• Manager , Claims Operations

    Molina Healthcare (Des Moines, IA)
    …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
    Molina Healthcare (06/07/25)
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  • Manager , Clinical Supply Operations

    Otsuka America Pharmaceutical Inc. (Des Moines, IA)
    **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of ... supply vendors. + Assist with forecasting and ordering bulk research drugs from manufacturing department. + Support with developing...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (05/28/25)
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  • Underwriting Manager | Avera Health Plan

    Avera (Des Moines, IA)
    …our patients. Work where you matter.** **A Brief Overview** The Underwriting Manager is responsible for overseeing and executing underwriting functions to support ... methodologies, and ensuring compliance with regulatory requirements. The Underwriting Manager will work collaboratively with internal stakeholders such as product,… more
    Avera (05/13/25)
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  • Senior Business Intelligence Engineer

    CenterWell (Des Moines, IA)
    …We're seeking a Sr. Business Intelligence Engineer with a strong background in data operations & BI reporting and a passion for data quality and process improvement. ... Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality, audits, and reporting. Manage lifecycle… more
    CenterWell (05/31/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Des Moines, IA)
    …to adjust focus **Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations , Specialty Operations , Clinical ... on internal and client projects, regulatory requirements, process improvement, advanced research , root cause analysis, complex issue research , documentation,… more
    Prime Therapeutics (04/25/25)
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