- 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...policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with… more
- Elevance Health (Des Moines, IA)
- **Medical Director-Cardiology Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law. The **Medical Director-Cardiology Appeals ** is responsible for the review of appeals...of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …IA Job Type Full-time Job Number 26-00901 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 10/07/2025 Closing Date 10/17/2025 11:59 PM Central ... Description + Questions Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution-oriented,… more
- Trinity Health (Clive, IA)
- …functions related to home office third party cost reports, third party appeals , third party payer contract negotiations, analysis of financial impact of changes ... Trinity Health Corporate Office, Trinity Information Systems, and the various insurance programs with focus on Graduate Medical Education, Disproportionate Share,… more
- Access Dubuque (Dubuque, IA)
- …documents and IRS filings. + Contact and work with IRS audit, collection and Appeals staff regarding client projects and filings. + Manage client deadlines and ... services. + Assist in management and delivery of client IRS, audit, Appeals , collection and penalty abatement projects, including review and analysis of client… more
- Iowa Department of Administrative Services (Ames, IA)
- …be required to meet with the public and local, state, and federal agency staff . As theFederal-aid Project Manager, you will work with local project sponsors and ... Competitive pay and benefits package including health, dental, flexible spending, and life insurance . - Insurance benefits start first of the month following 30… more
- ChildServe (Johnston, IA)
- …supervision or medical care. Our spacious home-like environments, caring staff members, and emphasis on community involvement and recreational activities ... treatment plans that focus on caring for the whole child. ChildServe's staff members promote skill development, independence, and decision making as appropriate for… more
- Access Dubuque (Dubuque, IA)
- …and negotiations. **Job Duties** **Job Duties** + Advise and support City staff during code enforcement, development, real estate, zoning, and employment matters. + ... up to simple misdemeanors), including preparation for trial and appeals . + Civil rights investigations under Title 8 of...relevant legal topics and best practices. + Work with staff to respond to open records requests and respond… more
- Highmark Health (Des Moines, IA)
- …Inc. **Job Description :** **JOB SUMMARY** This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. ... a courteous, helpful and timely manner. + Interact with staff to implement processes and problem solves. + Respond...review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource… more
- Evolent (Des Moines, IA)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more