- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Des Moines, IA)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Molina Healthcare (Des Moines, IA)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Humana (Des Moines, IA)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Des Moines, IA)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- Avera (Des Moines, IA)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
- Cardinal Health (Des Moines, IA)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Humana (Des Moines, IA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Humana (Des Moines, IA)
- …ensure medical documentation and coding are precise, compliant, and support optimal reimbursement . This is an exciting opportunity to apply your advanced technical ... Applies clinical and coding experience to conduct reviews of provider codes and billing. + Decisions are typically related...or more years of clinical RN experience in a hospital setting. + 3 or more years of experience… more
- UnityPoint Health (West Des Moines, IA)
- …to learn and level of comprehension. . Consults appropriate resources within the hospital to provide specialized education. . Demonstrates knowledge that patient ... Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance...providing appropriate teaching and making the necessary referrals to provide continuity of care. . Develops an individual plan… more
- UnityPoint Health (West Des Moines, IA)
- …to learn and level of comprehension. . Consults appropriate resources within the hospital to provide specialized education. . Demonstrates knowledge that patient ... Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance...providing appropriate teaching, and making the necessary referrals to provide continuity of care. . Assists the physician with… more
- UnityPoint Health (West Des Moines, IA)
- …four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow ... requirements within the designated time frame. + Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (eg… more
- UnityPoint Health (Grimes, IA)
- …controls, threat intelligence, and security alerts. The CE Security Engineer will provide centralized knowledge, expertise and support for the delivery of CE-IT ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more