch network partners as ... Fargo is seeking a Card and Branch Fraud Prevention Director to report to the Director of...allocation of people and financial resources for Fraud and Claims Management + Develop and guide a… more
- Intermountain Health (Des Moines, IA)
- **Job Description:** Reporting to the Senior Director of Revenue Integrity, the Revenue Integrity Director is responsible for directing and executing the ... Reconciliation, Revenue Guardian, and Claim Edits. The Revenue Integrity Director defines and carries out the strategy for maximizing...for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more… more
- HomeSafe Alliance (Des Moines, IA)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- Takeda Pharmaceuticals (Des Moines, IA)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
- Takeda Pharmaceuticals (Des Moines, IA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Molina Healthcare (Des Moines, IA)
- …* Proficiency in Microsoft Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, ... (SIU) to oversee the special investigations unit vendor outlier analytics and case management system, training and implementation. Serves as a backup for the AVP of… more
- HomeSafe Alliance (Des Moines, IA)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Mathematica (Des Moines, IA)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Evolent (Des Moines, IA)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
- Molina Healthcare (Des Moines, IA)
- …Plan operations. **Knowledge/Skills/Abilities** * With direction from Manager or Director of Payment Integrity, supports implementation and execution of department ... Premium Enhancement (MSP), Datamining, Pre-pay Editing for correct coding and medical payment policies. Many of these activities include oversight and vendor… more
- Animal Rescue League of Iowa (Des Moines, IA)
- …payroll deadlines are met. + Administer the workers' compensation program, including claims reporting, case management , and tracking of employee status while ... - Full Time FLSA Status: Exempt Department: Human Resources Reports to: Director of Human Resources Responsibilities: + Administer ARL leave programs, including… more