- Cardinal Health (Des Moines, IA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (West Union, IA)
- …until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like ... JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face… more
- Molina Healthcare (Des Moines, IA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- CVS Health (Des Moines, IA)
- …License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Molina Healthcare (Iowa City, IA)
- …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... transportation. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
- Molina Healthcare (Cedar Rapids, IA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Fort Dodge, IA)
- …Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + ... 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience working with population who receive… more
- Highmark Health (Des Moines, IA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Mom's Meals (Ankeny, IA)
- …channel growth through continued development of relationships at Medicare Advantage (MA) Managed Care Plans. The position will concentrate on expanding knowledge ... Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage...5+ years' healthcare sales experience in areas such as managed care , long-term care , home… more
- Access Dubuque (Dubuque, IA)
- …+ At least 2 years' experience in a client facing or consultative role within the managed care or PBM setting + Must be a strong communicator with the ability ... Clinical Account Manager **MedOne Pharmacy Benefit Solutions** 1 Positions ID:...of the PBM industry, formulary management, pharmacy claims and managed care principles and practices + Residency… more