- Molina Healthcare (Des Moines, IA)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- Molina Healthcare (IA)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Sevita (Des Moines, IA)
- …state government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. + Advocate on ... us today, and experience a career well lived. **Operations Management Executive Director ** **Must reside in the state of Iowa (Davenport, Cedar Rapids, Hiawatha,… more
- Hilton (Des Moines, IA)
- …be on our Development team who play a large part in driving Hilton's growth strategy through the addition of new hotels to our ever\-growing portfolio\! As a ... Director of Development, you will partner with owners and investors to grow our managed and franchised hotel estate and allow them to use our global expertise to… more
- Molina Healthcare (IA)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Molina Healthcare (Iowa City, IA)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education**… more
- Trinity Health (Des Moines, IA)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... **Employment Type:** Full time **Shift:** Rotating Shift **Description:** The Regional Director Pharmacy Business Operations / 340B is accountable for leading,… more
- Evolent (Des Moines, IA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- CenterWell (Des Moines, IA)
- …which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in effectively ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications + Ability… more
- Highmark Health (Des Moines, IA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Molina Healthcare (Des Moines, IA)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- Molina Healthcare (IA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- CVS Health (Des Moines, IA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health's… more
- Humana (Des Moines, IA)
- …Standard Time Zone** + Bachelor's Degree or 5+ years of Medicaid managed care , network contracting, network/provider operations, and/or provider relations ... Network Implementation) who is accountable for working with the Director , Network Implementations, Provider Strategy & Operations,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- RTX Corporation (Cedar Rapids, IA)
- …position will be based onsite in Cedar Rapids, IA and reports directly to the Director of Software Products for STS. **What you will do:** + Head a team responsible ... of new hires. + Interact with program management ensuring the scope is managed and staffing plans are achievable. + Actively manage staff loading ensuring firm… more