- Fujifilm (Des Moines, IA)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Molina Healthcare (Davenport, IA)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Des Moines, IA)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Travelers Insurance Company (Des Moines, IA)
- …to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist , has the ability to handle the most complex ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Access Dubuque (Dubuque, IA)
- … package, training, and a competitive salary. Primary Contact 114365 Matt Hostert Senior Recruiting Specialist , Human Resources ###, ext. 2564 Phone Phone Phone ... Therapist - PRN Unified Therapy Services Strategic Account Executive MedOne Pharmacy Benefit Solutions Customer Care Specialist Flexsteel Industries, Inc CNC… more
- Air National Guard Units (Sioux City, IA)
- …LOCATION: 185th ARW, Sioux City, Iowa Responsibilities As a SUPV IT SPECIALIST (PLCYPLN), GS-2210-12 your duties are below: Analyzes requirements and establishes ... and objectives, an assessment of available resources, and extrapolation of cost benefit analysis data, recommends adjustments to IT priorities to meet changing… more
- Highmark Health (Des Moines, IA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Access Dubuque (Dubuque, IA)
- Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3206644 Posted On 04/17/2025 Refreshed On 05/18/2025 **Job Overview** **Position ... Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data, delivers financial reconciliations, and develops pricing models to… more
- United Therapeutics (Des Moines, IA)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Des Moines, IA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more