- Cardinal Health (Des Moines, IA)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- Highmark Health (Des Moines, IA)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Molina Healthcare (Iowa City, IA)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which… more
- Baylor Scott & White Health (Des Moines, IA)
- …correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or… more
- Humana (Des Moines, IA)
- …**Required Qualifications** + 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider ... provides health insurance. Provider Contracting Professional 2 + Actively communicates contract terms, payment structures, reimbursement rates to providers… more
- Datavant (Des Moines, IA)
- …specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care . Interest in coding IP charts in the event the ... contract ends. Must be able to work 40 hours/week...reviewing and validating DRGs specific to Medicare and Medicare Managed Care . Interest in coding IP charts… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... multi‑year) for professional services, SaaS/software/technology, data & analytics, outsourcing (BPO/ITO/ managed services), etc.; structure and execute RFx, evaluation and… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... Responsibilities + Research and report on routine business questions ( managed from stakeholder-aligned prioritization) including analysis of business workflows,… more
- Centene Corporation (Des Moines, IA)
- …legal requirements. + Conduct periodic assessments to ensure compliance against contract requirements + Oversee creation and implementation of corrective action ... plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies + Manage and oversee the composition and… more
- Molina Healthcare (Davenport, IA)
- …delivery system, including government-sponsored health plans. * Experience with various managed health care provider compensation methodologies, primarily across ... sufficient network of participating providers to serve the health care needs of Molina members. * Oversees and leads...issues or complaints (eg claims and encounter data, eligibility, reimbursement , and provider website). * Serves as a resource… more