- Public Consulting Group (Des Moines, IA)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Prime Therapeutics (Des Moines, IA)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- WelbeHealth (Des Moines, IA)
- …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
- Elevance Health (West Des Moines, IA)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Elevance Health (West Des Moines, IA)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Elevance Health (West Des Moines, IA)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...: + Accounting degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Prime Therapeutics (Des Moines, IA)
- …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
- CenterWell (Des Moines, IA)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Molina Healthcare (Des Moines, IA)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1… more
- Public Consulting Group (Des Moines, IA)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Des Moines, IA)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Cardinal Health (Des Moines, IA)
- …particularly billing and collections. + Strong knowledge of the rules/regulations of Medicare/ Medicaid and other government payors, as well as commercial ... and coordinates the full cycle onboarding and enrollment into Medicaid , Medicare, and the commercial insurance plans. + Establish...Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental… more
- Molina Healthcare (Des Moines, IA)
- …managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting experience. * ... with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for… more
- Humana (Des Moines, IA)
- …and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians ... the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case...and unrestricted Registered Nurse (RN) license in the (appropriate state ) with no disciplinary action. + An active designation… more
- CVS Health (Des Moines, IA)
- …**Preferred Qualifications** + Experience working with healthcare payors and/or government programs such as Medicare and Medicaid + CPA License + SQL ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- Humana (Des Moines, IA)
- …requires US Citizenship + Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing) ... authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates...care delivery system + Knowledge of TRICARE policies and programs + Bachelor's degree **Additional Information** **Work Style** :… more
- UnityPoint Health (Des Moines, IA)
- …and Administrative Functions: * Maintain licensure * Maintain eligibility to bill for government payers (ie, not on the Medicaid /Medicare exclusion list.) * ... to announce openings for Licensed Mental Health Therapists at our brand-new, state -of-the-art behavioral health facility located in Des Moines, Iowa. This is a… more
- Evolent (Des Moines, IA)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Des Moines, IA)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more