- Humana (Des Moines, IA)
- …and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by ... promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from… more
- Molina Healthcare (Davenport, IA)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- UnityPoint Health (Cedar Rapids, IA)
- …as required and/or directed. + Contributes to the patient assessment by collecting, reporting , and recording objective and subjective data in an accurate and ... and department compliance for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns… more
- Molina Healthcare (Sioux City, IA)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid /Medicare/Marketplace health coverage audit policies and be able to apply them in ... abuse, and over utilization by providers and recipients. The position will review claims data , medical records, and billing data from all types of healthcare… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …of user permissions, Individualized Education Program/Individual Family Service Plan development, count data , Medicaid data , Deaf and Hard of Hearing ... years of full-time work experience in project management; management analysis; data science; business systems analysis; or professional -level program… more
- UnityPoint Health (Grimes, IA)
- …by UPH CE field operations through the provision of technical research, data management, auditing, reporting , and analysis, remote technical support, integrated ... equipment serviced by UPH CE Department. . Provides technical reporting , and/or data management support to field...and/or other events in support of the program and professional growth. Customer Service . Helps to create and… more
- Humana (Des Moines, IA)
- …ranging from moderate to substantial. The Actuary, Analytics/Forecasting supports centralized reporting of external data sharing, oversees internal reporting ... The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and… more
- Molina Healthcare (Davenport, IA)
- …experience in Medicare and in Medicaid managed care + Experience with data reporting , analysis, and/or interpretation + Certified Professional in Health ... intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions… more
- Access Dubuque (Dubuque, IA)
- …might include the following: + Using specialized software to prepare Medicare and/or Medicaid cost reports for a variety of healthcare clients ranging from hospitals ... to nursing facilities. + Reviewing trial balances, financial statements, and client data ensuring accuracy and completeness of cost report. + Communicating directly… more
- Humana (Des Moines, IA)
- …Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
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