- iCIMS (Des Moines, IA)
- …of their iCIMS investment. **About Us** When you join iCIMS, you join the team helping global companies transform business and the world through the power of ... companies build a diverse, winning workforce and about building our home team . We're dedicated to fostering an inclusive, purpose-driven, and innovative work… more
- Trinity Health (Des Moines, IA)
- …UM Lead is responsible for overseeing day-to-day activities within the Utilization Management (UM) department, including staffing, assignment management , ... policies to ensure adherence. **Minimum Qualifications:** + Comprehensive knowledge of Utilization Management , typically gained through a bachelor's degree in… more
- Highmark Health (Des Moines, IA)
- …This role supports the full application product lifecycle for **clinical and utilization management software** , with a specific focus on driving ... They function as a pivotal bridge, translating high-level **clinical and utilization management software** business needs into detailed technical requirements… more
- Parexel (Des Moines, IA)
- …supporting medical affairs with innovative solutions. We are seeking a dynamic and experienced Data Management Lead to join our team . If you have a passion ... **Job Title:** Data Management Lead (Medical Affairs) - Oncology... Leadership:** + Manage and coordinate the integration and utilization of all ancillary systems. + Highlight issues/risks to… more
- Highmark Health (Des Moines, IA)
- …supporting, and optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application, solution, ... and AI integration, extending this strategic oversight across **all clinical and utilization management applications** . This involves ensuring the completeness… more
- Capital One (Des Moines, IA)
- …GDPR, CCPA). + Optimization: Proactively identify opportunities to improve platform utilization , workflow automation, lead scoring, and campaign execution ... ecosystem (CRM, Sales Tech, Data Warehouse, etc.). + Budget Management : Own and manage the MarTech budget, vendor relationships,...efficiency. 3. Leadership, Team & Governance + Team Leadership: Build, mentor, and lead a… more
- Highmark Health (Des Moines, IA)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... experiences with care delivery. The incumbent will also act as a clinical lead and expert on various workgroups, ensuring policies are grounded in strong clinical… more
- Molina Healthcare (Des Moines, IA)
- …training as required. Stay current with industry regulation changes and educate the team and management as necessary. + Track, Facilitate and Manage changes ... **Job Description** **Job Summary** The Lead , Risk Adjustment - Predictive Analytics role supports...complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 5+ Years… more
- Sharecare (Des Moines, IA)
- …authorization, company policies, and HIPAA regulations. This role also provides support to team members and management by serving as a subject matter expert, ... trainer, and escalation point. The Lead plays a key role in ensuring high-quality output...able to work independently or as part of a team + Proven ability to maintain productivity, utilization… more
- Vontier (Des Moines, IA)
- …implementing FPP (80/20) behavior, and serves as a liaison between the General Management team and our various internal stakeholders (Operations, Finance, etc.). ... solution and product performance within Indoor Retail through advanced P&L management , prioritization and execution of new product implementation into our factories,… more
- UKG (Des Moines, IA)
- …way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. **About ... the Team ** The Enterprise Solutions & Experience (ESE) organization,...by our CIO, drives UKG's enterprise transformation. The Value Management Office (VMO), under the VP of IT Strategy… more
- Western Digital (Des Moines, IA)
- … lead time and process efficiency through data analytics, automated tool utilization and robust data management + Build communications, training plans and ... procedures are updated accordingly. + Partner with the legal team to understand the regulatory changes that impact business...finish + Bachelor's/Master's degree + Knowledge of Global Trade Management system is a definite plus + Is a… more
- Humana (Des Moines, IA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Datavant (Des Moines, IA)
- …data into clear, actionable insights for decision-makers. _Team Leadership & Development_ + Lead , mentor, and develop a team of managers, supervisors, analysts, ... care. By joining Datavant today, you're stepping onto a high-performing, values-driven team . Together, we're rising to the challenge of tackling some of healthcare's… more
- Concentrix (Des Moines, IA)
- …(https://jobs.concentrix.com/) "Job Details **Director, Account Management ** Account Management (https://jobs.concentrix.com/job-search/?category=Account ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external\_global/job/USA-Work-at-Home/Director--Account- Management \_R1676422-1/apply?1=1) **Summary** Director, Account Management , Mobility Sector… more
- Humana (Des Moines, IA)
- …+ Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard ... hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review… more
- Prime Therapeutics (Des Moines, IA)
- …business operations are aligned with expectations of applicable regulatory guidance + Lead project management efforts for highly sensitive Compliance initiatives ... notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization,… more
- RxBenefits (Des Moines, IA)
- …channel management , B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, ... hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team . The Analyst will work closely with our Business Development team to… more
- Highmark Health (Des Moines, IA)
- …+ Project Management + Execute all facets of the Informatics project management process and lead multiple project managers. + Independently complete problem ... liaison, bridging the gap between business needs and the analytical technology team . The Senior Decision Support Consultant will leverage technical, analytical, and… more
- Oracle (Des Moines, IA)
- …services, and third-party partners to drive Oracle Cloud adoption efforts. Cross functional team management experience is a must. + Excellent written and verbal ... release cycles, business enhancements and production break-fix solutions. + Lead and oversee end to end SDLC process from...design, build, testing and deployment. + Works closely with management - Portfolio Manager and the roles within the… more
