Utilization Management Jobs in Des Moines, IA

About the opportunity: As Senior Medical Director for Utilization Management (UM) you will be an effective change leader and help develop and guide the strategic direction for Utilization Management initiatives at Wellmark. As a leader of others you will directly impact More...

The Scientific Director International Medical Affairs - Gastroenterology provides medical and scientific strategic and operational input into core medical affairs activities including but not limited to: health-care professional and provider interactions; generation of clinical and sc More...

Anticipated End Date:Position Title:LTSS Service Coordinator - Eastern IowaJob Description:LTSS Service CoordinatorLocation:Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory based on their location.Wape More...

At MTM we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation collaboration an More...

About the opportunity: As Senior Medical Director for Utilization Management (UM) you will be an effective change leader and help develop and guide the strategic direction for Utilization Management initiatives at Wellmark. As a leader of others you will directly impact More...

About the Role: Were looking for a Health Services Intake Specialist to work within a call center setting facilitating care management functions including eligibility and benefit verification authorization status inquiries data collection/documentation and accurate completion of More...

Anticipated End Date:Position Title:LTSS Service Coordinator -Job Description:LTSS Service CoordinatorLocation:Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory based on their location.PolkIdaCherokeePo More...

Bring your strengths to Wellmark as a Medical Policy Analyst! About the Role: You will be responsible for the research analysis development maintenance coordination and documentation of medical policies for all products of Wellmark Inc. You will do this through evidence-base More...

Build your best future with the Johnson Controls teamAs a global leader in smart healthy and sustainable buildings our mission is to reimagine the performance of buildings to serve people places and the planet. Join a winning team that enables you to build your best future! Our teams More...

Bring your strengths to Wellmark as a Medical Policy Analyst! About the Role: You will be responsible for the research analysis development maintenance coordination and documentation of medical policies for all products of Wellmark Inc. You will do this through evidence-base More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...

OverviewInpatient Care Coordinator- North 3 and North 4Iowa MethodistFull-Time 40 hours/weekDays Monday-FridayBenefit EligibleThe Care Coordinator integrates and coordinates the clinical care of individuals. Facilitates the interdisciplinary plan of care in order to meet multiple serv More...

OverviewInpatient Care Coordinator- South 3 and 2 NorthIowa MethodistFull-Time 40 hours/weekDays Monday-FridayBenefit EligibleThe Care Coordinator integrates and coordinates the clinical care of individuals. Facilitates the interdisciplinary plan of care in order to meet multiple serv More...

Use Your Strengths at Wellmark as a Utilization Management Nurse! *This position will require the following schedule: Your choice of working any three (3) set days between Monday-Friday with Saturday and Sunday required each week totaling a 5 day work week.  Average sch More...

About the Role: Were looking for a Health Services Intake Specialist to work within a call center setting facilitating care management functions including eligibility and benefit verification authorization status inquiries data collection/documentation and accurate completion of More...

Use Your Strengths at Wellmark as a Utilization Management Nurse! *This position will require the following schedule: Your choice of working any three (3) set days between Monday-Friday with Saturday and Sunday required each week totaling a 5 day work week.  Average sch More...

OverviewInpatient Care Coordinator Powell 5 and Younker 5Iowa MethodistFullTime 40 hours/weekDays MondayFridayBenefit EligibleThe Care Coordinator integrates and coordinates the clinical care of individuals. Facilitates the interdisciplinary plan of care in order to meet multiple serv More...

Anticipated End Date:Position Title:LTSS Service Coordinator (Wapello/Des Moines/Lee County IA)Job Description:LTSS Service CoordinatorLocation:This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate will More...

Use your strengths at Wellmark as a Team Leader of Pharmacy Clinical Programs!   About the Opportunity: As a people leader you will guide mentor and lead a multifunctional team of Clinical Pharmacists supporting managed care work across the organization. You will lead a More...

Anticipated End Date:Position Title:LTSS Service Coordinator Iowa (Dickinson/Plymouth County IA)Job Description:LTSS Service CoordinatorLocation:This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate wil More...