- Highmark Health (Des Moines, IA)
- …experience + Knowledge of CMS regulations/guidance + Thorough understanding of the US healthcare and pharmacy ecosystems **SKILLS** + Be able to quickly identify and ... must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and Privacy Policies and… more
- Prime Therapeutics (Des Moines, IA)
- …resource on fraud, waste and abuse issues and maintains confidentiality and compliance with HIPAA privacyrequirements and applicable state and federal ... Analyze data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- Evolent (Des Moines, IA)
- …care and provider markets (both payers and risk-bearing organizations) + Passion for healthcare and subscribed to the vision of value-based care + Strong familiarity ... meetings, site visits, and partnership engagements **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more