- Cardinal Health (Des Moines, IA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (Des Moines, IA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (Des Moines, IA)
- …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... transportation. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
- Molina Healthcare (Des Moines, IA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Highmark Health (Des Moines, IA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Des Moines, IA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Des Moines, IA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Molina Healthcare (Des Moines, IA)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... **Job Summary** The Manager , Medical Economics provides support and consultation to...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Ensono (Des Moines, IA)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... RELIABILITY, COLLABORATION, CURIOSITY, PASSION** At Ensono, we are reinventing managed services with our **Envision Operating System** -a software-first platform… more
- Molina Healthcare (Des Moines, IA)
- …equivalent combination of education and experience **Required Experience** * 3 years managed care experience, preferably with a national or multi-location ... **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment...better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In… more
- Microsoft Corporation (Des Moines, IA)
- As a Microsoft **Data Center Technician Manager ** , you will lead a team of technicians, providing expert guidance on performing hardware deployments, diagnostics on ... our cloud services. As a CO+I **Data Center Technician Manager ** , you will perform a key role in...millions of servers. Our foundation is built upon and managed by a team of subject matter experts working… more
- Microsoft Corporation (Des Moines, IA)
- …culture every day and we need you as a **Critical Environment Technician Manager .** Microsoft's Cloud Operations & Innovation (CO+I) is the engine that powers our ... cloud services. As a CO+I **Critical Environment Technician Manager ** , you will perform a key role in...millions of servers. Our foundation is built upon and managed by a team of subject matter experts working… more
- UMB Bank (Des Moines, IA)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- Molina Healthcare (Des Moines, IA)
- …: * 5-7 years of Medicare Stars Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality… more
- Microsoft Corporation (Des Moines, IA)
- As a Microsoft Datacenter **IT Operations Manager ** (ITOM), you lead and manage a team of individual contributors as well as overseeing data center site services and ... millions of servers. Our foundation is built upon and managed by a team of subject matter experts working...regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration… more
- Molina Healthcare (Des Moines, IA)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... DESCRIPTION** **Job Summary** This position is the product owner for the Care Mangement system. Responsible for internal business projects and programs involving… more
- Molina Healthcare (Des Moines, IA)
- …EXPERIENCE** : + 5-7 years of Program and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity, Claims Payment, ... Provider Relations Experience_** + Experience working in a cross functional highly matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.… more
- Western Digital (Des Moines, IA)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Highmark Health (Des Moines, IA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Cardinal Health (Des Moines, IA)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more