- Molina Healthcare (Sioux City, IA)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- Molina Healthcare (Cedar Rapids, IA)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Davenport, IA)
- **Job Description** **Job Summary** Leads and directs Molina Medicare segment leaders who are responsible for the development and administration of Medicare ... **Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function… more
- Molina Healthcare (Sioux City, IA)
- …abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic ... Program Management professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership… more
- Molina Healthcare (IA)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- Prime Therapeutics (Des Moines, IA)
- …drives every decision we make. **Job Posting Title** Clinical Account Director Remote **Job Description** **This is an Individual Contributor/Client Facing Role.** ... The Clinical Account Director is responsible for the management of all client's...&Therapeutics (P&T) or business committee decision making and implementation, oversight of formulary publications, oversight of formulary… more
- Access Dubuque (Dubuque, IA)
- Director of Revenue Cycle **Medical Associates** 1 Positions ID: ok8hxfw0 Posted On 08/15/2025 **Job Overview** **Description** Medical Associates is looking for a ... talented leader to fill our ** Director of Revenue Cycle** on our leadership team! **Skills...Insurance, etc. **Major Responsibilities:** + Maintain thorough knowledge of Medicare , Medicaid, and other third party payor regulations, ensuring… more
- Humana (Des Moines, IA)
- …and other data to provide accurate and timely information for strategic and operational decisions. The Director , Financial Planning & Analysis requires an ... **Become a part of our caring community and help us put health first** The Director , Financial Planning & Analysis analyzes and forecasts financial, economic,… more
- Molina Healthcare (Cedar Rapids, IA)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Gentiva (Des Moines, IA)
- …Do you thrive in a leadership role that blends clinical excellence with strategic oversight ? If so, you could be the next Hospice Patient Care Manager Senior on ... Patient Care Manager Senior, You Will:** * Report directly to the Executive Director or Administrator * Lead and support a high-performing hospice program, ensuring… more