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W DES MOINES, Iowa
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third-party administrator (TPA) of medical benefits, also providing medical management, human resource ... Requirements**
Requires a BA/BS and a minimum of 3 years of experience managing business operations
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W DES MOINES, Iowa
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, and prevent unnecessary medical-expense spending.
The Investigator is responsible for ... electronic case files for management review.
Preparation of final case reports and notification of
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Des Moines, Iowa
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. Work schedule: Monday through Friday, 8:00 am to 5:00 pm CST.**
The Plan Performance Medical ... medical services for company health plan including the overall medical policies or clinical guidelines of
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W DES MOINES, Iowa
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role and specified as primarily virtual by the hiring manager, associates are required to work at an ... guidance to medical underwriters concerning the risk selection of applicants applying for individual health
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Des Moines, Iowa
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planned medical trends and high quality/large provider networks that support business objectives for Medical Loss Ratio (MLR), growth, and income results.
Requires collaborating to identify customers
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W DES MOINES, Iowa
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assigned.
Able to work independently on assignments and under minimal guidance from the manager ... experience.
Must be able to perform all duties of lower-level positions as directed by management
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W DES MOINES, Iowa
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reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition ... .
Able to work independently on assignments and under minimal guidance from the manager.
Prepare
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W DES MOINES, Iowa
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guidance from the manager
Prepare detailed work papers and present findings in accordance with ... as directed by management
Participate in development and maintenance of Audit & Reimbursement
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