- Molina Healthcare (Des Moines, IA)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Des Moines, IA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Des Moines, IA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Des Moines, IA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Des Moines, IA)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Sedgwick (Des Moines, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- Trinity Health (Urbandale, IA)
- …clinical services. Serve on the Executive Team at the program level. Support Provider Relations activities, and provide input to the CPI Committee. Assume ... Trinity Health at Home (THAH) Mission, The Hospice Medical Director will be responsible for the overall medical direction...other meetings and staff in-services as needed. * Support Provider Relations activities to mentor physicians. * Provide… more
- Datavant (Des Moines, IA)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Merck (Des Moines, IA)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Des Moines, IA)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Des Moines, IA)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Nexstar Media Group (Des Moines, IA)
- …serves as the News Director in his/her absence. + Assists the News Director with management of all aspects of the News Department (other than Production.) ... The Assistant News Director assists the News Director with...Critiques newscasts daily to correct errors, improve coverage and provide mentoring feedback to news staff. + Assigns projects… more
- WesleyLife (Johnston, IA)
- …for growth and purpose. Come be a part of the revolution! **About the Role: Director of People and Culture** The Director of People & Culture holds a ... thrive. Reporting directly to WesleyLife's Chief Culture Officer, the Director will partner with leaders across the organization to...to influence change and improve processes or systems. + Provide ongoing support and mentorship to the People and… more
- Highmark Health (Des Moines, IA)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Molina Healthcare (Des Moines, IA)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Des Moines, IA)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- WM (Des Moines, IA)
- Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly ... industrial and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and… more
- Trinity Health (Urbandale, IA)
- …oversees medical direction for patient and family services, collaborates with the Executive Director and clinical team, and supports Provider Relations and CPI ... in verbal, written, and word processing communication + Time management and autonomous functioning + Commitment to THAH mission...and create medical policies and procedures + Maintain a network of physicians for hospice needs + Provide… more
- Evolent (Des Moines, IA)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- Hilton (Des Moines, IA)
- …team members and HWS Sales Specialists to drive total account value and provide total client solutions\. + Network with business decision\-makers and executives ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Group Sales\),you will support the team responsible… more