- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Director Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4995908) Medicaid Director Salary $152,859.20 - $217,172.80 Annually ... Department's Director , who serves on Governor Reynolds' Cabinet, Iowa's State Medicaid Director is a key member of the Iowa HHS Executive Team, responsible… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director the Medicaid Research Data and Analytics Manager is a ... Medicaid Research Data & Analytics Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4950824) Medicaid Research Data & Analytics Manager… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Medicaid Chief Medical Officer is a key member ... Medicaid Chief Medical Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949306) Medicaid Chief Medical Officer Salary $118,414.40 -… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Chief Financial Officer is a key member of the ... Medicaid Finance Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949325) Medicaid Finance Officer Salary $130,083.20 - $184,724.80… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success ... in Medicaid , CHIP, DSNP, and Marketplace procurements. Reporting to the...ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... of value-based care (VBC) programs across all lines of business- Medicaid , Medicare, and Marketplace. This role is critical in...with quality outcomes, health equity, and cost-effective care. The Director will serve as the enterprise lead for VBC… more
- Molina Healthcare (Des Moines, IA)
- …improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... Medicaid , NCQA and other regulatory requirements. + Reviews quality...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Des Moines, IA)
- …part of our caring community and help us put health first** The Clinical Director is a key member of the regional clinical leadership team responsible for executing ... MN, ND, SD) **Clinical Strategy Execution & Provider Engagement** The Clinical Director will partner with provider leadership by: * Developing and maintaining strong… more
- Evolent (Des Moines, IA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical leadership team, providing ... + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Sanofi Group (Des Moines, IA)
- **Job Title:** Regional Account Director , IA-IL **Location:** Remote/Field Based **About the Job** The Regional Account Director reports to the Regional Accounts ... specialty pharmacies, Regional PBMs, targeted ACO, targeted IDNs, MACs and state Medicaid agencies, to achieve and maintain open and appropriate access to all… more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director ... client services experience in healthcare or pharmacy benefit management, preferably in Medicaid . + 5 years of leadership / people management experience. + Must… more
- CVS Health (Des Moines, IA)
- …Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… more
- Evolent (Des Moines, IA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Des Moines, IA)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- Director , Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director , Field ... and risk management Preferred Skills + Comprehensive knowledge of Medicare, Medicaid , and commercial insurance reimbursement regulations + Experience with specialty… more