Financial Counselor Specialty Trinity HealthFinancial Counselor SpecialtyDES MOINES, IABachelor's degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician, Registered Health Information Technician, or medical coding certification through AHIMA or AAPC. Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
NewPatient Access Representative I: 3Rd Shift EOW Fri-Sat Trinity Health CorporationPatient Access Representative I: 3Rd Shift EOW Fri-SatDes Moines, IAIdentifies and selects the correct medical record number for patients already listed in the hospital database (master patient index) or creates a new medical record number for unlisted/new patients. Verifies physician scripts for completion and according to policy following up as needed for invalid or incomplete scripts including converting ED registration level of care/status changes to inpatient or observation.
US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Minnesota, North Dakota, South Dakota, Nebraska, Iowa) Alexion Pharmaceuticals IncUS Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Minnesota, North Dakota, South Dakota, Nebraska, Iowa)Des Moines, IA$147,017.60–$220,526.40 / yearMaintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters. Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteIARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Patient Access Representative I: 3rd Shift EOW Fri-Sat Trinity HealthPatient Access Representative I: 3rd Shift EOW Fri-SatDes Moines, IAIdentifies and selects the correct medical record number for patients already listed in the hospital database (master patient index) or creates a new medical record number for unlisted/new patients. Verifies physician scripts for completion and according to policy following up as needed for invalid or incomplete scripts including converting ED registration level of care/status changes to inpatient or observation.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantDes Moines, IA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
NewMedical Scribe CVS Health CorpMedical ScribeDes Moines, IA$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Medical Director MPO CVS Health CorpMedical Director MPOIA$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Des Moines, IARemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Program Integrity Investigator TriWest Healthcare AllianceProgram Integrity InvestigatorDes Moines, IARemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Pre-Authorization Specialist - Plastic Surgery (Full-Time) The Iowa ClinicPre-Authorization Specialist - Plastic Surgery (Full-Time)West Des Moines, IAFull timeOpportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on. Because as one clinic dedicated to exceptional care, we’re committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Pre-Authorization Specialist - Revenue Cycle (Full Time) The Iowa Clinic, P.C.Pre-Authorization Specialist - Revenue Cycle (Full Time)West Des Moines, IAOpportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Pre-Authorization Specialist - Plastic Surgery (Full-Time) The Iowa Clinic, P.C.Pre-Authorization Specialist - Plastic Surgery (Full-Time)West Des Moines, IAOpportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Referral Specialist TriWest Healthcare AllianceReferral SpecialistDes Moines, IARemoteFull timeEnsures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Medical Director - ENT CVS Health CorpMedical Director - ENTIA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystIARemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOIA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
RN Nurse Manager - ICU $30,000 Sign On Bonus Plus Relocation Assistance Trinity Health CorporationRN Nurse Manager - ICU $30,000 Sign On Bonus Plus Relocation AssistanceDes Moines, IAThis role combines clinical expertise with strategic leadership-helping shape the department's future, support staff growth, champion safety and quality, and ensure alignment with MercyOne's Mission, Vision, and Values. This leader fosters a culture of excellence, collaboration, and continuous improvement while ensuring high-quality patient care and an exceptional experience for patients, families, providers, and staff.
RN Manager - Labor And Delivery / OB Emergency Department & Antepartum $30,000 Sign On Bonus Plus Relocation Assistance Trinity Health CorporationRN Manager - Labor And Delivery / OB Emergency Department & Antepartum $30,000 Sign On Bonus Plus Relocation AssistanceDes Moines, IAThis role combines clinical expertise with strategic leadership-helping shape the department's future, support staff growth, champion safety and quality, and ensure alignment with MercyOne's Mission, Vision, and Values. This leader fosters a culture of excellence, collaboration, and continuous improvement while ensuring high-quality patient care and an exceptional experience for patients, families, providers, and staff.
RN Nurse Manager - Progressive Care Unit $30,000 Sign On Bonus Plus Relocation Assistance Trinity Health CorporationRN Nurse Manager - Progressive Care Unit $30,000 Sign On Bonus Plus Relocation AssistanceDes Moines, IAThis role combines clinical expertise with strategic leadership-helping shape the department's future, support staff growth, champion safety and quality, and ensure alignment with MercyOne's Mission, Vision, and Values. This leader fosters a culture of excellence, collaboration, and continuous improvement while ensuring high-quality patient care and an exceptional experience for patients, families, providers, and staff.