- State of Iowa (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Chief Financial Officer is a key member of the ... Number: 25-03162 Agency: 400 Health & Human Services - Medicaid Opening Date: 05/21/2025 Closing Date: 8/6/2025 11:59 PM...Medicaid leadership team. In year two of a significant… more
- Healogics (Des Moines, IA)
- …patient care quality improvement. This position works in collaboration with the Program Director and the Medical Director to meet the Center's program objectives ... state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. This is a...providers, key hospital personnel, Wound Care Center Providers, Program Director , and Medical Director regarding clinical and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Director Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4995908) Medicaid Director Salary $152,859.20 - $217,172.80 Annually ... Department's Director , who serves on Governor Reynolds' Cabinet, Iowa's State Medicaid Director is a key member of the Iowa HHS Executive Team, responsible… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director the Medicaid Research Data and Analytics Manager is a ... Medicaid Research Data & Analytics Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4950824) Medicaid Research Data & Analytics Manager… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Medicaid Chief Medical Officer is a key member ... Medicaid Chief Medical Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949306) Medicaid Chief Medical Officer Salary $118,414.40 -… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success ... in Medicaid , CHIP, DSNP, and Marketplace procurements. Reporting to the...ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business… more
- Humana (Des Moines, IA)
- …Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical ... policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Molina Healthcare (Des Moines, IA)
- …standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and training of… more
- Molina Healthcare (Des Moines, IA)
- …improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... Medicaid , NCQA and other regulatory requirements. + Reviews quality...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Evolent (Des Moines, IA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical leadership team, providing ... + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Humana (Des Moines, IA)
- …are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise ... health outcomes for some of our most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for… more
- CVS Health (Des Moines, IA)
- …Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… more
- Evolent (Des Moines, IA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Des Moines, IA)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
