• Appeals Nurse

    Evolent (Des Moines, IA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
    Evolent (12/24/25)
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  • Director, Home Health Grievances & Appeals

    CenterWell (Des Moines, IA)
    …data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related ... development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and… more
    CenterWell (01/08/26)
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  • Medical Director - Pharmacy Appeals

    Humana (Des Moines, IA)
    …The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately ... Medical Director's work includes computer based review of moderately complex to complex appeals for coverage for drugs using resources outlined above as well as… more
    Humana (12/03/25)
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  • Audit & Reimbursement II- Appeals

    Elevance Health (West Des Moines, IA)
    **Audit & Reimbursement II- Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Perform cost report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews + Maintaining… more
    Elevance Health (01/08/26)
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  • Lead, Accounts Receivable Specialist

    Cardinal Health (Des Moines, IA)
    …maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials, to ensure timely ... as a subject matter expert in claims processing. + Processes claims: investigates insurance claims; properly resolves by follow-up & disposition. + Lead and manage… more
    Cardinal Health (12/09/25)
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  • Billing & Insurance Specialist | 32 hours…

    Great River Health (Fort Madison, IA)
    …outstanding accounts and makes proper notations in billing software. Work denials and appeals for all insurance carriers. Reviews information for follow-up on ... Description: Coordinates and assists in reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance … more
    Great River Health (01/08/26)
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  • Administrative Law Judge 2

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …IA Job Type Full-time Job Number 26-01776 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 01/09/2026 Closing Date 1/19/2026 11:59 PM Central ... on the eligible list. The Department of Inspections and Appeals Administrative Hearings Division seeks an Administrative Law Judge...agency, offers the following benefits: + Health/Dental, and Life Insurance + Paid time off - Nine paid holidays… more
    Iowa Department of Administrative Services (01/09/26)
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  • Chief Health Professions Investigator

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …IA Job Type Full-time Job Number 26-01767 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 01/08/2026 Closing Date 1/18/2026 11:59 PM Central ... + Description + Benefits Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution-oriented,… more
    Iowa Department of Administrative Services (01/08/26)
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  • Public Defender 2 - Sioux City Adult Office

    Iowa Department of Administrative Services (Sioux City, IA)
    …IA Job Type Full-time Job Number 26-01739 Agency 428 Department of Inspections, Appeals & Licensing - Public Defender Opening Date 01/07/2026 Closing Date 1/21/2026 ... office policies. This is a non-merit position for the Iowa Department of Inspections, Appeals & Licensing - Public Defender. Positions in this class are exempt from… more
    Iowa Department of Administrative Services (01/07/26)
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  • Medical Director - OP Claims Mgmt

    Humana (Des Moines, IA)
    …and/or requested site of service should be authorized at the Initial and Appeals /Disputes level. All work occurs within a context of regulatory compliance, and work ... an overview of coding practices and clinical documentation, disputes processes, and appeals processes, and outpatient services and equipment, within their scope. The… more
    Humana (11/24/25)
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