- Molina Healthcare (IA)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Davenport, IA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (West Des Moines, IA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Des Moines, IA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Gentiva (Cedar Rapids, IA)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- Cardinal Health (Des Moines, IA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Des Moines, IA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- CVS Health (Des Moines, IA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role with the ... 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to travel nationally...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Des Moines, IA)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- Intermountain Health (Des Moines, IA)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- Humana (Des Moines, IA)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... cybersecurity programs, ensuring alignment with organizational security strategies. The IT Program Manager will collaborate closely with leaders to develop… more
- CVS Health (Des Moines, IA)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Trinity Health (Des Moines, IA)
- …position is remote. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... and do the right thing. **Position Purpose:** The Market Manager - Provider Relations and Network Development is responsible...Working knowledge of protocols and procedures of Centers for Medicare and Medicaid Services + Proven ability to work… more
- Aveanna Healthcare (Marion, IA)
- Home Health RN Assistant Clinical Manager ApplyRefer a FriendBack Job Details Requisition #: 204577 Location: Marion, IA 52302 Category: Nursing Salary: $70,000.00 - ... per year Position Details Position Overview TheHome Health RN Assistant Clinical Manager , will evaluate nursing activities to ensure patient care, staff relations,… more
- Prime Therapeutics (Des Moines, IA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Humana (Des Moines, IA)
- …and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and ... to drive enterprise-wide value. The IT **Infrastructure** Procurement Category Manager investigates available products, evaluates and recommends products based on… more
- CenterWell (Des Moines, IA)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and… more
- CenterWell (Des Moines, IA)
- …to execution, propose solutions, and drive results to meet organizational goals. Program Management & Delivery: + Oversee the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes. Collaboration… more
- Molina Healthcare (Iowa City, IA)
- …current plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with ... the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. **KNOWLEDGE/SKILLS/ABILITIES** +… more
- CenterWell (Cedar Rapids, IA)
- …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... Humana provides paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell Home Health:… more