- Molina Healthcare (Iowa City, IA)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Sioux City, IA)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Des Moines, IA)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Molina Healthcare (Sioux City, IA)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Baylor Scott & White Health (Des Moines, IA)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to… more
- Access Dubuque (Dubuque, IA)
- Pharmacy Underwriting Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3804196 Posted On 01/02/2026 **Job Overview** **Position Overview:** The ... Underwriting Analyst is a strategic team member that is key...cost, as well as MedOne's profitability. + Analyze pharmacy claims data and develop reports for operations, sales and… more
- Humana (Des Moines, IA)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Norstella (Des Moines, IA)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Molina Healthcare (Des Moines, IA)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Iowa City, IA)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...techniques to determine significance and relevance + Assist with research , development and completion of special projects as requested… more
- Highmark Health (Des Moines, IA)
- …or escalated inquiries. + **Evidence-Based Clinical Criteria Writing:** Research , analyze, and synthesize clinical literature, professional society guidelines, ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims , clinical, utilization, pharmaceutical) to inform policy development, identify… more
- Molina Healthcare (Iowa City, IA)
- Ideal Candidate would work remotely but reside in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, ... and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop… more
- Highmark Health (Des Moines, IA)
- …analysis of varied and multilevel data in exploratory, evaluative, and research -adjacent analytic work, and development of insights that inform program design ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- Highmark Health (Des Moines, IA)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more
- Iowa Department of Administrative Services (Ames, IA)
- …see how you can contribute to our mission as an Equipment Specification Analyst ! Location : Ames Shift Requirements : 7:00-3:30 M-F, Schedule has some flexibility; ... some travel required. As an Equipment Specification Analyst your duties will include, but are not limited to: + Develop Equipment Specifications:Prepare technical… more