• Managed Care Team Lead

    UnityPoint Health (Dubuque, IA)
    …mother/baby settings where applicable. In the ambulatory setting, accountability is to team members in the System Services- Care Coordination department. + ... + Establishes effective communication processes for internal and external leaders and care teams. + Develops and retains team members, ensuring resources… more
    UnityPoint Health (09/09/25)
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  • Lead Analyst, Healthcare Analytics-…

    Molina Healthcare (Sioux City, IA)
    …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... analytic / programming tools. + Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring… more
    Molina Healthcare (09/11/25)
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  • Vendor Managed Inventory Specialist

    MSC Industrial Supply Co. (Des Moines, IA)
    …solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending solution equipment to company standards. + Recommend ... Location :** Des Moines, IA **BRIEF POSITION SUMMARY:** The **_Vendor Managed Inventory (VMI) Specialist_** ensures customer satisfaction through solutions by… more
    MSC Industrial Supply Co. (07/23/25)
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  • Medicaid State Technology Lead

    Humana (Des Moines, IA)
    …policy administration or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or ... and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to… more
    Humana (09/03/25)
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  • Insurance Strategy Lead

    Humana (Des Moines, IA)
    …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... member with meaningful strategy consulting or healthcare strategy experience to join this team . As an Insurance Strategy Lead , you will directly contribute to… more
    Humana (09/12/25)
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  • Lead Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (Sioux City, IA)
    …**N** **C** **E:** + 3+ years of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA. **PR** **E** ... for HEDIS projects, HEDIS like projects and supplemental data collection. The lead abstraction team will meet chart abstraction productivity standards, minimum… more
    Molina Healthcare (08/08/25)
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  • Lead Medicaid Actuary (Manager)

    Humana (Des Moines, IA)
    …key workstreams are meeting timelines and that work is properly balanced among team members. The Lead Actuary will exercise independent judgment and decision ... caring community and help us put health first** The Lead Actuary provides support across a broad range of...diverse scope and complexity. They will develop and maintain team best practices such as peer review and documentation.… more
    Humana (08/27/25)
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  • Lead Analyst, Configuration Oversight…

    Molina Healthcare (Des Moines, IA)
    …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations… more
    Molina Healthcare (07/24/25)
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  • Medical Director - Care Plus - Florida

    Humana (Des Moines, IA)
    …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (09/04/25)
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  • RN, Care Coordination

    Trinity Health (Davenport, IA)
    …Preferred: Certification in Case Management, Professional Utilization Review or Managed Care ; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria ... team to ensure patient needs are met and care delivery is coordinated across the continuum, as well...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
    Trinity Health (09/12/25)
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