Dir, Ntwk Ops Engagement TriWest Healthcare AllianceDir, Ntwk Ops EngagementDes Moines, IARemoteFull timeBachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.
Utilization Management Clinical Reviewer TriWest Healthcare AllianceUtilization Management Clinical ReviewerDes Moines, IARemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Provider Certification Specialist TriWest Healthcare AllianceProvider Certification SpecialistDes Moines, IARemoteFull timeThe Provider Certification Specialist is also responsible for ensuring applicable TRICARE providers are accurately and timely loaded into the provider data system to support operational readiness and downstream business processes, while performing ongoing maintenance of provider certifications and provider data, including updates, changes, and terminations, to support continued regulatory compliance, data integrity, and efficient downstream provider operations. Problem Solving / Analysis: Demonstrates strong problem-solving and analytical skills with the ability to systematically evaluate processes, identify discrepancies or incomplete information, apply sound judgment, and resolve issues to support accurate provider certification, data integrity, and compliance with TRICARE requirements.
Senior OR Sales Representative, Acute Care and Monitoring (IA/NE) Medtronic PlcSenior OR Sales Representative, Acute Care and Monitoring (IA/NE)Des Moines, IARemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
Data Analyst TriWest Healthcare AllianceData AnalystDes Moines, IARemoteFull timeAnalyzes data by combining multiple data sources and researching various system and healthcare issues in order to perform on time research and analysis to formulate solutions for issues of low to moderate scope and complexity. • Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis.
Accountant II UnityPoint HealthAccountant IIWest Des Moines, IARemoteResponsible for resolving questions, inquiries, complaints and/or disputes with Finance departmental customers and organizational points of contact as it relates to accounting matters demonstrating excellent customer service. Analyzes and reconciles accounts monthly for financial statement accuracy and adherence to generally accepted accounting principles and UnityPoint Health general financial policies.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementDes Moines, IARemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Sr Info Security Engineer TriWest Healthcare AllianceSr Info Security EngineerDes Moines, IARemoteFull timePlans delivery of solutions; answers technical and procedural questions from less experienced team members; teaches improvement processes; mentors team members and provides security technical leadership to other Information Security and Information Technology team members. • Experience in a role that has lead security operations, security tools and solutions, secure applications and networking in the implementation of NIST and Security Best Practices to meet or exceed compliance with the FISMA Moderate/High requirements.
NewOnline Research Panel Participant - Des Moines, IA Maxion CorpOnline Research Panel Participant - Des Moines, IADes Moines, IowaRemoteMaxion Research invites people in Des Moines, IA to join an online research panel and be considered for optional surveys, interviews, focus groups, and product-feedback studies. Research activities may include completing online questionnaires, joining remote discussions, testing concepts, or sharing opinions about products and services.
Remote Travel Agent Roamarae Global TravelRemote Travel AgentUrbandale, IowaRemoteWe are seeking Remote Travel Agents to assist clients in planning vacations, from cruises to all-inclusive getaways. This flexible, work-from-home role is perfect for self-motivated individuals looking for a rewarding opportunity.
NewData Engineer TriWest Healthcare AllianceData EngineerDes Moines, IARemoteFull timeTechnical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.
NewP&C Insurance Account Specialist ReSource ProP&C Insurance Account SpecialistDes Moines, IARemoteFull timeServing 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. We’re committed to hiring individuals who engage in our amazing culture and embrace our Core Values: Commitment to Community, Teamwork, Passion for Excellence, Service-Centric, and Best Self.
NewExecutive Underwriter - Workers Compensation (E&S/Specialty) Nationwide Mutual Insurance CoExecutive Underwriter - Workers Compensation (E&S/Specialty)Des Moines, IARemote$120,000–$224,000 / yearincluding D&O, E&O, Employment Practices Liability, Medical Professional Liability, Contractual Liability, Cyber Liability, Shared and Layered Property, General Liability, Excess, auto, Recreation Marine, Energy, Environmental, Inland Marine, Warranty and Workers Compensation) individual risks, programs, or referrals within assigned territory from program managers and declines or accepts business based upon information necessary to make the decision. Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorDes Moines, IARemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Senior Tutor - ACT Full Test TPAPTSenior Tutor - ACT Full TestDes Moines, IARemote$40–$60 / hourThe Association of Test Preparation, Admissions, and Private Tutoring (TPAPT) is searching for experienced and dedicated tutors to provide comprehensive ACT test prep tutoring to students in grades 9-12. Our ideal candidates are passionate educators who are eager to foster academic success in students preparing for college entrance exams.
OT Transformation Security Manager (Remote) Accenture PlcOT Transformation Security Manager (Remote)Des Moines, IARemoteIdeal candidates for this category have previous experience, one or more of the following: Intelligence analysis and reporting using various cyber intelligence models and frameworks is also desired OT security sensor/tool deployment, OT networks, systems, and devices and how convergence, integration, and digitalization impact the OT attack surface throughout multiple industries OT security program/governance development. We hire the very best security talent and arm them with the coolest tools and latest tech so they can help our clients build resilience as we create integrated, customized turnkey solutions.
Manager of Regional MCN Deployments NSA Team - Network Practice Office (NPO) Motorola Solutions IncManager of Regional MCN Deployments NSA Team - Network Practice Office (NPO)IARemote$140,000–$155,000 / yearExecutive Presentations & Technical Advocacy: Review, refine, and occasionally deliver high-impact technical presentation materials regarding complex system designs to customers, pre-sale, and post-sale engineering leadership. The Manager of Regional MCN Deployments NSA Team - Network Practice Office (NPO) provides leadership, strategic direction, and technical oversight to a team of regional Network Solutions Architects (NSAs).
Manager Revenue Cycle Informatics UnityPoint HealthManager Revenue Cycle InformaticsWest Des Moines, IowaRemoteResponsible for leading the day-to-day operational aspects of the EHR-related projects and the work of the team including: Identification of resources and establishment of project schedules, driving forward and accelerating progress, and providing input and assistance in the development of project materials . Work closely with IT, functional departments, and operations/management to ensure efficient and effective use/deplo yment of the EHR application(s) and the associated training programs , which may include required governmental or regulatory programs .
Financial Planning Analyst Sr UnityPoint HealthFinancial Planning Analyst SrWest Des Moines, IowaRemoteWorks heavily with leadership including Finance, Operations, Counsel and Business Development teams on complex structures to ensure the Company optimizes the appropriate accounting and financial reporting impacts. Interacts frequently with region al finance leaders including site visits to assess compliance with corporate financial policies and the health & overall relevance of the local balance sheets and tracking of its various constituents .
KeyTrak Field Manager (Automotive) - Central The Reynolds and Reynolds CompanyKeyTrak Field Manager (Automotive) - CentralDes Moines, IARemoteHaving spent three decades improving and perfecting the art of asset management, KeyTrak is considered the industry leader in key control and is dedicated to constantly evolving and producing more secure systems. KeyTrak was the first company to use a computerized drawer to safeguard and track keys and assets, and to develop industry-specific software.