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Humana
Lead - Medicaid and Group Medicare Project Management
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project Management Lead designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the...

Jan 10, 2026
EH
Coordinator, Intake Utilization Management
Evolent Health Des Moines, IA, USA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies,...

Jan 09, 2026
ID
Legal Actions and Data Management Section Supervisor - Public Service Manager 1
Iowa Department of Administrative Services Des Moines, IA, USA
Legal Actions and Data Management Section Supervisor - Public Service Manager 1 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5185590) Apply ? Legal Actions and Data Management Section Supervisor - Public Service Manager 1 Salary $68,702.40 - $122,428.80 Annually Location Des Moines - 50319 - Polk County, IA Job Type Full-time Remote Employment Flexible/Hybrid Job Number 26-01675 Agency 400 Health & Human Services - Public Health Opening Date 01/05/2026 Closing Date 1/15/2026 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact Melissa Ellis - Melissa.Ellis@hhs.iowa.gov Description Benefits Questions Job Description The Iowa Department of Health and Human Services (HHS), Division of Public Health, Bureau of Health Statistics is seeking aPublic Service Manager 1to join our team! This position supports the Bureau Chief of the Bureau of Health Statistics. This is a full-time opportunity,...

Jan 09, 2026
Highmark Health
Pharmacist - Utilization Management (UM) Remote
Highmark Health Des Moines, IA, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Jan 02, 2026
Lensa
Full time
 
Utilization Management Clinical Nurse Consultant - Prior Authorization
Lensa Des Moines, IA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Dec 30, 2025
UF
Treasury Management Sales Analyst
UMB Financial Corporation Des Moines, IA, USA
Under general direction, the Treasury Management (TM) Sales Analyst supports the Treasury Management Officers (TMOs) in growing TM revenue. This position is responsible for the creation, analysis and delivery of proposals, RFPs, and sales presentations. The TM Sales Analyst performs pre-call planning, preparation and participates in joint sales calls with TMOs and Commercial Bankers. The TM Sales Analyst provides a high level of internal customer support through understanding and driving the sales culture and vision of the organization within the member banks, maintaining and delivering reporting and metrics; and managing all additional aspects of sales support in the sub lines of business. How you will spend your time: Develop proformas, proposals and customer profitability analysis for Treasury opportunities Prepare pre-call planning prep and materials for TM client and prospect meetings Coordinate proposal responses and works across business lines to...

Dec 28, 2025
Humana
Director, Risk Management
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Dec 27, 2025
Or
Data Center Supplier Management Services- Program Manager
Oracle Des Moines, IA, USA
Job Description Are you looking to work at the next best company and organization? Are you craving the opportunity to make change and build new processes to improve a business and provide the best customer experience? Are you easygoing with a positive attitude even when under an extreme amount of pressure? If you answered yes to these questions, then we want you! Be a part of the Oracle Cloud Infrastructure, Data Center Supplier Management Business Services, and Sourcing team. We are combining the elasticity and utility of cloud services with the granular control, security, and predictability of on-premises infrastructure to deliver high-performance, high availability, and cost-effective infrastructure services. As we build and grow, we seek a high-energy individual to step into the Data Center Supplier Services & Business Operations team. This role requires a thinker with a strategic vision and tactical prowess. We need you to identify gaps and communicate ideas,...

Dec 27, 2025
Highmark Health
Director of Data Product Management
Highmark Health Des Moines, IA, USA
Company : Highmark Health Job Description : JOB SUMMARY The Director of Data Product Management is a leadership role responsible for developing, implementing, and continually refining our customer data product strategy from its foundational stages. This individual will define, develop, and execute the strategy for our core customer data products, ensuring they meet the evolving needs of Highmark and our customers. This individual will lead a team of product managers and analysts focused on specific areas of customer data, driving the realization of our Customer Data Product Strategy vision to empower downstream teams with personalized, high-quality, and timely interactions. This role requires a strong leader who can translate strategic opportunities into actionable product roadmaps, champion data quality and governance, and foster a data-driven culture. A robust technical background and the ability to effectively collaborate with engineering teams are paramount to...

Dec 23, 2025
Highmark Health
Program Manager (Delivery Management)
Highmark Health Des Moines, IA, USA
Company : Highmark Health Job Description : GENERAL OVERVIEW Flexible Work Arrangements: At Highmark, we value both collaboration and flexibility. For this role, if you are located within 50 miles of Pittsburgh or any Highmark office, you'll enjoy a hybrid schedule, working from the office three days a week (Tuesday, Wednesday, and Thursday). If you live beyond this 50-mile radius, you'll primarily work remotely, with an expectation of traveling to an office location for team-focused building meetings a maximum of 1-2 times annually. This job is responsible for the successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors who...

Dec 23, 2025
Or
Technical Program Manager - Video Management Systems
Oracle Des Moines, IA, USA
Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager - Video Management Systems. The Global Physical Security (GPS) Systems Team is responsible for deploying, maintaining, and continuously enhancing Oracle's physical security technology landscape. Oracle seeks a highly skilled Technical Program Manager (TPM) for Video Management Systems (VMS) who will own the end-to-end lifecycle of enterprise video systems, standards, and best practices for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for VMS excellence, partnering closely with security operations, integration partners, internal maintenance...

Dec 22, 2025
CG
Director, Product Management - Cengage School
Cengage Group Des Moines, IA, USA
We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innovation that helps millions of learners improve their lives and achieve their dreams through education. Cengage Group's portfolio of businesses supports student choice by providing a range of pathways that help learners achieve their goals and lead a choice-filled life. Our culture values inclusion, engagement, and discovery Our business is driven by our strong culture, and we know that creating an inclusive workplace is absolutely essential to the success of our company and our learners, as well as our individual well-being. We recognize the value of diverse perspectives in everything we do, and strive to ensure employees of all levels and backgrounds feel empowered to voice their ideas and bring their authentic selves to work. We achieve these...

Dec 22, 2025
Highmark Health
Manager Product Management
Highmark Health Des Moines, IA, USA
Company : Highmark Health Job Description : JOB SUMMARY This is a hybrid role if you live within a 50 mile radius of one of our office locations in PA, NY or DE This role is responsible for contributing to the product strategy and roadmap for a defined product area, by managing a team while working under the direction of leadership. This role focuses on deeply understanding customer needs, market trends, and competitive landscape to inform product development decisions. The incumbent works cross-functionally to manage a team that is executing a portfolio roadmap or portfolio of product roadmaps and delivering high-quality products that meet business objectives. They will manage the product backlog for a specific product or feature set. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance...

Dec 22, 2025
Or
Senior Principal Consultant, Oracle Fusion Cloud HCM - Time and Labor (OTL) / Absence Management
Oracle Des Moines, IA, USA
Job Description This Senior Principal Cloud Consultant within Oracle North America Consulting (ONAC) will be responsible for ensuring the successful implementation of Oracle Fusion Cloud HCM Time and Labor and Absence Management solutions. You will work with your clients to understand their business processes, provide solutions based on product and consultative expertise, and drive adoption of Oracle's modern best practices processes. Responsibilities Lead business process workshops and advise the client on the impacts of adopting Oracle Fusion Cloud Time & Labor (OTL) &/or Absence Management (ABM) solutions Lead requirements gathering sessions and support clients in defining relevant processes and obtain sign off to ensure client alignment of the proposed solution Understand Oracle's implementation methodology and use it on all engagements Configure the Oracle Fusion Cloud OTL and/or ABM solutions Conduct process...

Dec 22, 2025
CBRE
Senior Project Analyst- Data Management for Real Estate Transactions (EST Preferred)
CBRE Des Moines, IA, USA
Senior Project Analyst- Data Management for Real Estate Transactions (EST Preferred) Job ID 251951 Posted 18-Dec-2025 Service line PJM Segment Role type Full-time Areas of Interest Administrative, Project Management, Transaction Management Location(s) Remote - US - Remote - US - United States of America About the Role: As a CBRE Project Sr. Analyst, you be responsible for providing advanced administrative support to the Retail Program Team. This includes presentation creation, data and database management, reporting, etc. This job is part of the Project Management and Program Management functions. The team this role works with is responsible for presenting retail commercial real estate opportunities to a financial services client, coordinating those sites through the client's governance process, managing communications with the client and the Projects and Transactions Teams, etc. What You'll Do: Manage the implementation of and monitor...

Dec 22, 2025
CO
Senior Associate, Project Management - Capital One Software (Remote)
Capital One Financial Corporation Des Moines, IA, USA
Senior Associate, Project Management - Capital One Software (Remote) Building on Capital One's pioneering adoption of modern cloud and data capabilities, Capital One Software is helping accelerate the data management journey at scale for businesses operating in the cloud. If you think of the kind of challenges that companies face - things like data publishing, data consumption, data governance, and infrastructure management - we've built tools to address these various needs along the way. Capital One Software will continue to explore where we can bring our solutions to market to help other businesses address these same needs going forward. We are seeking top tier talent to join our team and propel us towards our destination. You will be joining a team of innovative product, tech, and design leaders that tirelessly seek to question the status quo. As a Senior Project Manager at Capital One Software, you can achieve results you never thought possible by leading critical and...

Dec 21, 2025
CO
Manager, Product Management - Velocity Black (Remote)
Capital One Financial Corporation Des Moines, IA, USA
Manager, Product Management - Velocity Black (Remote) This is your opportunity to join Capital One's new, luxury vertical: Velocity Black. Within Capital One, the Velocity Black team is a leading digital concierge company that delivers travel, entertainment, shopping and dining offerings to consumers globally. Velocity Black has built a unique customer experience - its proprietary platform offers inspiration, recommendations and fulfillment in one place, making it an integral part of customers' lives. The Product team reimagines the status quo and drives innovative, sustainable experiences through technology. To be successful in the role, you will need to be a well-rounded 'business athlete' - a creative, analytical, and technically proficient problem solver who understands both the dynamics of the business and the tech landscape. The ideal candidate is resourceful, motivated, and self-sufficient, with demonstrated success in spearheading cross-functional projects that drive...

Dec 21, 2025
Highmark Health
Senior Change Management and Process Improvement Consultant
Highmark Health Des Moines, IA, USA
Company : Highmark Health Job Description : JOB SUMMARY *This will be a hybrid role if you live within a 50 mile radius a Highmark Office This senior-level job will lead and facilitate integrated process improvement and change management initiatives across multiple functional units Responsibilities encompass designing and implementing process optimization strategies, developing and executing comprehensive change management plans across all impacted stakeholders throughout the change lifecycle, coaching leaders and teams as applicable, and ensuring seamless alignment between people, process, and technology solutions - all while directly contributing to successful business outcomes and ongoing improvements. The successful candidate will leverage expertise in Lean Six Sigma, as well as change management methodologies to drive efficiency, effectiveness, and improved business outcomes. ESSENTIAL RESPONSIBILITIES Process Improvement and Change Management...

Dec 21, 2025
EY
Full time
 
ServiceNow - IT Service Management (ITSM) - Senior - Tech Consulting - Open Location
EY Des Moines, IA, USA
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. ServiceNow Senior Consultant – IT Service Management (ITSM) In the digital economy, it takes more than good ideas and strong leadership to thrive. Upgrading outdated processes, systems and information is vital – but can be a risky investment in such a rapidly changing environment. That’s why some of the most prestigious businesses worldwide look to us for authoritative, agile, and efficient solutions for business decision-making. As a ServiceNow Senior Consultant you’ll play a leading role in that mission, providing the competitive edge our clients need to overcome some of the biggest creative and technical challenges around. The opportunity You’ll lead ServiceNow Transformation teams in a rapidly growing area of...

Dec 21, 2025
PT
Senior Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Des Moines, IA, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

Dec 21, 2025
Humana
Care Management Support Assistant
Humana Des Moines, IA, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
PT
Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Des Moines, IA, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

Dec 21, 2025
SP
Manager, Clinical Records Management
Sumitomo Pharma Des Moines, IA, USA
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Manager, Clinical Records Management. The Manager, Clinical Records Management will work in Clinical Operations under the leadership of Clinical Records Lead or similar, playing a pivotal role in supporting all aspects of central records for clinical studies across Phase 1-4. The Manager,...

Dec 19, 2025
Wellmark Blue Cross and Blue Shield
Full time
 
Vendor Risk Management Coordinator
Wellmark Blue Cross and Blue Shield Des Moines, IA, USA
Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Want to know more? You can learn about life at Wellmark here. Job Description Responsible for supporting the Wellmark Vendor Management program by assisting with the vendor due diligence, developing and maintaining procedures, and developing relationships with internal and external stakeholders in support of assigned vendor relationships. Will coordinate and manage the vendor survey process; including drafting, compiling and...

Dec 19, 2025
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