• Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Des Moines, IA)
    …access, billing, and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Des Moines, IA)
    …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... education opportunities for peers. + Extensive knowledge of medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
    CVS Health (08/24/25)
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  • Compliance, Privacy, and Contract Manager

    Access Dubuque (Dubuque, IA)
    …regulations/requirements. + Provide compliance review of federal, state, Center for Medicare and Medicaid Services (CMS) and Department of Insurance (DOI) ... issues affecting the healthcare industry, including but not limited to Medicare Cost Plan requirements, Commercial Health Plans, Clinical Quality, Pharmacy and… more
    Access Dubuque (08/20/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Des Moines, IA)
    …Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
    Highmark Health (07/29/25)
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