- Molina Healthcare (IA)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Davenport, IA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Cardinal Health (Des Moines, IA)
- …and internal customers + Create and complete applications for enrollment within program timeframes + Review forms and supporting documentation thoroughly for any ... correspondence when necessary to support the needs of the patient and/or program + Maintain accurate and detailed activity notes. + Complete benefit investigations… more
- Gentiva (Cedar Rapids, IA)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- Trinity Health (West Des Moines, IA)
- …basics of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance. Utilizes online program for Medicare compliance, ... physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent… more
- Cardinal Health (Des Moines, IA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Des Moines, IA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role with the ... 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to travel nationally...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Des Moines, IA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- Humana (Des Moines, IA)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- CenterWell (Des Moines, IA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more