- 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 Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Molina Healthcare (Davenport, IA)
- …when providers have issues or complaints (eg claims and encounter data, eligibility, reimbursement , and provider website). * Serves as a resource to support ... government-sponsored health plans. * Experience with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare… more
- Humana (Des Moines, IA)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Molina Healthcare (Iowa City, IA)
- …care needs of Molina membership. * Develops and maintains a standard provider reimbursement strategy consistent with reimbursement tolerance parameters ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services,...providers who: * Are aligned with our mission to provide quality health services to financially vulnerable families and… 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
- Molina Healthcare (Sioux City, IA)
- …subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, ... (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS… more
- UnityPoint Health (Anamosa, IA)
- …Time working 48 hours per pay period + Job ID: 170618 Overview Assist provider and other clinical staff with obtaining basic vital information preparing patient for ... referrals for patients with specialist or outpatient as requested by the provider . Complete appropriate forms or requisitions needed for referrals or lab testing,… more
- UnityPoint Health (Cedar Rapids, IA)
- …care appropriately based on clinical assessment and within scope of practice of provider receiving assignment both in transport and hospital settings. + Assesses ... to learn and level of comprehension. + Consults appropriate resources within the hospital to provide specialized education. + Demonstrates knowledge that patient… more
- UnityPoint Health (Des Moines, IA)
- …and across the continuum of care to develop and implement a plan to provide coordinated care to improve outcomes for our transplant patients. The financial navigator ... may be available based on the patient's individual situation. Determines Medicaid , Marketplace, other Community Resources, or UPH Financial Assistance Program as… more
- UnityPoint Health (Cedar Rapids, IA)
- …productive and timely manner. + Communicates effectively with departmental staff, other hospital staff and customers to provide timely service, accurate ... as a certified pharmacy technician with the Iowa Board of Pharmacy. The hospital pharmacy is a fast-paced, team-oriented environment with ample variety and learning… more
- UnityPoint Health (Anamosa, IA)
- …care delivery and outcomes. Works with internal and external agencies to provide safe/optimal transitions. Why UnityPoint Health? At UnityPoint Health, you matter. ... 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
- Molina Healthcare (Iowa City, IA)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Access Dubuque (Dubuque, IA)
- Risk Management and Accreditation Program Manager **UnityPoint Health Finley Hospital ** 1 Positions ID: 46473897 Posted On 11/25/2025 Refreshed On 12/26/2025 **Job ... 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
- UnityPoint Health (Cedar Rapids, IA)
- …+ Provides therapeutic equipment teaching + Consults appropriate resources within the hospital to provide specialized education. + Demonstrates knowledge that ... Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance...job in an ethical manner in support of the hospital 's commitment to ethical behavior in all areas of… 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
- UnityPoint Health (Waterloo, IA)
- …of the Market Leadership team, the Market Chief Medical Officer (CMO) leads clinical/ provider performance for the market. This role aligns and maximizes provider ... Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance...the Market for the implementation of patient care and provider engagement strategies. + Oversees the execution of patient… more
- UnityPoint Health (Anamosa, IA)
- …to learn and level of comprehension. + Consults appropriate resources within the hospital to provide specialized education. + Demonstrates knowledge that patient ... - Jones Regional Medical Center (JRMC) is the only hospital in the Jones County area and cares for...Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance… more
- UnityPoint Health (Cedar Rapids, IA)
- …like-person-centered, collaborative, and deeply impactful. The clinical assistant assists provider and other clinical staff with obtaining basic vital information ... Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance...follow patients monitoring disease status. . Answer questions and provide teaching to patients and family members. . … more
- UnityPoint Health (Sioux City, IA)
- …to learn and level of comprehension. + Consults appropriate resources within the hospital to provide specialized education. + Demonstrates knowledge that patient ... Days, Call + Job ID: 147358 Overview UnityPoint-St Luke's Hospital Full-Time Days 7am - 3:30pm plus call $5,000.00...Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance… more