• Sr. Medical Analyst , RWD

    Norstella (Des Moines, IA)
    Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
    Norstella (10/28/25)
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  • Senior Analyst , Investigations

    CVS Health (Des Moines, IA)
    …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding, and regulatory frameworks. + Excellent ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Investigations at Aetna International plays a pivotal role in safeguarding the… more
    CVS Health (11/26/25)
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  • Clinical Research Analyst , Senior - Remote

    Prime Therapeutics (Des Moines, IA)
    …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
    Prime Therapeutics (11/25/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Des Moines, IA)
    …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking… more
    CVS Health (11/27/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Des Moines, IA)
    **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring… more
    Intermountain Health (11/18/25)
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  • Market Regulation Investigator - Insurance…

    Iowa Department of Administrative Services (Des Moines, IA)
    …Regulation Investigator - Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5138436) Apply  Market Regulation ... Investigator - Insurance Complaint Analyst Salary $62,337.60 - $96,699.20 Annually Location Des Moines...certification(s) (eg, Certified Insurance Fraud Investigator (CIFI), * Fraud Claim Law Associate (FCLA), Senior Claim Law… more
    Iowa Department of Administrative Services (11/11/25)
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  • Senior Analyst , Business

    Molina Healthcare (Iowa City, IA)
    …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
    Molina Healthcare (11/14/25)
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  • Lead Analyst , Performance Analytics

    Evolent (Des Moines, IA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
    Evolent (11/12/25)
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  • Sr. Medicare (PPS) Provider Hospital Reimbursement…

    Humana (Des Moines, IA)
    …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
    Humana (10/18/25)
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  • Actuarial Analyst II

    Elevance Health (West Des Moines, IA)
    **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
    Elevance Health (11/22/25)
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