• Medicaid and State Government

    Public Consulting Group (Des Moines, IA)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (10/22/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Des Moines, IA)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • VP Government Programs - REMOTE

    Prime Therapeutics (Des Moines, IA)
    …Qualifications** + Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid ) + Proven ... drives every decision we make. **Job Posting Title** VP Government Programs - REMOTE **Job Description** The...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
    Prime Therapeutics (10/08/25)
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  • Director, Federal Government Affairs

    WelbeHealth (Des Moines, IA)
    …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
    WelbeHealth (09/17/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (West Des Moines, IA)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/16/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (West Des Moines, IA)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
    Elevance Health (10/14/25)
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  • Audit & Reimbursement III

    Elevance Health (West Des Moines, IA)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/09/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Des Moines, IA)
    …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
    Prime Therapeutics (08/08/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Des Moines, IA)
    …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and… more
    Molina Healthcare (10/18/25)
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  • OCM Consultant

    Public Consulting Group (Des Moines, IA)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Financial Consultant

    Public Consulting Group (Des Moines, IA)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program more
    Public Consulting Group (09/13/25)
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  • Software Engineer 2

    Humana (Des Moines, IA)
    …help us put health first** The Software Engineer 2 within Humana Government Business codes software applications based on business requirements. The Software ... skills and teamwork abilities. + Successfully receive interim approval for government security clearance (NBIS- National Background Investigation Service) + Our… more
    Humana (10/22/25)
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  • Mental Health Therapist

    UnityPoint Health (Des Moines, IA)
    …and Administrative Functions: * Maintain licensure * Maintain eligibility to bill for government payers (ie, not on the Medicaid /Medicare exclusion list.) * ... to announce openings for Licensed Mental Health Therapists at our brand-new, state -of-the-art behavioral health facility located in Des Moines, Iowa. This is a… more
    UnityPoint Health (09/19/25)
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  • Field Medical Director, Cardiology

    Evolent (Des Moines, IA)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (10/01/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Des Moines, IA)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
    Evolent (07/30/25)
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  • Field Medical Director- (MD/DO)

    Evolent (Des Moines, IA)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (09/26/25)
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  • Field Medical Director, Oncology

    Evolent (Des Moines, IA)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (08/19/25)
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  • Care Manager, Telephonic Compact Registered Nurse

    Humana (Des Moines, IA)
    …**Required Qualifications** + Unrestricted Registered Nurse (RN) license in state of residency, with active multistate (compact) status, without disciplinary ... With the ability to quickly learn and navigate software programs and applications. + Demonstrated ability to provide autonomous...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
    Humana (09/26/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Des Moines, IA)
    …of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affecting the medical and allied ... of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators. + Directs the team in providing physician leadership… more
    Molina Healthcare (09/12/25)
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  • Chem Depend Counselor

    UnityPoint Health (Des Moines, IA)
    …and Administrative Functions: . Maintain certification . Maintain eligibility to bill for government payers (ie, not on the Medicaid /Medicare exclusion list.) . ... commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs.... Will follow conformance with standards set by local, state , and federal agencies . Be knowledgeable of all… more
    UnityPoint Health (10/13/25)
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