20 claims representative jobs found

Title I Career Planner Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5269098) Apply ? Title I Career Planner Salary $49,400.00 - $72,612.80 Annually Location Sioux City - 51101 - Woodbury County, IA Job Type Full-time Job Number 26-02453 Agency 309 Iowa Workforce Development Opening Date 03/12/2026 Closing Date 3/22/2026 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact Teresa Larson-White (teresa.larson-white@iwd.iowa.gov) Description Benefits Questions Job Description Only applicants who meet the Minimum Qualification Requirements and meet all selective requirements (listed below) will be placed on the eligible list. Iowa Workforce Development (IWD) is seeking aTitle ICareer Plannerto join our team at the IowaWORKSoffice inSioux City, Iowa. Position Details Location: 2508 4thSt., Sioux City, IA. Schedule: Full-time | Monday - Friday | 8:00 AM - 4:30 PM Work Flexibility:...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Administrative Assistant 2 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5260230) Apply ? Administrative Assistant 2 Salary $49,400.00 - $72,612.80 Annually Location Ames - 50010 - Story County, IA Job Type Full-time Job Number 26-02380 Agency 222 Corrections - Community Based Corrections - Fort Dodge Opening Date 03/05/2026 Closing Date 3/15/2026 11:59 PM Central LinkedIn Tag #LI-POST Point of Contact Chrystal Brown chrystal.brown@iowa.gov Description Benefits Questions Job Description Are you ready to make a meaningful impact behind the scenes in Iowa's correctional system? As anAdministrative Assistant 2with the Iowa Department of Corrections - Second District in Ames, you'll play a vital role in keeping our operations running smoothly. This position is perfect for detail-oriented professionals who thrive in fast-paced environments, enjoy organizing information, and want to support a mission-driven...

Position Description & Qualifications If you love a high energy and fast-paced environment - Serco has a great opportunity for you! The Task Lead on the Document Intake team. Bring your expertise and collaborative skills to make an impact towards servicing our retirees. Serco and PBGC protects the retirement security of over 35 million Americans in single employer and multiemployer pension plans. Our goal is to provide the highest level of customer support and to work to protect workers and retirees' hard-earned pension benefits. This position is responsible for meeting daily tasks associated with their assigned operational activities, processes, and workflows. The candidate will support the Document Intake Supervisor through daily monitoring and reporting on the status of their assigned tasks, by providing training and feedback to include providing Subject Matter Expert (SME) input to staff in support of their assigned operational tasks. You will achieve...

Home Base Iowa Career Planner Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5239996) Apply ? Home Base Iowa Career Planner Salary $49,400.00 - $72,612.80 Annually Location State of Iowa - See Job Description, IA Job Type Full-time Job Number 26-02055 Agency 309 Iowa Workforce Development Opening Date 02/17/2026 Closing Date 3/1/2026 11:59 AM Central LinkedIn Tag #LI-POST Point of Contact Robert Haege (robert.haege@iwd.iowa.gov) Description Benefits Questions Job Description Only applicants who meet the selective requirements below will be placed on the eligible list. Iowa Workforce Development is seeking applicants for the position of Home Base Iowa Career Planner. Domicile will be determined based on the hired candidate's location at one of our IowaWorkslocation in Sioux City or Council Bluffs, IA. About Iowa Workforce Development Iowa Workforce Development (IWD) is a state agency dedicated to...

About the Role: As a CBRE Electrical Engineer, you will provide design and engineering support for power, energy, and infrastructure projects. This job is part of the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You'll Do: Prepare electrical designs and perform calculations in support of water, environmental, advanced manufacturing, and energy brands. Incorporate all manufacturing technical requirements and specifications. Verify the integrity and precision of electrical SLDs (Single Line Diagrams) for various data center architectures. Work with engineers to construct and manage system logic in SmartSLD to facilitate precise electrical system simulations. Partner with site-level DCOps teams to facilitate the deployment of SmartSLD. Develop and conduct training programs for engineers and technicians to ensure effective platform...

About the Role: As a CBRE Electrical Engineer, you will provide design and engineering support for power, energy, and infrastructure projects. This job is part of the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You'll Do: Prepare electrical designs and perform calculations in support of water, environmental, advanced manufacturing, and energy brands. Incorporate all manufacturing technical requirements and specifications. Verify the integrity and precision of electrical SLDs (Single Line Diagrams) for various data center architectures. Work with engineers to construct and manage system logic in SmartSLD to facilitate precise electrical system simulations. Partner with site-level DCOps teams to facilitate the deployment of SmartSLD. Develop and conduct training programs for engineers and technicians to ensure effective platform...

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 40 Gundersen Health System is seeking a detail-oriented and proactive individual to join our team as a full-time Accounts Receivable Rep in our Rural Government Billing department! In this role, you'll play a key part in ensuring accurate billing and reimbursement processes while supporting our patients and internal teams. If you're passionate about problem-solving, compliance, and making a difference in healthcare finance, we encourage you to apply! What's Available: Full-time – 1.0 FTE (40 hours/week) Monday – Friday, 8-hour shift between 7 AM -5:30 PM (flexible start times based on team coverage and operational needs) Department: Supporting Government Billing for the Hillsboro location Remote eligible after training (Training location flexible) Must resides in WI, MN, or IA...

Job Summary Otsuka America Pharmaceutical, Inc. customer engagement approach is designed to better deliver on patient, caregiver and HCP needs in an evolving healthcare environment. This model is built around where patients get their care-locally, with the intent to better serve patients, caregivers, and healthcare providers, delivering a higher quality experience that ultimately is focused on improving patient care. The local "ecosystem approach" creates a unified focus among account management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this matrix model, customers will now experience more coordinated and seamless care with digital-enabled support to help bridge care gaps. The Area Business Lead will report to the respective Sr. Business Director (SBD) and be grouped into a regional area. The SBDs have significant autonomy to assess unique market priorities and...

Job Summary: The Senior Manager, Clinical Technical Operations within Clinical Operations is responsible for supporting the implementation, integration, and optimization of technical systems and processes that support the planning, execution, and oversight of clinical trials. This role bridges the gap between clinical operations and technical functions, ensuring that digital tools, platforms, and data systems are effectively leveraged to drive operational efficiency, compliance, and data integrity. The Senior Manager will collaborate cross-functionally with Clinical, Data Management, IT, Quality, and external vendors to support system implementation, process automation, and continuous improvement initiatives. This role also includes oversight of technical service providers and may involve line management responsibilities. Key Responsibilities: Technical Systems Oversight - Support the implementation, configuration, and maintenance of clinical operations systems...

Position Summary The Associate Director of MSAT (Manufacturing Science & Technology) - Analytical Sciences will serve as a scientific and technical leader supporting tech transfer, and commercial manufacturing of biologic drug substances and drug products. This role oversees analytical lifecycle management, method qualification/validation, comparability, control strategy implementation, and investigations. The ideal candidate brings deep expertise in biologics analytics, strong cross-functional leadership, and experience working with external contract manufacturing companies. Key Responsibilities Lead the analytical sciences function within MSAT to ensure robust support for commercial manufacturing of biologics (e.g., mAbs, fusion proteins). Drive analytical control strategy, specification setting, and lifecycle management in alignment with QbD principles. Oversee method performance monitoring and trending, analytical capability assessments, and...

Job Summary: The Director of Patient Experience Data and Clinical Outcome Assessments (PED&COA) leads the strategic integration of patient-centered outcomes into assigned global assets and programs. This role encompasses early development, regulatory submissions, post-marketing studies, and life-cycle management, ensuring patient perspectives are embedded throughout the drug development process. As a key member of the Global Integrated Evidence & Innovation team, the Director (PED&COA) will develop and execute a scientifically rigorous, patient-focused global strategy for Patient-Centered Outcomes Research (PCOR). This role ensures alignment with FDA guidance on patient-focused drug development (PFDD), regulatory expectations, and health technology assessment (HTA) requirements, while advancing Otsuka's commitment to create innovative, high-quality products for better health worldwide. Job Description: Patient-Centered Outcomes Research (PCOR):...

Job Description: The Senior Manager of Field Training and Development, collaborates and communicates closely with the Team Leader in the Field Training and Development Department to develop and drive the achievement of department objectives and responsibilities. Leads in coordinating closely with peers to ensure that learning needs are identified, training programs are developed, and actively implements learning experiences that strengthen the capabilities of customer-facing field personnel to drive business growth. Works cross-functionally with Brand teams, Field Leadership, Medical, and other internal key stakeholders along with external vendors to ensure Field Training and Development programs/deliverables are in alignment with brand/company strategies to support the achievement of commercial business objectives. Key Functions: Collaborates and communicates with peers in Field Training and Development Department to achieve department...

The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will lead the development and execution of a global strategy for integrating and leveraging data-driven insights across multiple Global Medical Affairs (GMA) functions. This role will be responsible for managing the Manager, Medical Analytics and is pivotal in shaping how GMA uses analytics to optimize performance, enhance decision-making, and deliver measurable impact across therapeutic areas. The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will report to the Senior Director, Medical Affairs Solutions & Analytics and will leverage strategic vision, operational excellence, and expertise in data integration to drive innovation and efficiency across functions such as Medical Information, Field Medical, Medical Strategy, and Medical Education. Preferred therapeutic experience includes Nephrology, Central Nervous System (CNS), and rare disease. Key...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor-led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Job Description ? The Data Governance & Data Integrity...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Job Description The Global Medical Affairs Rare Diseases Intern...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Location: In Princeton 2-3 days a week Job Description ?...

Who You Are: (Job Summary) QTS Data Centers is seeking a C ommunity Engagement Regional Manager to manage a team of "on-the-ground representatives" for QTS in key communities where we operate and develop data centers. This role is responsible for building trust, addressing community concerns in real-time, and ensuring QTS is viewed as a responsible corporate partner. As part of the Government Relations & External Affairs team, this position will work directly in communities across a region, leveraging the expertise of Communications, Brand, Community Impact, and Government Relations teams to execute an informed and strategic engagement approach. The goal is to proactively engage communities, mitigate opposition, and ensure smooth project execution while upholding QTS's core values. What You Will Do: (Job Responsibilities) Serve as QTS's primary local representative in a geographic region, engaging directly with residents, businesses, government...

Who You Are: (Job Summary) QTS Data Centers is seeking a Community Engagement Regional Manager to manage a team of “on-the-ground representatives” for QTS in key communities where we operate and develop data centers. This role is responsible for building trust, addressing community concerns in real-time, and ensuring QTS is viewed as a responsible corporate partner. As part of the Government Relations & External Affairs team, this position will work directly in communities across a region, leveraging the expertise of Communications, Brand, Community Impact, and Government Relations teams to execute an informed and strategic engagement approach. The goal is to proactively engage communities, mitigate opposition, and ensure smooth project execution while upholding QTS’s core values. What You Will Do: (Job Responsibilities) Serve as QTS’s primary local representative in a geographic region, engaging directly with residents, businesses, government officials, civil...

Job Summary ?: Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Job Description ? The Junior Scientist...