- Hartford Steam Boiler Inspection and Insurance Company (Des Moines, IA)
- Specialty Claims Associate **Company** HSB **Location** Des Moines , United States Location: Remote, USA Job Description: Manage specialty claims ... future. Provide customers with high quality service consistent with established claims management standards. Manage desk while balancing priorities to demonstrate… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …for diverse stakeholders (HCPs, large healthcare organizations, payers, and specialty providers. + Experience with value-based sales models, including ... billing, coding, and reimbursement models particularly in digital health or specialty healthcare settings. + Entrepreneurial, business development mindset, with the… more
- Evolent (Des Moines, IA)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, ... Specialty Operations) and external partners, delivering analyses that drive...Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost… more
- Travelers Insurance Company (Des Moines, IA)
- …$144,400.00 **Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Molina Healthcare (IA)
- …applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Travelers Insurance Company (Des Moines, IA)
- …- $175,400.00 **Target Openings** 1 **What Is the Opportunity?** Travelers Bond & Specialty Insurance (B&SI) is looking for a skilled actuarial practitioner to join ... will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate...Have?** + **College degree in STEM related field.** + ** Associate Actuarial Credential preferred.** + **Strong PC skills (MS… more
- Evolent (Des Moines, IA)
- …testing in the healthcare ecosystem requires complete end to end testing in the specialty domain. Test data is analyzed to inform decision makers. Data is reported ... the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Michaels (Carpenter, IA)
- …harassment, or retaliation, wrongful termination, accommodation issues, ADA matters, associate relations issues, Department of Labor audits, etc. Regular duties ... including discovery, responding to, managing, and assisting with administrative claims and representing Michaels in mediations and administrative hearings.… more
- Humana (Des Moines, IA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and… more
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