- Molina Healthcare (Davenport, IA)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Sioux City, IA)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Evolent (Des Moines, IA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Des Moines, IA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Des Moines, IA)
- …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Des Moines, IA)
- …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Accura Healthcare (Eagle Grove, IA)
- Rotary Senior Living is hiring a Director of Nusing to support our skilled nursing facility. Explore what joining a senior -living organization with strong ... salary with bonus potential, starting at $100,000 + Excellent medical , dental, vision, 403 (b) and ancillary benefits ABOUT...403 (b) and ancillary benefits ABOUT OUR COMMUNITY: Rotary Senior Living is a Continuing Care Retirement Community (CCRC)… more
- Baylor Scott & White Health (Des Moines, IA)
- … senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more
- Accura Healthcare (Creston, IA)
- Accura HealthCare of Creston has an opportunity to welcome a dedicated Director of Nursing (DON) to join our team! We're seeking a skilled and compassionate clinical ... Our ideal DON candidate is a registered nurse with leadership experience within senior living and/or an industry-experienced nurse who is ready to elevate their… more
- Accura Healthcare (Anita, IA)
- Caring Acres Nursing and Rehab has an opportunity to welcome a dedicated Director of Nursing (DON) to join our team! We're seeking a skilled and compassionate ... Our ideal DON candidate is a registered nurse with leadership experience within senior living and/or an industry-experienced nurse who is ready to elevate their… more