- Molina Healthcare (Cedar Rapids, IA)
- …able to confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for the audit team ... accuracy of complex reports and automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology + Research and… more
- Molina Healthcare (IA)
- …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- UnityPoint Health (Des Moines, IA)
- …161783 Overview Is responsible, under the direction of a Radiologist and the Manager , to supervise those whose duties directly involve a variety of technical ... scheduling of personnel, repair of equipment, and assists the Manager , as needed. To be a resource and to...and routing of supplies. * Maintains proper records for auditing purposes and prepares monthly reports, as needed. *… more
- Cardinal Health (Des Moines, IA)
- …interaction. Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies ... Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, contract… more
- Access Dubuque (Dubuque, IA)
- …###@careerpros.com Email True True True **Job Details** Categories Accounting/ Auditing Banking/Mortgage/Financial Services Location Monticello, WI Job Type Employee ... SISCO Campus Talent Acquisition Specialist Cottingham & Butler/ SISCO Accounting Manager Honkamp, PC Pre-Award Grants and Contracts Specialist University of… more
- Molina Healthcare (Sioux City, IA)
- …Medical Claims Review. + Minimum two years of experience in Claims Auditing , Medical Necessity Review and Coding experience + Familiar with state/federal regulations ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in… more
- Elevance Health (West Des Moines, IA)
- …**Minimum Requirements** + Requires a AA/AS and minimum of 4 years medical coding/ auditing experience, including minimum of 1 year in fraud, waste abuse experience; ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CVS Health (Des Moines, IA)
- …to address customer needs and available team resources. + Partnering with Product Manager to review the current HR and Payroll Technology stack and solidify the ... defects. + 3+ years' experience generating reports for analysis, conducting data auditing and supporting requests from various business teams. + 2+ years' experience… more
- Trinity Health (Des Moines, IA)
- …instrument maintenance, safety policy compliance, reviewing quality control, and auditing quality assurance activities including proficiency survey submissions. + ... and records and reports data obtained. + Provides assistance to the manager in the performance appraisal process. + Verifies and identifies yearly competencies… more
- CDM Smith (Davenport, IA)
- …the integrity and fairness of claim settlements. By applying advanced accounting, auditing , and investigative techniques, this individual will play a key role in ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more