- Molina Healthcare (Sioux City, IA)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... of the criteria for medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the… more
- Exceptional Persons Inc (Waterloo, IA)
- …& Finance for a Mission-Driven Nonprofit Exceptional Persons Inc. is seeking a Director of Operations / Business Director to oversee key operational functions ... employee-nominated Employer of Choice designation, is seeking a Business Director to join our team and make a lasting...more!) + EPI is a Public Student Loan Forgiveness program qualified employer This is what you'll get to… more
- Molina Healthcare (IA)
- …driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader ... process, and technology + Managing cross-functional programs focused on data integrity , workflow optimization, and service delivery + Overseeing implementation of… more
- Accura Healthcare (Newton, IA)
- Accura HealthCare of Newton has an opportunity to welcome a dedicated Director of Nursing (DON) to join our team! We're seeking a skilled and compassionate clinical ... mission and vision while serving others. Built on the pillars of trust, integrity , accountability, commitment, and kindness, Accura HealthCare is a leader in the… more
- UnityPoint Health (Manchester, IA)
- …measures for habilitation services. . Participates on internal quality improvement and Medicaid Integrity program committees to ensure implementation of ... and oversight of policies and procedures related to corporate compliance and Medicaid integrity compliance. . Provides oversight, direction and technical… more
- Trinity Health (Des Moines, IA)
- …Federal, State, and local laws and regulations, NCQA standards, MercyOne Organizational Integrity Program , Standards of Conduct, as well as other policies ... completion of applications for provider enrollment for Medicare, Railroad Medicare, BCBS, Medicaid , Managed Care payers, and applicable Commercial payers in a timely… more
- UnityPoint Health (Cedar Rapids, IA)
- …a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what ... Expect paid time off, parental leave, 401K matching and an employee recognition program . + Dental and health insurance, paid holidays, short and long-term… more
- Public Consulting Group (Des Moines, IA)
- …in client management and project management, collaborating with Operations, Product, Program Integrity , and other staff to execute contractual obligations. ... delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members...report to either a SBS COE Client Success Associate Director or a Client Success Lead. The position will… more
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