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21 Jobs

  • Network Relations Specialist

    W DES MOINES, Iowa
    ... . Network Relations Specialist Job Family: PND > Provider Relationship Account Mgmt Type ... relationships with providers within a local health plan's LTSS/HCBS provider network. Researches and resolves ...
  • Provider Contract/Cost-of-Care Consultant

    W DES MOINES, Iowa
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... . Provider Contract/Cost-of-Care Consultant Job Family: RDA > Health Economics & Cost of Care ...
  • RVP & President Medicare Market (Midwest Region)

    Des Moines, Iowa
    ... new network models with significant provider organizations, and providing local strategic insight into ... other key stakeholders. Drive provider collaboration and engagement in the areas of service and ...
  • Nurse Reviewer I

    W DES MOINES, Iowa
    ... client health plan network. Notifies ordering physician or rendering service provider office of the ... preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ...
  • Nurse Reviewer I

    W DES MOINES, Iowa
    ... network. Notifies ordering physician or rendering service provider office of the preauthorization ... of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing ...
  • Nurse Reviewer I

    W DES MOINES, Iowa
    ... client health plan network. Notifies ordering physician or rendering service provider office of the ... preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ...
  • Investigator Senior

    West Des Moines, Iowa
    ... provider network contracting. Preferred Qualifications Professional ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Oncology Practice Enablement Clinician

    W DES MOINES, Iowa
    ... Health, CarelonRx, Network, Total Population Health, Provider Solutions, Provider Enablement, Payment ... . How you will make an impact: Independently manages relationships with provider ...
  • Senior Investigator

    West Des Moines, Iowa
    ... health insurance policies, health insurance claims handling and provider network contracting ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • National Accounts Product Solutions Director

    W DES MOINES, Iowa
    ... operationalizing go-to-market plans to ensure readiness for products, network and digital features ... understanding of cost levers, including network and plan design strategies preferred ...
  • Business Development Dir - Midwest

    W DES MOINES, Iowa
    ... ** : Master’s degree preferred. Experience in business/product/network development and/or marketing ... Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to ...
  • Audit & Reimbursement II (US)

    W DES MOINES, Iowa
    ... . Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or ... settlements and final settlements as assigned. Perform reviews of provider exception requests as assigned ...
  • FedRAMP SOC Analyst

    Des Moines, Iowa
    ... and network security technologies. Develop testing plans to ensure quality of implementation; coordinates and prepares the reporting of data security events and incidents. Provides system and network ...
  • Cloud Platform Principal Engineer

    West Des Moines, Iowa
    ... , Network, Backups, DR, and Monitoring) Demonstrate and lead the development of key DevOps patterns ... (Compute, Storage, Network, Backups, DR, and Monitoring) This job is assigned to an entity that ...
  • Senior Identity & Access Management (CIAM) Security Advisor

    Des Moines, Iowa
    ... cloud. Responsible for the selection and delivery of strategic network security, access control, and ... system and network architecture and successful technical delivery for Information Security initiatives by ...
  • FinOps Cloud Engineer

    West Des Moines, Iowa
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Audit & Reimbursement Sr

    W DES MOINES, Iowa
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Audit & Reimbursement II - Medicare Cost Report Audit

    W DES MOINES, Iowa
    ... . Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or ... specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health ...
  • Audit & Reimbursement III- Cost Report Audit

    W DES MOINES, Iowa
    ... associates. Analyze and interpret data per a provider’s trial balance, financial statements, financial ... minimal guidance from the manager. Prepare detailed work papers and present findings in accordance ...
  • Audit & Reimbursement Sr- Medicare Cost Report Audit

    W DES MOINES, Iowa
    ... work independently on assignments and under minimal guidance from the manager. Prepare detailed ... specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    W DES MOINES, Iowa
    ... guidance from the manager. Prepare detailed work papers and present findings in accordance with ... supervisory review of work completed by other associates. Analyze and interpret data per a provider’s ...
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