- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a **Claim Analyst 2 on our Specialty Product Team** , you'll have the opportunity to review, analyze, and make appropriate and accurate ... decisions on Accident, Critical Illness, Health Screenings and Hospital Indemnity claims in accordance with the policy and state/federal laws and regulations. This… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a **Paid Family Medical Leave Claim Analyst 2** , your day will be anything but routine. In this fast-paced environment, every single day ... to assist with our clients' Paid Family Medical Leave claims - all during a time in which they...same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and… more
- Highmark Health (Des Moines, IA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- WelbeHealth (Des Moines, IA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... highly preferred + Demonstrated skills within Microsoft Office Applications, including Excel ** Benefits of Working at WelbeHealth:** Apply your claims expertise… more
- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. ... management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership,… more
- Molina Healthcare (Des Moines, IA)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- Highmark Health (Des Moines, IA)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Rocket Software (Des Moines, IA)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Molina Healthcare (Des Moines, IA)
- … claims , and updates system(s) as necessary. * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Delta Dental of Iowa (Johnston, IA)
- …the country. Essential Functions and Principal Accountabilities + Configure product and benefit rules in dental benefits administration system based on approved ... internal systems and business processes. + Interpret Summary of Benefits , Benefit Booklets, and product standards to...Preferred + Bachelor's degree in related field. + Dental claims and/or other ancillary benefits processing. +… more
- Prime Therapeutics (Des Moines, IA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… 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...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Cognizant (Des Moines, IA)
- **Reimbursement Technical Analyst ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00066154621** **About the role** As a Reimbursement Technical ... Analyst Associate, you will make an impact by ensuring...analysts and other operational stakeholders to maintain and improve claims reimbursement systems. **In this role, you will:** +… more
- Molina Healthcare (Des Moines, IA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... system requirements of customers as it pertains to contracting, benefits , prior authorizations, fee schedules, and other business requirements.… more
- Cognizant (Des Moines, IA)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… 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
- Prime Therapeutics (Des Moines, IA)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- Prime Therapeutics (Des Moines, IA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Treasury Analyst Sr - Remote **Job Description** The Senior Treasury Analyst is ... Treasury Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- Molina Healthcare (Des Moines, IA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
