- Humana (Des Moines, IA)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Humana (Des Moines, IA)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- Elevance Health (Des Moines, IA)
- …prevent unnecessary medical-expense spending. Our Payment Integrity (PI) Operational Excellence organization is looking to hire a ** Process Improvement ... Process Improvement and Lean Six Sigma principles and project leadership. Requires a BA/BS in a related field...experience, with specific knowledge in payment integrity, provider, and claims , and cost-of-care domains. + Process improvement… more
- Guardian Life (Des Moines, IA)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Des Moines, IA)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Emerson (Des Moines, IA)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Prime Therapeutics (Des Moines, IA)
- …Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out ... reports that give a detailed description of the current project 's progress and indicates time devoted to each task...in easily understandable format for varying levels of the organization . **Responsibilities** + 3+ years of transact-SQL (MS SQL… more
- Sunrun (Des Moines, IA)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Takeda Pharmaceuticals (Des Moines, IA)
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **About the role:** At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By… more
- Prime Therapeutics (Des Moines, IA)
- …processes and plans to mitigate future risk. + Lead coordinated efforts across the organization to implement new program or process changes for the client. ... minimization of expense and reporting of performance measures including drug claims processing + Create and maintain strategic partnerships with customers through… more
- Wolters Kluwer (Des Moines, IA)
- … project life cycle; contributing to and executing department process improvement initiatives; managing time and resources effectively; maintaining performance ... increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience… more
- Sedgwick (Des Moines, IA)
- …their employees regain health and productivity, guide their consumers through the claims process , protect their brand and minimize business interruptions. Our ... SAP, assisting Sedgwick in improving business processes. + Defines project scope, estimates and project plans, incorporating...they demonstrate what it means to work for an organization committed to doing the right thing - one… more
- Elevance Health (West Des Moines, IA)
- …+ Executes client-specific operational deliverables including benefit set up, reporting, and project support as needed. + Leverages data to track account performance ... Management is highly preferred. + Exceptional strategic thinking, analytical, organization , decision-making, problem-solving skills, and adaptability highly preferred. +… more
- Wolters Kluwer (Des Moines, IA)
- …and not afraid of the hunt. Someone that prefers to navigate the entire sales process , from start to finish, run their own demos, build a strong and lasting ... entity or claim management - Legisway covers end-to-end legal department needs (corporate, claims , IP, Data Privacy, and so much more!). Legisway is used by legal… more
- Sedgwick (Des Moines, IA)
- …their employees regain health and productivity, guide their consumers through the claims process , protect their brand and minimize business interruptions. Our ... Solutions Team. + Provides feedback to Leadership Team on process challenges facing CAT Sites. + Manage Repair Solutions...Cycle Time + Serves as subject matter expert and/or project leader on the following industry systems: Mitchell, CCC… more
- Humana (Des Moines, IA)
- …projects and initiatives, partnering and collaborating with multiple areas across the organization . + Develops or has a deep understanding of physician networks, ... physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce… more
- Sunrun (Des Moines, IA)
- …**ESSENTIAL DUTIES AND RESPONSIBILITIES** + **Represent the customer within the organization , collaborating with the technology team to align product developments ... + **Facilitate research and investigation into Sales ROE (Rules of Engagement) claims , working with customer care and compliance teams to ensure fair outcomes.**… more
- Broadlawns Medical Center (Des Moines, IA)
- …and programs. 4. Identify applicable grant opportunities and submit compelling project narratives and required documentation. 5. Collaborate with the finance staff ... 7. Manage and maintain the donor database for the Broadlawns Foundation. 8. Process and acknowledge all donations in a timely, efficient and gracious manner. 9.… more
- Elevance Health (West Des Moines, IA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... to provider premises during contract negotiations. + Participates on project team involved with enterprise-wide initiatives. **Minimum Qualifications:** + Requires… more
- Trinity Health (Des Moines, IA)
- …office procedures. Knowledge of managed care and insurance practices. Understanding of insurance claims and billing process . Understanding of HMO, PPO, TPA and ... projects and addresses opportunities and barriers as they arise. Provides regular project status updates to customers and leadership especially when there are delays… more