- 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
- 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 ... and medical necessity. The Medical Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in accordance… more
- 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
- 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 ... + Benefits Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated,...of the agency's Complaint Review Committee and the chief staff advisor to Board Screening Committees. + Assigns cases… more
- Avera (Spencer, IA)
- …States of America) Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work ... are exclusively with Spencer Hospital.** **Responsibilities:** + Coordinate with clinical staff in order to complete prior authorization for all services and… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …IA Job Type Full-time Job Number 26-01684 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 12/31/2025 Closing Date 1/16/2026 11:59 PM Central ... Robust benefits, including excellent health, dental, life and vision insurance . + Four ten-hour working days a week +...managing a food establishments food safety program, quality assurance staff , chef, or management of a food establishment or… more
- Cardinal Health (Des Moines, IA)
- …maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials, to ensure timely ... feedback, recommendations, and training as appropriate. + Assists supervisors in ensuring staff adherence to company policy and procedures. + Assists supervisors in… more
- Elevance Health (West Des Moines, IA)
- …report reopenings. + Under guided supervision, participate in completing more complex appeals related work: + Position papers + Jurisdictional Reviews + Maintaining ... all logs, case files, tracking systems + Participate in all team meetings, staff meetings, and training sessions **Minimum Requirements:** + Requires a BA/BS degree… more
- Lutheran Services in Iowa (Davenport, IA)
- …and legacy is made possible by the commitment of dedicated and competent staff who partner with individuals, churches, and other funders and ministry partners who ... Board of Directors + LSI Foundation Board of Directors + Volunteers + LSI staff Key Responsibilities + Major Gifts & Donor Portfolio Management + Manage a portfolio… more
- CenterWell (Des Moines, IA)
- …oversight, operational execution, and continuous improvement of all authorization, insurance eligibility re-verification and payer maintenance for a large, complex ... * Partner with nursing leadership, therapy leadership, and clinical staff to ensure clinical documentation supports medical necessity. *...Teams * Revenue Cycle Leadership * Billing, Denials, and Appeals Teams * Compliance, Legal, and Audit * IT… more