• Provider Network Contracting

    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 ... miles of a PulsePoint location. The ** Provider Network Contracting & Development Director**...projects with significant impact. * May assist management in network development planning. * May provide more
    Elevance Health (09/19/24)
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  • Provider Network Management Director…

    Elevance Health (West Des Moines, IA)
    … management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... link between providers and the company by lending expertise on network development efforts. Partners with local contracting teams to manage to outcomes on… more
    Elevance Health (09/18/24)
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  • Pharmacy Network Manager - Remote

    Prime Therapeutics (Des Moines, IA)
    …strategies and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and ... or Network Client Services initiatives + Perform network development , network analysis and...years of managed care experience in medical or pharmacy network contracting + Must be eligible to… more
    Prime Therapeutics (09/15/24)
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  • Provider Contract/Cost of Care Analyst…

    Elevance Health (West Des Moines, IA)
    …Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
    Elevance Health (09/17/24)
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  • Delaware Valley ACO Fellowship/ Provider

    Humana (Des Moines, IA)
    …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality metrics linked to… more
    Humana (06/24/24)
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  • Business Consultant

    HealthEdge Software Inc (Des Moines, IA)
    …payment integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting , payment/policy configuration, provider relations, ... integrity + Healthcare plan operations (eg, claim adjudication life cycle/workflows, network contracting , payment/policy related configuration, provider more
    HealthEdge Software Inc (08/06/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Des Moines, IA)
    …and operations. This position is responsible for administrative, strategic, business development , and contracting activities related to the Managed Care ... Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject… more
    Cardinal Health (08/14/24)
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  • Contract Manager Vendor Performance - LA Medicaid…

    Prime Therapeutics (Des Moines, IA)
    …working changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more
    Prime Therapeutics (09/15/24)
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  • Contract Manager - Vendor Performance NC Medicaid…

    Prime Therapeutics (Des Moines, IA)
    …working changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more
    Prime Therapeutics (09/17/24)
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  • Sr. Contracts Administrator (Remote)

    GovCIO (Des Moines, IA)
    …mission-critical support for their complex requirements. This includes cyber operations, network engineering, software development , C5ISR, mission services, and ... is a full-service information technology and enterprise service management provider . For more than 30 years, we have been...in lieu of a degree. + Experience in government contracting and related functions with particular emphasis on acquisitions,… more
    GovCIO (09/13/24)
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  • Investigator Senior

    Elevance Health (West Des Moines, IA)
    …with understanding of health insurance policies, health insurance claims handling and provider network contracting . **Preferred Qualifications, Skills & ... **Investigator Senior** is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in… more
    Elevance Health (09/17/24)
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  • Procurement Supervisor

    AECOM (Des Moines, IA)
    …grow and develop your career with us through our technical and professional development programs and diverse career opportunities. We believe in leadership at all ... programs to support you and your family, and the development resources you need to advance your career. When...us, you will connect and collaborate with a global network of experts - planners, designers, engineers, scientists, consultants,… more
    AECOM (09/12/24)
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  • Account Manager

    ADM (Des Moines, IA)
    …grain marketing and logistics. This may include how local markets might provide selling opportunities, and how tailored risk management solutions might meet specific ... market opinion to help inform producer of market opportunities + Network to attain positive, collaborative relationships with internal colleagues across divisions… more
    ADM (07/01/24)
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  • Sr Engineer, Vendor Third Party Risk

    Cardinal Health (Des Moines, IA)
    …processes + Leverage individual expertise to actively review program, enhance and provide recommendations for development of strategic plans + Identify and ... and teams within IT to help manage third party IT risks, vendor contracting and managing customer request for proposal responses. This is a high-visibility position… more
    Cardinal Health (09/17/24)
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  • Financial Advisor-Central Iowa/Des…

    Thrivent Financial (Des Moines, IA)
    …journeys to financial clarity, empowering lives of service and faith. + Provide personal, actionable and achievable advice and connect clients to Thrivent insurance, ... your chosen community. + Make client appointments by leveraging your network and Thrivent's reputation, delivering award-winning financial workshops and marketing… more
    Thrivent Financial (07/17/24)
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