- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a ** Claim Analyst 3 ** on...customer service skills to assist with our client's disability claims - all during a time in which they ... manage, and make appropriate and accurate decisions on Life and/or Disability claims in accordance to policy and state/federal law and regulations. Mentor, counsel,… more
- Molina Healthcare (Iowa City, IA)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... claims function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience,...claims processing experience across multiple states, markets, and claim types. * Knowledge of claims processing… more
- RxBenefits (Des Moines, IA)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL...gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5163273) Apply Insurance Complaint Analyst Salary $62,337.60 - ... The Iowa Insurance Division is seeking a highly motivated analyst to join our Market Regulation Bureau. This crucial...dishonest market conduct. If you have experience in insurance claim operations, or other policy and consumer facing operations,… more
- Highmark Health (Des Moines, IA)
- …rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the ... **EXPERIENCE** **Required** + **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in… more
- Humana (Des Moines, IA)
- …first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the ... seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily...years of data analysis experience OR Master's degree and 3 + years of data analysis experience + 2+ years'… more
- Molina Healthcare (Des Moines, IA)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data ... decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other… more
- Highmark Health (Des Moines, IA)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 - 5 years in the ... Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process… more
- Prime Therapeutics (Des Moines, IA)
- …analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** ** 3 years of experience ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- Highmark Health (Des Moines, IA)
- …**Substitutions** + None **Preferred** + Bachelor's Degree **EXPERIENCE** **Required** + 1 - 3 years of experience in a Business Analyst or Business Process ... Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health Insurance Industry… more
- Molina Healthcare (Iowa City, IA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...and R programming would be an added advantage. + 3 + years of experience with Microsoft Azure, AWS, or… more
- Highmark Health (Des Moines, IA)
- …interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may ... Diploma/GED **Substitutions** + None **Preferred** + None **EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the area of specialization.… more