- Trinity Health (Des Moines, IA)
- …UM Lead is responsible for overseeing day-to-day activities within the Utilization Management (UM) department, including staffing, assignment management , ... policies to ensure adherence. **Minimum Qualifications:** + Comprehensive knowledge of Utilization Management , typically gained through a bachelor's degree in… more
- CenterWell (Des Moines, IA)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Inc., we want to help people everywhere, including our team members, lead their best lives. We...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Parexel (Des Moines, IA)
- …supporting medical affairs with innovative solutions. We are seeking a dynamic and experienced Data Management Lead to join our team . If you have a passion ... **Job Title:** Data Management Lead (Medical Affairs) - Oncology... Leadership:** + Manage and coordinate the integration and utilization of all ancillary systems. + Highlight issues/risks to… more
- Highmark Health (Des Moines, IA)
- …supporting, and optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application, solution, ... and AI integration, extending this strategic oversight across **all clinical and utilization management applications** . This involves ensuring the completeness… more
- Capital One (Des Moines, IA)
- …GDPR, CCPA). + Optimization: Proactively identify opportunities to improve platform utilization , workflow automation, lead scoring, and campaign execution ... ecosystem (CRM, Sales Tech, Data Warehouse, etc.). + Budget Management : Own and manage the MarTech budget, vendor relationships,...efficiency. 3. Leadership, Team & Governance + Team Leadership: Build, mentor, and lead a… more
- Highmark Health (Des Moines, IA)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... experiences with care delivery. The incumbent will also act as a clinical lead and expert on various workgroups, ensuring policies are grounded in strong clinical… more
- Molina Healthcare (Iowa City, IA)
- …training as required. Stay current with industry regulation changes and educate the team and management as necessary. + Track, Facilitate and Manage changes ... **Job Description** **Job Summary** The Lead , Risk Adjustment - Predictive Analytics role supports...complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 5+ Years… more
- Sharecare (Des Moines, IA)
- …authorization, company policies, and HIPAA regulations. This role also provides support to team members and management by serving as a subject matter expert, ... trainer, and escalation point. The Lead plays a key role in ensuring high-quality output...able to work independently or as part of a team + Proven ability to maintain productivity, utilization… more
- Vontier (Des Moines, IA)
- …implementing FPP (80/20) behavior, and serves as a liaison between the General Management team and our various internal stakeholders (Operations, Finance, etc.). ... solution and product performance within Indoor Retail through advanced P&L management , prioritization and execution of new product implementation into our factories,… more
- UKG (Des Moines, IA)
- …way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. **About ... the Team ** The Enterprise Solutions & Experience (ESE) organization,...by our CIO, drives UKG's enterprise transformation. The Value Management Office (VMO), under the VP of IT Strategy… more
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