8 data security jobs found in Des Moines

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...

Company : enGen Job Description : JOB SUMMARY This pivotal role will lead the strategic transformation and optimization of workforce operations across enGen, encompassing both internal resources and external vendors. The Senior Director will be a key driver in establishing robust frameworks for tracking hours, managing financial allocations, and ensuring highly efficient resource deployment. This individual will possess a deep understanding of transformational initiatives, serving as a change expert who can intelligently engage with vendors, internal stakeholders, and senior leadership to align business operations with strategic objectives and deliver significant value. This leadership role is responsible for influencing, shaping, and executing high-impact strategies and initiatives delivering significant enterprise-level value. The Senior Director level demands a high degree of strategic leadership, independent decision-making, and accountability for fostering...

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...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Team The Security Research & Innovation (SRI) team within Global Security is a high-impact, automation-first security organization responsible for vulnerability management, security research, and red team operations. This team has an exceptional automation culture - all team members build production automation that eliminates manual work at...

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 Director, Account Management - Remote Job Description The Director of Account Management is responsible for providing strategic and operational leadership to a team of account executives and is accountable for the satisfaction and retention of assigned employer/Administrative Services Only (ASO) clients. This position collaborates across functions to ensure strategic alignment and execution of Prime, the health plan, and the assigned employer groups priorities. Responsibilities Provide strategic and operational leadership to the account executive function; serve as point of escalation and accountable leader for issue resolution across employer groups Establish processes and tracking methodologies to monitor...

Job Description Oracle Cloud is the next generation cloud service built from grounds up for the most demanding application requirements with diverse performance, reliability, and governance requirements for a variety of customer use cases. We've focused on security, reliability, scalability, and flexibility to support existing and future enterprise level large and complex deployments while beating industry performance and pricing standards. We are rapidly expanding our footprint and continuously building innovative solutions. Do you want to be part of a highly technical team helping to establish Oracle Cloud as the leading cloud computing platform for enterprises? Are you passionate about making customers successful? Oracle Cloud is seeking a leader for the Distributed Cloud busines s. This role has a global responsibility over technical and business programs for Distributed Cloud. A successful leader will have experience in working with geographically separated teams...

Job Description The Oracle Dedicated Cloud Product Management team is looking for an experienced Senior Manager of Product Management to work across our Dedicated Region Cloud @Customer (https://www.oracle.com/cloud/cloud-at-customer/dedicated-region/) (DRCC) and Oracle Alloy (https://www.oracle.com/cloud/alloy/) offerings to focus on product Definition, Development, and Launch. The Senior Manager of Product Management for Oracle Dedicated Cloud is a leadership role responsible for defining, executing, and driving the product development with our outbound and engineering internal teams. The role carries broad influence, significant business impact, and ownership of mission-critical product releases and launches aimed at driving OCI's growth and success in global markets. The primary objective will be to define, manage and deliver the product solutions that resonate with customers. This should include managing the full portfolio roadmap for DRCC and Alloy across its...

Job Description Oracle's Global Sustainability Office is seeking a dynamic and strategic leader to serve as a Program Management Director of Sustainability Reporting & Engagement. This high-impact role will oversee the functions of external sustainability communications, regulatory and voluntary reporting/disclosures, and internal employee engagement programs. The successful candidate will provide visionary leadership, manage and develop a multidisciplinary team, and drive Oracle's sustainability disclosures and communications in alignment with corporate growth and global regulatory trends. This role is for Nashville, TN. Candidate must live or be willing to relocate to Nashville, TN for this role. Key Responsibilities: Lead, develop, and inspire a team responsible for the strategic direction and execution of Oracle's sustainability reporting, external disclosures and communications, employee engagement and business enablement. Oversee the preparation...