NewClinic Director ProRehab Physical TherapyClinic DirectorNewton, IAThe Clinic Director will oversee daily operations, supervise and mentor clinical and support staff, and ensure high-quality, evidence-based physical therapy services. This role blends hands-on leadership, operational management, and commitment to excellent patient outcomes in a supportive, growth-oriented culture.
NewLicensed Mental Health Therapist-LMFT, LCSW, LCDC, or LPC Quadrant Health GroupLicensed Mental Health Therapist-LMFT, LCSW, LCDC, or LPCJohnston, IA$85,000–$92,000 / yearUnder the supervision of the Executive Clinical Director the Therapist is responsible for completing the Biopsychosocial assessment, developing treatment plans, conducting process groups and individual sessions with facility clients virtually. Des Moines Wellness is a proud member of the Quadrant Health Group, is seeking a passionate and dedicated Fully Licensed Primary Therapist- LMFT, LCSW, LCDC, or LPC to join our growing team in Des Moines, IA.
Clinical Director Lifeskills ConnectionClinical DirectorAnkeny, IowaPosition: Clinical Director FLSA Status: Exempt Reports to: Executive Vice President POSITION Description: The Clinical Director is a licensed clinician responsible for providing direct client care while leading and managing the clinical team at Holistic Healing and Counseling LLC (HHC), LifeSkills Connection, Inc.'s outpatient counseling and behavioral health practice and providing general oversight of the therapy operation at the Holistic Healing Center in Davenport, Iowa. Clinical Supervision (Preferred) Where qualified, provide clinical supervision to HHT's temporarily or provisionally licensed clinicians (e.g., LMHC, LMFT, or LMSW) accruing supervised experience toward independent Iowa licensure, in accordance with Iowa Board of Behavioral Science and Iowa Board of Social Work requirements.
BCBA Clinical Director ABA Therapy for AutismBCBA Clinical DirectorIowaUnique Perks: First Stop Virtual Health for you and up to 7 household members, CALM membership for you and your family, Door Dash Pass, MilkStork access to ship home breast milk while traveling, a SNOO smart sleeper for new parents, and more. Education and Support Continuing Education: A minimum of 10+ free CEUs per year in-house, extra funds to attend additional training courses, and 2 paid days off to use for CEU events.
Clinical Director (LISW, LMFT, LMHC) Solution Based TherapeuticsClinical Director (LISW, LMFT, LMHC)Johnston, IA$90,000–$100,000 / yearWe are seeking an experienced and dedicated Clinical Director to oversee the clinical operations of an adult, co-ed, dual diagnosis detox/residential treatment center in Des Moines, Iowa. The Clinical Director will work closely with clinical, medical, nursing, operations, and administrative leadership to support a safe, structured, and effective treatment environment.
Director of Nursing /Clinical Administrator - Assisted Living (AL) Presbyterian Homes & ServicesDirector of Nursing /Clinical Administrator - Assisted Living (AL)Clive, IowaFull timeResponsibilities: The Director of Nursing / Clinical Administrator is responsible for planning, organizing, developing, evaluating and effectively directing the clinical staff and program in order to ensure the delivery of high quality resident care and services consistent with regulations and established clinical best practices. Walnut Ridge is a beautiful senior living community conveniently located near I-35/80, adjacent to the walking trails and aquatic center in Clive and in close proximity to several restaurants, retail shops and medical facilities.
Director of Nursing /Clinical Administrator Assisted Living (AL) Presbyterian Homes & ServicesDirector of Nursing /Clinical Administrator Assisted Living (AL)Clive, IAThe Director of Nursing / Clinical Administrator is responsible for planning, organizing, developing, evaluating and effectively directing the clinical staff and program in order to ensure the delivery of high quality resident care and services consistent with regulations and established clinical best practices. specifically: As a member of the site leadership team, participate in the planning and implementation of strategies and programming that assure high quality resident care while achieving short and long-term operational goals for the site.•
Director, Enterprise Epic Applications- Clinical - SolutionHealth - Full Time SolutionHealthDirector, Enterprise Epic Applications- Clinical - SolutionHealth - Full TimeIAThis role provides deep domain leadership for Epic and tightly integrated third party clinical and ancillary systems that enable safe, efficient, and high-quality clinical workflows, including documentation, orders, clinical decision support, ancillary services, and care coordination within the clinical record. Provides strategic leadership for Epic and third-party clinical applications supporting inpatient, ambulatory, home care, and ancillary care delivery, including clinical documentation, orders, results, clinical decision support, and specialty workflows across the continuum of care.
Department Chair and Program Director - Doctor of Psychology in Clinical Psychology Des Moines UniversityDepartment Chair and Program Director - Doctor of Psychology in Clinical PsychologyWest Des Moines, IAIn 2023, DMU relocated to a new 88-acre campus in West Des Moines, Iowa, featuring technology-rich educational spaces and expanded state-of-the-art research facilities designed to foster collaboration and innovation. Reporting to university leadership within the College of Health Sciences, this individual will play a key role in fostering academic excellence, advancing program development, supporting interprofessional education, and strengthening partnerships across the university and community.
Director Undergraduate Clinical Affairs Des Moines UniversityDirector Undergraduate Clinical AffairsWest Des Moines, IA$98,000–$103,000 / yearDMU enhances our community's quality of life by educating outstanding health professionals and leaders, providing expert and compassionate patient care, serving the community in diverse ways and contributing to the vitality of central Iowa. Our 88-acre campus in West Des Moines brings the entire academic community together in one collaborative, future-focused environment, while the Des Moines University Clinic serves patients within the DMU32 Health and Business Complex in downtown Des Moines.
Regional Director Of Clinical Operations Jaybird Senior LivingRegional Director Of Clinical OperationsDes Moines, IAJaybird Senior Living, Jaybird Senior Living jobs, careers at Jaybird Senior Living, Healthcare jobs, careers in Healthcare, Cedar Rapids jobs, Iowa jobs, General jobs, Regional Director of Clinical Operations. The Regional Director of Clinical Operations serves as a clinical leader and partner to community nursing staff, responsible for planning, implementing, and directing high-quality, person-centered care programs across assigned communities.
Regional Director of Clinical Operations Jaybird Senior LivingRegional Director of Clinical OperationsDes Moines, IowaThe Regional Director of Clinical Operations serves as a clinical leader and partner to community nursing staff, responsible for planning, implementing, and directing high-quality, person-centered care programs across assigned communities. Clinical Program Leadership: Develop, organize, and direct people-centered care programs focusing on residents' physical, social, emotional, spiritual, and intellectual needs.
Director of Clinical Education Trinity HealthDirector of Clinical EducationDES MOINES, IAUtilizes data to identify opportunities for clinical variation, understands graphical representations of data, and applies project-oriented expertise in identifying leading and lagging metrics for implementation effectiveness, and data plans. As a MercyOne Trinity Health Leader, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below: Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Director II Quality and Clinical Effectiveness UnityPoint HealthDirector II Quality and Clinical EffectivenessDes Moines, IAAssures areas of responsibility are performed within budget; oversees revenues and expenditures in assigned areas to assure sound fiscal control; prepares annual budget requests; assures effective and efficient use of budgeted funds, personnel, materials, facilities, and time. Provide leadership to create an exceptional culture of clinical effectiveness that empowers caregivers and providers to deliver the highest quality care, demonstrated through reduced harm and errors and achievement of short and long-term Market and System goals.
Director Of Clinical Education Trinity Health CorporationDirector Of Clinical EducationDes Moines, IAUtilizes data to identify opportunities for clinical variation, understands graphical representations of data, and applies project-oriented expertise in identifying leading and lagging metrics for implementation effectiveness, and data plans. As a MercyOne Trinity Health Leader, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below: Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
ABA Clinical Lead (Full-Time) ChildServeABA Clinical Lead (Full-Time)Des Moines, IowaChildServeis a leading pediatric healthcare provider with Iowa’s only children's specialty hospital, offering a variety of services and programs to meet each child’s unique needs. The ABA Clinical Lead collaborates with interdisciplinary teams to ensure continuity of care and positive outcomes for children with autism and related diagnoses while upholding ChildServe’s values.
Clinical Care Reviewer RN Integrated Resources, IncClinical Care Reviewer RNDes Moines, IowaFull timeUsing clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. The nurse will use his/her professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases as needed.
Clinical Care Reviewer Integrated Resources, IncClinical Care ReviewerDes Moines, IowaFull timeUsing clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. The nurse will use his/her professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases as needed.
Clinical Care Reviewer UM (RN/LPN) Integrated Resources, IncClinical Care Reviewer UM (RN/LPN)Des Moines, IowaContractorUsing clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. Job DescriptionDuration: 3 Months+ (Possible Extension)Our client is looking to hire Clinical Care Reviewer UM.Job description:The primary purpose of the job is to:Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews.
Clinical Case Manager, Behavioral Health CVS Health CorpClinical Case Manager, Behavioral HealthIA$54,095–$116,760 / yearPosition Summary: Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
Director of Nursing (DON), RN WesleyLifeDirector of Nursing (DON), RNIndianola, IAEnsure residents and family members receive the appropriate services and levels of care at all times and coordinate care across a variety of services to ensure smooth handoffs to over-services. With nearly 80 years of excellence in serving older adults, we empower our team members to thrive while making meaningful connections and changing lives every day.
Clinical Project Manager - East Coast US - FSP ParexelClinical Project Manager - East Coast US - FSPDes Moines, IARemoteThe Project Manager drives the planning, execution, and delivery of internal initiatives across Study Management functions and reports directly to the Director, Clinical Operations. + Demonstrated end‑to‑end clinical trial management experience across Phase II and Phase III studies, with strong understanding of operational requirements from study start‑up through close‑out.
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.
Mental Health Director Department of Veteran AffairsMental Health DirectorDes Moines, IAIf you are a psychiatrist who thrives in leadership, values team?based care, and wants to make a lasting impact on the lives of Veterans in a welcoming, affordable Midwestern community, we invite you to consider this Mental Health Medical Director opportunity in Des Moines, Iowa. Outstanding affordability – Des Moines offers a cost of living significantly below the national average, with overall costs and housing expenses notably lower than many metropolitan areas, allowing physicians to enjoy more space and financial flexibility.
Hospital Services Director of Operations LifeServe Blood CenterHospital Services Director of OperationsJohnston, IowaProvides day-to-day management by implementing decision-making duties for activities and tasks associated with the functional business units assigned to this region while adhering to cost-effective and efficient guidelines with a focus on quality and customer service outcomes in the following areas: Blood manufacturing, product management, and product distribution. As the Hospital Services Director of Operations , you’ll oversee blood manufacturing, product management, distribution, and advanced IRL testing; work that directly supports patients, donors, and clinical partners across the region.
Manager of Clinical Services St. Croix Hospice LLCManager of Clinical ServicesNewton, IAReviews and evaluates each case through a variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality hospice care services. In this role you have the opportunity to establish and lead a positive culture of caregiving focused on providing hospice patients and families with enhanced quality of life and cultivating a workplace environment where employees know they work where they matter.
Regional Director of Professional Practice and Education Trinity HealthRegional Director of Professional Practice and EducationDes Moines, IAEqually, the RD serves as the system leader for professional development, ensuring advancement pathways for nursing and non-nursing clinical disciplines, including career progression, specialty certification, transition-to-practice programs, academic partnerships, and development of advanced degrees. In partnership with the executive leadership team, the director is responsible for leading efforts for professional nursing practice, regulatory readiness, professional governance, balanced scorecard goals, and the nursing model of care.
Assistant Director of Nursing (ADON) Nava Healthcare RecruitmentAssistant Director of Nursing (ADON)Des Moines, IowaThe Assistant Director of Nursing (ADON) assists the Director of Nursing (DON) in planning, organizing, and directing the overall operation of the nursing department within the Skilled Nursing Facility (SNF). This role helps ensure high-quality resident care, regulatory compliance, staff development, and efficient clinical operations.
Manager of Clinical Services Des Moines UniversityManager of Clinical ServicesDes Moines, IowaWe are seeking a Manager of Clinical Services to provide operational leadership across a growing portfolio of outpatient clinics, including Family Medicine, Osteopathic Manual Medicine, Foot & Ankle, Diagnostic Imaging/X-Ray, and future clinical service lines. In this role, you will drive operational excellence through strategic scheduling, workflow optimization, staffing coordination, and patient flow management while partnering closely with providers and staff to deliver an exceptional patient experience.
Medical Director, Endocrinology ParexelMedical Director, EndocrinologyDes Moines, IARemoteAs a Medical Director, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Senior Technical Lead in selected circumstances. + Review data listings of safety data, including adverse experiences, laboratory data, and vital signs data, to establish the presence or absence of abnormal trends, and if noted, follow up as appropriate with the project team, sponsor, investigator, and FDA.
Visiting Professor of Law & Director of the Criminal Defense Clinic - PROF52 Drake UniversityVisiting Professor of Law & Director of the Criminal Defense Clinic - PROF52Des Moines, IALikewise, those new to clinical teaching might read the Handbook for New Clinical Teachers published by the Clinical Legal Education Association, available at https://www.cleaweb.org/new-clinician-resources . The Visiting Professor will supervise law students in the direct representation of clients in criminal cases, manage clinic operations and case selection, and lead a companion seminar focused on lawyering skills, ethical practice, professional identity formation, and critical re?ection.
Associate Director, Medical Outcomes Value Liaison- Central Ferring Pharmaceuticals IncAssociate Director, Medical Outcomes Value Liaison- CentralDes Moines, IA$201,800–$234,860 / yearResponsibilities: Identifies and communicates scientific, clinical, health outcomes and pharmacoeconomic research information that meet the needs of population health decision makers: Proactively engages with external scientific experts and health care access decision makers, influencers, executives and designates (e.g., pharmacy, medical, quality, value assessment, etc.) to provide clinical and health outcome-based information for all portfolio and pipeline products to inform access and reimbursement decisions. This U.S. field-based role within the Medical Affairs department will deliver and execute the strategy and tactical plans across Ferring's therapeutic areas for payer accounts in support of Ferring's scientific and business objectives and demonstrate value to national and regional health care payers, pharmacy benefit managers, specialty pharmacy providers, group purchasing organizations and accountable care organizations.
Lead Director, Risk Adjustment Performance Reporting and Insights CVS Health CorpLead Director, Risk Adjustment Performance Reporting and InsightsIA$100,000–$231,540 / yearMaster's degree in Business, Informatics, Analytics, Finance, Statistics, Computer Science, Public Health, Healthcare analytics, Actuarial, Mathematics, Economics, or equivalent combination of advanced education, professional certification, or demonstrated subject matter expertise preferred. Partner with provider, clinical, and operational leaders to support performance improvement initiatives through data-driven insights and targeted intervention strategies.
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.
Clinical Research Coordinator I Urology Center of IowaClinical Research Coordinator IClive, IAThis role is responsible for patient-facing study coordination, protocol compliance, timely documentation, EDC data entry, query resolution, visit coordination, sponsor/CRO communication, and maintaining positive working relationships with investigators, clinic staff, vendors, sponsors, and peers. · Collaborate effectively with other coordinators, research nurses, and clinical staff to ensure smooth patient handoffs, shared visit coverage, timely completion of protocol-required activities, and continuity of patient care.
NewAssoc Clinical Spec (Des Moines/Iowa) ~~ RELOCATION FROM KANSAS CITY or MINNEAPOLIS AVAILABLE!!!!! FUJIFILM Biotechnologies USA IncAssoc Clinical Spec (Des Moines/Iowa) ~~ RELOCATION FROM KANSAS CITY or MINNEAPOLIS AVAILABLE!!!!!Des Moines, IARemoteServe as a clinical liaison by developing and delivering comprehensive weekly and monthly reports to senior management that details installation and usage progress/metrics, staff training needs and effectiveness of completed training, and identifying trends to inform and strengthen KOL (Key Opinion Leader) relationships that support strategic decision making. For all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption.
Wellness Director StoryPointWellness DirectorDes Moines, IAThis classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be. The Wellness Director is responsible for the overall direction, administration and coordination of clinical resident care services by delivering a 1440 experience, optimizing performance and leading employee connections within our community.
Assistant Wellness Director StoryPointAssistant Wellness DirectorAnkeny, IAPerform admission and ongoing evaluations of residents quarterly, upon return from Hospital or skilled environment, or change of condition (initiate care conference) and use this information to set measurable goals and outcomes for residents that meet the physical, mental, and psychosocial needs. The Assistant Wellness Director is responsible for the overall direction of clinical resident care services by delivering a 1440 experience, optimizing performance and leading employee connections within our community.
Cardiovascular Service Line - System Medical Director - Interventional/Structural Heart - Physician - Des Moines, Iowa UnityPoint HealthCardiovascular Service Line - System Medical Director - Interventional/Structural Heart - Physician - Des Moines, IowaDes Moines, IAThe Service Line Medical Director will be responsible for key activities including short- and long-term strategic planning, leading physicians and APPs, clinical program and clinical pathway development, to support the clinical, operational, and financial effectiveness of the cardiovascular service line. In collaboration with cardiovascular service line leadership, other physician leaders, and operations leadership, the Service Line Medical Director will optimize growth while delivering cardiovascular care in an efficient and effective manner as demonstrated by clinical, operational, and financial outcomes.
Physician - Service Line Medical Director - Surgical Oncology - Des Moines, IA UnityPoint HealthPhysician - Service Line Medical Director - Surgical Oncology - Des Moines, IADes Moines, IAKey activities include education and training, short-term and long-term strategic planning, leading physicians and other providers in optimizing clinical, operational, financial effectiveness and efficiency, and system leadership responsibilities. Establish strong working relationships with service line physicians (employed as well as independent partners) and other providers and stakeholders through regular and ad hoc meetings, site visits and other connections as requested or needed.
Physician - Service Line Medical Director - Radiation Oncology - Des Moines, IA UnityPoint HealthPhysician - Service Line Medical Director - Radiation Oncology - Des Moines, IADes Moines, IowaResponsibilities: Establish strong working relationships with service line physicians (employed as well as independent partners) and other providers and stakeholders through regular and ad hoc meetings, site visits and other connections as requested or needed. Key activities include education and training, short-term and long-term strategic planning, leading physicians and other providers in optimizing clinical, operational, financial effectiveness and efficiency, and system leadership responsibilities.
Physician - Service Line Medical Director - Medical Oncology - Des Moines, IA UnityPoint HealthPhysician - Service Line Medical Director - Medical Oncology - Des Moines, IADes Moines, IowaResponsibilities: Establish strong working relationships with service line physicians (employed as well as independent partners) and other providers and stakeholders through regular and ad hoc meetings, site visits and other connections as requested or needed. Key activities include education and training, short-term and long-term strategic planning, leading physicians and other providers in optimizing clinical, operational, financial effectiveness and efficiency, and system leadership responsibilities.
Cardiovascular Service Line - System Medical Director – Interventional/Structural Heart - Physician - Des Moines, Iowa UnityPoint HealthCardiovascular Service Line - System Medical Director – Interventional/Structural Heart - Physician - Des Moines, IowaDes Moines, IowaThe Service Line Medical Director will be responsible for key activities including short- and long-term strategic planning, leading physicians and APPs, clinical program and clinical pathway development, to support the clinical, operational, and financial effectiveness of the cardiovascular service line. In collaboration with cardiovascular service line leadership, other physician leaders, and operations leadership, the Service Line Medical Director will optimize growth while delivering cardiovascular care in an efficient and effective manner as demonstrated by clinical, operational, and financial outcomes.
Cardiovascular Service Line - System Medical Director - Electrophysiology - Physician - Des Moines, Iowa UnityPoint HealthCardiovascular Service Line - System Medical Director - Electrophysiology - Physician - Des Moines, IowaDes Moines, IowaThe Service Line Medical Director will be responsible for key activities including short- and long-term strategic planning, leading physicians and APPs, clinical program and clinical pathway development, to support the clinical, operational, and financial effectiveness of the cardiovascular service line. In collaboration with cardiovascular service line leadership, other physician leaders, and operations leadership, the Service Line Medical Director will optimize growth while delivering cardiovascular care in an efficient and effective manner as demonstrated by clinical, operational, and financial outcomes.
Cardiovascular Service Line - System Medical Director - General Cardiology/Imaging - Physician - Des Moines, Iowa UnityPoint HealthCardiovascular Service Line - System Medical Director - General Cardiology/Imaging - Physician - Des Moines, IowaDes Moines, IAThe Service Line Medical Director will be responsible for key activities including short- and long-term strategic planning, leading physicians and APPs, clinical program and clinical pathway development, to support the clinical, operational, and financial effectiveness of the cardiovascular service line. In collaboration with cardiovascular service line leadership, other physician leaders, and operations leadership, the Service Line Medical Director will optimize growth while delivering cardiovascular care in an efficient and effective manner as demonstrated by clinical, operational, and financial outcomes.
Cardiovascular Service Line - System Medical Director – General Cardiology/Imaging - Physician - Des Moines, Iowa UnityPoint HealthCardiovascular Service Line - System Medical Director – General Cardiology/Imaging - Physician - Des Moines, IowaDes Moines, IowaThe Service Line Medical Director will be responsible for key activities including short- and long-term strategic planning, leading physicians and APPs, clinical program and clinical pathway development, to support the clinical, operational, and financial effectiveness of the cardiovascular service line. In collaboration with cardiovascular service line leadership, other physician leaders, and operations leadership, the Service Line Medical Director will optimize growth while delivering cardiovascular care in an efficient and effective manner as demonstrated by clinical, operational, and financial outcomes.
Appeals and Grievances Clinical Specialist HealthfirstAppeals and Grievances Clinical SpecialistIA$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.
Director Of Pharmacy UnitedHealth Group Inc.Director Of PharmacyDes Moines, IA$112,700–$193,200 / yearThey provide a wide range of health services, including emergency medicine, critical care services, medical/surgical, acute rehabilitation, obstetrics, and pediatrics, as well as specialty services such as cardiac catheterization, diagnostic and therapeutic radiological services, wound care, pain clinic, sleep lab, pathology, and so much more. You will collaborate with hospital leadership to implement innovative pharmacy practices, supported by proprietary CPS software, a dedicated support team including experts in operations, clinical, and regulatory as well as a CPS Area Director or Senior Vice President.
Director of Pharmacy UnitedHealth Group IncDirector of PharmacyDes Moines, IA$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. They provide a wide range of health services, including emergency medicine, critical care services, medical/surgical, acute rehabilitation, obstetrics, and pediatrics, as well as specialty services such as cardiac catheterization, diagnostic and therapeutic radiological services, wound care, pain clinic, sleep lab, pathology, and so much more.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsIA$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.