- Highmark Health (Des Moines, IA)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Iowa Department of Administrative Services (Des Moines, IA)
- DPS Recruiting and Applicant Coordinator (Human Resources Professional 1) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4958677) Apply DPS ... Recruiting and Applicant Coordinator (Human Resources Professional 1) Salary $48,422.40 - $82,035.20 Annually Location Des Moines - 50319 - Polk County, IA Job Type… more
- Cardinal Health (Des Moines, IA)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Trinity Health (Des Moines, IA)
- …(ie, social worker, etc.) + Knowledge of health benefit investigations , prior authorization support, patient financial assistance, medical terminology, diagnoses, ... and procedures + Proficient in Microsoft Office products + Knowledge of Electronic Medical Records systems highly preferred + Ability to work across business lines effectively and communicate clearly with colleagues and patients/customers + Knowledge of health… more
- Cardinal Health (Des Moines, IA)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Des Moines, IA)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Des Moines, IA)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …compliance with USDA requirements. + Assist in managing foreign animal disease investigations and act as a trained official Foreign Animal Disease Diagnostician. + ... with animal health regulations and assisting law enforcement in investigations . + Undertake miscellaneous duties including State Fair participation, public… more
- BioLife Plasma Services (Des Moines, IA)
- …Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic ... threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or… more
- BioLife Plasma Services (Des Moines, IA)
- …to EHS guidance regarding employee incidents. + You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic ... threats within the local community as indicated by EHS or Medical Affairs. **What you bring to Takeda:** ** ** + High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements + Currently… more
- Trinity Health (Des Moines, IA)
- …formation, and service leadership. * Serve as the College's Title IX Coordinator , ensuring compliance with federal and state laws regarding sexual harassment, ... background in healthcare ethics. + Training or certification in Title IX investigations and compliance. + Knowledge of best practices in mission-driven leadership,… more
- BioLife Plasma Services (West Des Moines, IA)
- …+ Administer first aid to employees as needed. + Act as Pandemic Coordinator when authorized by EHS. + Supports investigations associated with pandemic ... threats within local community as indicated by EHS or Medical Affairs. + **May perform all required duties in the area of** **Medical History** **(including, but not limited to): (10%)** + Greet donors as they enter and exit the donor floor. + Take and record… more