- Sedgwick (Dubuque, IA)
- …of contested claims . + Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Mass Markets (IA)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Centene Corporation (Des Moines, IA)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more
- Intermountain Health (Des Moines, IA)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics for CDI… more
- Access Dubuque (Dubuque, IA)
- …service extends beyond buying insurance to helping our clients with safety, claims , and compliance challenges. As the leading insurance broker in the transportation ... better results. **What You'll Do:** + Learn the business and become a trusted advisor to company leaders. + Identify, qualify, and close prospects. + Manage and… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …your territory. + **Strategic Account Management** : Serve as a trusted advisor , understanding customer needs and aligning solutions to optimize implementation and ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Amentum (Des Moines, IA)
- …the company's operations and strategic objectives. The Director acts as a key advisor to business units and senior leadership on risk-related matters and ensures ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Adecco US, Inc. (Des Moines, IA)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... customer needs. **Key Responsibilities** 1. Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and… more
- Evolent (Des Moines, IA)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... that drive enterprise-wide decision-making. + Serve as a strategic advisor to senior leadership, proactively identifying business challenges and delivering… more
- Access Dubuque (Dubuque, IA)
- …sales career. **What You'll Do:** + Learn the business and become a trusted advisor to company leaders. + Identify, qualify, and close prospects. + Manage and retain ... - Risk Management Cottingham & Butler/ SISCO Sales Executive - Casualty Claims (Fully Remote) Cottingham & Butler/ SISCO Account Executive Cottingham & Butler/… more