- Highmark Health (Des Moines, IA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Cognizant (Des Moines, IA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... engagement, leading teams, and delivering contextual solutions that address complex business challenges. You will be a valued member of our consulting team and work… more
- Rocket Software (Des Moines, IA)
- …where people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both ... and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas'… more
- CVS Health (Des Moines, IA)
- …a number of internal and external stakeholders that rely on the team's analyses and business expertise. The Sr. Analyst Business Consultant will use data and ... Reporting & Analysis: + Develop and maintain regular reporting on revenue, claims analysis, utilization, and drivers; researching any anomalies. + Provide support… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...to the quantification of medical interventions. * Collaborates with business owners to track key performance indicators of medical… more
- Molina Healthcare (Iowa City, IA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …so that others can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments ... : Planning + Leads demand planning meetings with internal business partners (Marketing, Finance, Channel Strategy, etc.) gathering total...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Des Moines, IA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate to ... senior employees and their families employed by a leading...Liaising with healthcare providers. + Submitting and tracking out-of-network claims . + Managing administrative processes such as pre-authorizations and… more
- Molina Healthcare (Iowa City, IA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more