- 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
- Highmark Health (Des Moines, IA)
- …terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience… more
- Cognizant (Des Moines, IA)
- … 3 +years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience ... IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business… more
- Highmark Health (Des Moines, IA)
- …Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data relevant to the handling of ... all types of complex adjusted claims ; conducting reviews of all organizational or functional activities...remediation and Regulatory and legal guidelines. In addition, the Analyst will identify potential areas of processing vulnerability through… more
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Robert Half Technology (West Des Moines, IA)
- …mathematical concepts and calculations to support analyses and reporting. Requirements * Minimum of 3 years of experience as a Business Analyst or in a related ... Description We are looking for an experienced Business Analyst to join our team in West Des...tools, including requirements gathering and documentation. * Experience with claim administration, annuities, and related business processes. * Excellent… more
- Valvoline Global (IA)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... solutions. **How You'll Make an Impact** The **IT Business Analyst I** , Salesforce will serve as an IT...1. Ensure daily operations remain stable by providing Tier 3 technical support for the Valvoline Salesforce.com platform and… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems Analyst ... of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,...outside of Prime's core hours of 9:00 am - 3 :00 pm + Constantly required to sit, use hands… more
- Evolent (Des Moines, IA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using data to identify ... problems that align with key strategic objectives **Qualifications - Required and Preferred:** + 3 or more years of **advanced** experience using SQL Must be able to… more
- Highmark Health (Des Moines, IA)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Pittsburgh will be required to work in the office 3 days per week, as determined by business needs....a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative,… more
- Aegon Asset Management (Cedar Rapids, IA)
- …annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3 ) Financial Assets, which includes legacy blocks of long term care, ... upon assigned compliance functions and may include contract development, claims , underwriting, legal research, fraud or anti-money laundering investigations and/or… more
- CVS Health (Des Moines, IA)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) ... clients win, in a competitive marketplace. **Required Qualifications** + 3 or more years financial analysis, pricing, or corporate...of PBM finance + Experience managing complex projects over 3 -12 months in a matrix environment + Ability to… more
- Molina Healthcare (Iowa City, IA)
- …staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory ... Math, Computer Science, Information Systems, or related field **Required Experience** + 3 years management or team leadership experience + 10 years' work experience… more
- Air National Guard Units (Sioux City, IA)
- …in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer ... of Education for Specialized Experience - Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to a Ph.D.… more
- Air National Guard Units (Des Moines, IA)
- …in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer ... degree may be substituted. At the GS-11 level, a Ph.D. or equivalent, or 3 years of progressively higher level graduate education leading to such a degree.… more