• Medicaid Billing Specialist

    Accura Healthcare (West Des Moines, IA)
    …flow and maintenance of all required information and procedures. Therefore, ideally a Business Office Manager, within senior living, would be an ideal candidate ... considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join...experience is beneficial. + Associates degree in accounting or business is preferred. + Proficient in Microsoft Office… more
    Accura Healthcare (11/18/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Iowa City, IA)
    …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Des Moines, IA)
    …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response. * Meets claims production standards set… more
    Molina Healthcare (11/21/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Des Moines, IA)
    …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...outbound calls to qualified members across all lines of business to review the benefits of the MTM program.… more
    Prime Therapeutics (10/31/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (IA)
    …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... and cost-effective member care. This position will support our Corporate Compliance business . The candidate must have an unrestricted LVN licensure. Candidates must… more
    Molina Healthcare (11/13/25)
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  • Senior Clinical Pharmacist - Pipeline

    Humana (Des Moines, IA)
    …well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, including ... residency or similar pharmacy practice experience + Board Certified Pharmacotherapy Specialist (BCPS) + MBA, pharmacoeconomics or health outcomes training + An… more
    Humana (11/20/25)
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  • Certified Medical Assistant

    UnityPoint Health (Clarence, IA)
    …. Responsible for tracking system for follow-up appointments related to office visits, laboratory tests and procedures to regularly follow patients monitoring ... disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions needed for… more
    UnityPoint Health (11/20/25)
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  • Cath Lab Technologist

    UnityPoint Health (West Des Moines, IA)
    …policies and procedures and safety guidelines. . Demonstrates ability to meet business needs of department with regular, reliable attendance. . Employee maintains ... compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns… more
    UnityPoint Health (09/19/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Des Moines, IA)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
    Evolent (10/29/25)
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  • Specialty Medical Coder- REMOTE (Must Live In WI,…

    TEKsystems (West Des Moines, IA)
    Description Will be a 6-9 month set contract need to support automation within the business office . Contract needs may extend longer. Must live in- Iowa, Quad ... Internal Medicine coding experience is relatable to all roles Coding Specialist II reviews inpatient and outpatient medical records for documentation, abstracting… more
    TEKsystems (11/25/25)
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