- Eliassen Group (Des Moines, IA)
- ** Claims Engineer ** **Anywhere** **Type:** Contract **Category:** Engineer **Industry:** Healthcare **Workplace Type:** Remote **Reference ID:** JN ... + Recommended Jobs **Description:** We are seeking a skilled and detail-oriented Claims Engineer to join our team. The successful candidate will be responsible… more
- CVS Health (Des Moines, IA)
- …it all with heart, each and every day. **Position Summary** As a Software Engineer at CVS Health, you'll play a crucial role in building and delivering high-quality ... vendors. We are seeking a highly skilled and experienced Engineer to join our Commercial Claim Adjudication team. As...of work experience. + **5+ years of experience with Claims in software development** , collaborating with various stakeholders… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- **Job Description** We're looking for a Principal Software Engineer to join our growing team and lead the development and strategy for our Digital Medicine ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Des Moines, IA)
- …caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and ... sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the… more
- EFI Global (Des Moines, IA)
- …Click here to learn more about EFI Global. **Are you a seasoned Structural Engineer with a passion for uncovering the root causes of structural failures and a ... assessments, building envelope investigations, and evaluating structural collapses. A Professional Engineer (PE) license in your state of residence is required. If… more
- Athene (West Des Moines, IA)
- …operational excellence and innovative products. We're seeking a Senior AI Engineer to help scale next-generation AI capabilities across sales, marketing, finance, ... risk management, product development, claims , and enterprise productivity. You'll join a small, cross-functional team building AI-native solutions from the ground… more
- Athene (West Des Moines, IA)
- …excellence and deliver innovative products. We're seeking a Full-Stack AI Engineer to help scale our next-generation AI capabilities across sales, marketing, ... finance, risk management, product development, claims , and enterprise productivity. You'll join a small, cross-functional team building AI-native solutions from the… more
- GuideOne Insurance (West Des Moines, IA)
- As a Senior AI Engineer , you will be responsible for designing, building, and deploying solutions that leverage large language models (LLMs), Generative AI, and ... or Hugging Face to summarize, interpret, and flag anomalies in claims and underwriting documents. + Implement retrieval-augmented generation (RAG) using Vector… more
- Humana (Des Moines, IA)
- …health first** **Requires a strong foundation in COBOL mainframe development ** The Claims Adjudication System (CAS) team at Humana is essential in delivering core ... services through effective claims processing and management solutions. This position involves coding software applications based on business requirements and… more
- Molina Healthcare (Des Moines, IA)
- …Architectural compliance and governance. **Knowledge/Skills/Abilities** + Healthcare knowledge in Claims Processing and Payments + Develops software (hands on code ... development) to meet key business objectives. + Understands and applies SW and applications development methodologies in adherence to SW development standards + Designs and develops SW applications or systems solving specific business or processing problem… more
- EFI Global (Des Moines, IA)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** **Performs other duties as assigned.** **Supports the organization's quality program(s).**… more
- Humana (Des Moines, IA)
- …(PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business and System ... to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for implementation, maintenance and support… more
- Humana (Des Moines, IA)
- …They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business ... at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the… more