- Humana (Des Moines, IA)
- …to attribute members to providers for new value based programs and to evaluate program effectiveness + Ensure data integrity in program administration for ... payment (VBP) model design and administration. The Data and Reporting Sr. Professional integrates data from multiple sources to...new value based programs + Troubleshoot data integrity issues and offer solutions to solve challenges **Use… more
- Humana (Des Moines, IA)
- …and data integrity as required by CMS, The Ohio Department of Medicaid , and Humana internal reporting compliance. This role will support network optimization ... data governance Ohio DSNP expansion, including developing contracting requirements, internal reporting compliance processes and supporting data integrity as… more
- Trinity Health (Des Moines, IA)
- …of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program , Standards of Conduct, as well as other policies ... regulatory and accrediting body requirements (ie, Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The… more
- Prime Therapeutics (Des Moines, IA)
- …management products and services. Activities address impact on customers, operations, program integrity , pricing, quality, satisfaction, and outcomes. Develops ... Preferred Drug Lists and custom formularies. + Responsible for oversight of all program reporting . Ensures standard and ad hoc reports are provided accurately… more