142 coder jobs found in Des Moines

Company : Highmark Inc. Job Description : JOB SUMMARY This job plans, develops, and maintains operational processes and reporting related to group/provider facility and professional reimbursement configurations and other operational processes. Acts as the primary liaison between provider contracting, provider reimbursement, and claims experience. Collaborates with the pricing team to troubleshoot reimbursement issues and works with the Reimbursement Policy and Compliance team team to develop and maintain effective reimbursement quality programs and reporting. 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 management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have...

Company Description 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. Job Description As a Health Services Coding Analyst, you will provide clinical leadership and subject-matter expertise to support the analysis, configuration, and administration of complex medical policy content within claims processing systems, including Plan General Exclusion (PGE) rules and FACETS table maintenance. You will ensure the accurate implementation of medical policies, review criteria, and...

Company Description 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. Job Description Use Your Strengths at Wellmark! About the role: As a Medical Policy & Coding Support Coordinator, you will play a key role in supporting medical policy functions by providing medical coding, system configuration, and administrative and operational support. Using your medical coding knowledge, you will also perform coding analyses and utilization reporting to recommend necessary...

Company : Highmark Inc. Job Description : JOB SUMMARY The job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. This incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/ savings of money related to fraud, waste and abuse. The incumbent must be able to testify in a court of law, prepare cases for referral to...

Red River's Inside Sales Account Manager (ISAM) is a sales focused, commission-eligible role that is responsible for contributing to the company's sales goals along with providing top-level customer service. The Inside Sales team works as the primary point of contact for Red River's Account Executives and customers for all pre/post sale inquiries. The primary objectives of the Inside Sales position are to proactively drive sales opportunities while maintaining support for their Account Team(s) with a focus on 100% customer satisfaction. Primary Position Tasks: Manage a dedicated customer account list Direct pairing and support for an internal Account Executive Use insights from RADAR to support sales operations and decision-making Apply strategic thinking and pricing judgment at the account level to support sales execution and customer growth Apply sales-related business application, procedures, and protocols Proactively engaged in focused...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role provides Information Security and Risk Management services for the organization with a primary focus on establishing, maturing, and operationalizing the enterprise Vulnerability Management program. The position partners closely with application, infrastructure, cloud, and security teams to identify, prioritize, and reduce technology risk across the environment. The Manager is responsible for developing and scaling vulnerability management capabilities, including governance, detection strategies, prioritization frameworks, remediation workflows, metrics, and executive reporting. This role leads and mentors security staff while working with stakeholders to embed vulnerability management into engineering, IT operations, and change processes. The position actively contributes to Information Security and Risk Management (ISRM)...

Company : Highmark Inc. Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. ESSENTIAL RESPONSIBILITIES: Review inquiries to determine if they meet definition of appeal/grievance. Request and review all related relevant documentation and assemble case file. Coordinate resolution results and relay investigative results with all involved parties. Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with...

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 Senior Director, Core Programs - GTM Enablement defines and leads some of UKG's most critical enablement programs, including onboarding, product enablement, partner enablement, and coaching. This role is accountable for ensuring customer-facing teams ramp faster, deliver value consistently, and perform at a high level across the GTM...

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: Senior Director, MSSP ACO Strategy & Performance Analytics (Arlington, VA) Telecommuting Permissible. (multiple positions). Lead an analytics, reporting and data science team...

Program Planner 2 (GEAR UP Iowa Facilitator) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5297290) Apply ? Program Planner 2 (GEAR UP Iowa Facilitator) Salary $52,790.40 - $80,204.80 Annually Location Des Moines - 50319 - Polk County, IA Job Type Full-time Remote Employment Flexible/Hybrid Job Number 26-02698 Agency 282 Iowa Department of Education Opening Date 04/06/2026 Closing Date 4/16/2026 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact idoe.hr@iowa.gov To Apply To ensure full consideration for this position, all requested materials must be completed and uploaded through the NEOGov online application process. Description Benefits Questions Job Description Iowa Department of Education's mission is ensuring all students experience a world-class education. To accomplish our mission, we need talented, passionate people working together to build an excellent education system that...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** As a Senior Data Engineer, you will design and operate real-time and analytical data pipelines that power enterprise reporting and decision-making, including security and operational telemetry data. You will be responsible for ingesting, modeling, and optimizing high-volume streaming and batch data in Azure Data Explorer (ADX), enabling fast, reliable analytics at scale. This role blends deep data engineering with analytics enablement. You will structure and transform data using modern cloud and streaming technologies ( Kafka, Cribl, Azure Data Factory), applying medallion architecture principles to ensure data quality, performance, and governance across the full data lifecycle. A core responsibility is translating engineered data into business-ready insights by developing curated datasets, analytics, and Power BI (and Tableau) dashboards...

Company : Highmark Health Job Description : JOB SUMMARY Work Location Policy: This role offers a hybrid work model. Candidates residing within 50 miles of a Highmark office will be required to work on-site Tuesday through Thursday. All other candidates will work remotely. This job serves as the delivery leader responsible for defining, owning, and delivering mid-size engagements designed to meet/exceed key performance metrics (e.g., admin cost reduction, process improvement, automation, medical cost/value improvement, and enhanced customer/provider experience) for specific clients within the organization. The incumbent manages 1-2 simultaneous client engagements, some individual, some with a team of clients, consultants, and other colleagues from the division. The incumbent demonstrates solid foundational knowledge of consulting principles and the delivery of practical outcomes and is adept at driving clear hypotheses, breakthrough analyses and actionable...

Job Description The Catapult team is a SecDevOps Team focused specifically on building and supporting enterprise solutions for migration of data between Sovereign Realms. Our team leverages Oracle Cloud Infrastructure (OCI) best practices to develop scalable, secure, and reliable solutions. Sov Realms have unique challenges which require unique solutions to provide a seamless customer interaction between commercial and other realms. This is where our team thrives, providing the connective tissues and purpose-built solutions. We are seeking a Software Development Engineer (SDE) to join our team within the Oracle Government Defense Intelligence (GDI) division. Who We Are At Oracle Government Defense Intelligence (GDI), we build and operate secure cloud capabilities for mission-critical government workloads. We move with urgency, operate at cloud scale, and maintain a high bar for security and reliability. Our engineers design and run critical systems that support government...

The Youth Law Center in Des Moines, Iowa is accepting applications for the full-time position of staff attorney. The Youth Law Center is a 501(c)(3) organization that provides legal services to youth in the courts of central Iowa, primarily in Polk County. Staff attorneys will work on legal matters impacting children in central Iowa, and will represent youth in legal matters including but not limited to: Child in Need of Assistance Actions (Child Welfare), juvenile justice, Involuntary Mental Health and Substance Abuse Committals, Minor Guardianships and Emancipations. Staff attorneys will also assist with policy work, trainings and other activities to support the goals of the Youth Law Center. Staff attorneys work a minimum of forty hours per week, but staff attorneys will need to work evenings and weekends to visit with children and families in their homes. Minimum Qualifications: A juris doctorate degree is required Admission to Iowa Bar required. Experience litigating...

Title: Darling Intern Position Number: 100039 Unit/Department: Darling Institute FTE: 60-80% Salary: Commensurate with experience and qualifications of the selected candidate Department Summary: The Mission of the Jay N. Darling Institute at Drake University is to provide educational and scholarly expertise for rural communities so that their citizens have improved access to quality health care and education, nutritious food, unimpaired natural resources, and ongoing economic and cultural opportunities. www.drake.edu/darling Job Summary: The Jay N. Darling Institute at Drake University is seeking a summer intern that will collaborate with community, school, and city stakeholders in Perry, Iowa in order to build a Perry Youth Council. Successful candidates may be permitted to work remotely, but this position will require occasional travel to and work from Perry. While the process to establish a youth...

Title: Administrative Support Specialist, Safety & Risk Management Position Number: 998004 Unit/Department: University Administration FTE: Full-time Salary: Commensurate with experience and qualifications of the selected candidate Department Summary: The Drake University Core Values define how we interact with each other, while the Drake mission and inspiration serve as the guideposts for our daily work and future planning. We offer four weeks of vacation plus holidays and sick leave. Employees and their dependents are eligible for tuition benefits as well as traditional health, dental, and vision coverage. Job Summary: This position plays a key role in supporting Drake University's risk, safety, occupational health, and insurance programs. Reporting to the Chief Administration Officer and the Director of Environmental, Health and Safety, the role maintains records, supports key processes, and monitors...

Position Number: 998004 Unit/Department: University Administration FTE: Full-time Salary: Commensurate with experience and qualifications of the selected candidate Department Summary: The Drake University Core Values define how we interact with each other, while the Drake mission and inspiration serve as the guideposts for our daily work and future planning. We offer four weeks of vacation plus holidays and sick leave. Employees and their dependents are eligible for tuition benefits as well as traditional health, dental, and vision coverage. Job Summary: This position plays a key role in supporting Drake University’s risk, safety, occupational health, and insurance programs. Reporting to the Chief Administration Officer and the Director of Environmental, Health and Safety, the role maintains records, supports key processes, and monitors expenditures. The position collaborates with academic units, student organizations, and administrative...

Job Description Role Summary Oracle Health Platform Engineering builds core platform capabilities that enable Oracle Health teams to deliver secure, scalable, highly available services. We operate with an AI-first engineering culture-engineers are expected to use AI-assisted approaches to accelerate delivery and improve quality across system design, coding, testing, documentation, and operations. We are seeking a Senior Software Developer (IC3) to design, develop, and operate backend services and platform components that improve developer productivity and strengthen platform security and reliability. Location / Work Authorization / Clearance - Role is based in the United States. - U.S. citizenship required due to security clearance requirements. - No visa sponsorship available. - Must be able to obtain and maintain the required security clearance. Responsibilities Key Responsibilities Design and implement backend services and APIs used...

Job Description Role Summary Oracle Health Platform Engineering builds core platform capabilities that enable Oracle Health teams to deliver secure, scalable, highly available services. We operate with an AI-first engineering culture-engineers are expected to use AI-assisted approaches to accelerate delivery and improve quality across system design, coding, testing, documentation, and operations. We are seeking a Senior Software Developer (IC3) to design, develop, and operate backend services and platform components that improve developer productivity and strengthen platform security and reliability. Location / Work Authorization / Clearance - Role is based in the United States. - U.S. citizenship required due to security clearance requirements. - No visa sponsorship available. - Must be able to obtain and maintain the required security clearance. Responsibilities Key Responsibilities Design and implement backend services and APIs used...

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...

Downtown Services Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5286355) Apply ? Downtown Services Specialist Salary $62,337.60 - $96,699.20 Annually Location Des Moines - 50315 - Polk County, IA Job Type Full-time Job Number 26-02607 Agency 269 Iowa Economic Development Authority Opening Date 03/31/2026 Closing Date 4/12/2026 11:59 PM Central LinkedIn Tag #LI-DNP Point of Contact Bethany Coop: bethany.coop@iowafinance.com To Apply Submit an application, resume, and cover letter at jobs.iowa.gov by the position closing date. Description Benefits Job Description Help make Iowa's downtowns stronger. The Iowa Economic Development Authority (IEDA), is seeking aDowntown Services Specialistto join the team and partner with communities and organizations statewide to grow businesses, strengthen main streets, and enhance quality of life. Within IEDA, the Iowa Downtown Resource Center equips local...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provide services to the day-to-day operating objectives of the assigned area by participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives and conducting research and reporting including recommendations or proposals for action. ESSENTIAL RESPONSIBILITIES: Display effective communication skills by interacting directly with colleagues, clientele and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training and mentoring from senior personnel in planning and carrying out activities and assignments. Undertake and/or participate in projects and programs...

Company : Highmark Health Job Description : JOB SUMMARY This job plays a critical role representing the customer's voice throughout the product development lifecycle. This role will establish and evangelize the vision and strategy for assigned digital products, clearly articulate the "why" behind the products, and own the digital product roadmap. Will bridge technology, business, and customer needs to create remarkable digital experiences that solve customer's problems, drive business value, and produce desired outcomes. Will be responsible to define the product's fundamental value proposition, outline the vision and execution plan, gain alignment and support from key strategic partners and stakeholders, and oversee execution of that vision. The incumbent will collaborate with digital design, digital development, and data & analytics counterparts to align and coordinate efforts for effective delivery. This role can be hybrid or remote. If you live within 50...

Job Title : Principal AI Engineer Location : Dublin, CA Years of Experience : 8-10 years of hands-on software engineering experience, including building and scaling AI-powered systems in production Position Overview We are seeking a Principal AI Engineer to design, build, and scale AI-driven systems across our product platforms. This role is ideal for a deeply technical engineer who leads through hands-on contribution, solves complex problems, and drives the adoption of AI into real-world products. The ideal candidate brings strong backend and cloud fundamentals, mandatory experience with Java and AWS, and proven experience integrating AI and Generative AI capabilities into production systems. You will work closely with product, architecture, and engineering teams to deliver reliable, scalable, AI-enabled solutions that create meaningful business impact. Key Responsibilities AI Engineering & System Design Design, build, and operate...