Manager, Medicare Administration

50381 Des Moines, Iowa Molina Healthcare

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Job Description

**Job Description**
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Pension Administration - Senior Team Leader

50322 Urbandale, Iowa Marsh & McLennan Companies

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Company:Mercer

Description:

We are seeking a talented individual to join our Pension Administration team at Mercer . This role will be based in Wauwatosa, Wisconsin. This is a hybrid role that has a requirement of working at least three days a week in the office.

You will be a pivotal member of the Client Services Leadership team and have direct influence on future developments and successful planned growth of Mercer Services. The Team Leader is responsible for overseeing the day-to-day management and development of a client team.

We will count on you to:

  • Maintain a high level of professionalism and sense of urgency to ensure client and participant expectations are consistently met, extensive contact with clients and Mercer consultants.
  • Serve as a subject matter expert on the client's plans and administrative procedures; serve as the key resource for day-to-day issues.
  • Ensure that the team delivers quality service to our clients, accuracy and time standards are consistently met; direct the team to handle plan or client specific questions; keep the team updated on client's plan and benefit regulations by testing their knowledge and through training and development.
  • Manage client business process and identify areas for continued improvement; may support more than one client team based on project scope and complexity.

What you need to have:

  • Bachelors degree.
  • 3-5 years experience in defined benefit administration.
  • Strong proficiency with MS Excel and Word (proficiency in MS Access & MS Project highly preferred).
  • Pension related Calculations.
  • Previous experience creating business processes for project implementation.

What makes you stand out:

  • Excellent oral and written communication skills; ability to present complex issues/data with a high level of clarity and impact.

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your wellbeing.
Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting The applicable base salary range for this role is $7,000 to 114,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. Applications will be accepted until: September 30, 2025
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Pension Administration - Senior Team Leader

50322 Urbandale, Iowa Marsh & McLennan

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Job Description

Pension Administration Team Leader

We are seeking a talented individual to join our Pension Administration team at Mercer. This role will be based in Wauwatosa, Wisconsin. This is a hybrid role that has a requirement of working at least three days a week in the office.

You will be a pivotal member of the Client Services Leadership team and have direct influence on future developments and successful planned growth of Mercer Services. The Team Leader is responsible for overseeing the day-to-day management and development of a client team.

We will count on you to:

  • Maintain a high level of professionalism and sense of urgency to ensure client and participant expectations are consistently met, extensive contact with clients and Mercer consultants.
  • Serve as a subject matter expert on the client's plans and administrative procedures; serve as the key resource for day-to-day issues.
  • Ensure that the team delivers quality service to our clients, accuracy and time standards are consistently met; direct the team to handle plan or client specific questions; keep the team updated on client's plan and benefit regulations by testing their knowledge and through training and development.
  • Manage client business process and identify areas for continued improvement; may support more than one client team based on project scope and complexity.

What you need to have:

  • Bachelor's degree.
  • 3-5 years experience in defined benefit administration.
  • Strong proficiency with MS Excel and Word (proficiency in MS Access & MS Project highly preferred).
  • Pension related Calculations.
  • Previous experience creating business processes for project implementation.

What makes you stand out:

  • Excellent oral and written communication skills; ability to present complex issues/data with a high level of clarity and impact.
  • Why join our team:

    • We help you be your best through professional development opportunities, interesting work and supportive leaders.
    • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients and communities.
    • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your wellbeing.

    Mercer, a business of Marsh McLennan, is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com.

    Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting

    The applicable base salary range for this role is $7,000 to 114,500.

    The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

    Applications will be accepted until: September 30, 2025

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Manager, Provider Network Administration (Remote)

50319 Des Moines, Iowa Molina Healthcare

Posted 2 days ago

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Job Description

Job Description

Job Summary

Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.

Knowledge/Skills/Abilities

  • Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.

  • Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.

  • Produces reports related to provider network information.

  • Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.

  • Identifies issues, resolves problems and implements best practices.

Job Qualifications

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

  • 5-7 years managed care experience, including min. 2 years of supervisory experience

  • Min. 2 years health plan Provider Network experience

Required License, Certification, Association

N/A

Preferred Education

Bachelor's Degree

Preferred Experience

  • 7+ years managed care experience

  • QNXT; SQL experience

  • Crystal Reports for data extraction

  • Access and Excel - intermediate plus skill level

Preferred License, Certification, Association

N/A

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $60,415 - $115,000 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Product Owner II - Policy Administration

50319 Des Moines, Iowa EMC Insurance

Posted 14 days ago

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Job Description

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together.

Essential Functions:
  • Drives the complex product development effort within a dedicated team to create a product that generates desired benefits.
  • Leads the generation and management of work to be completed by the development team.
  • Optimizes the value of work performed by the team and ensures stakeholders understand the overall product strategy and product roadmap by maintaining and ensuring the product roadmap and product backlog are visible to all those involved with the product.
  • Collaborates daily with the business and IT to refine, organize and prioritize requests in accordance with corporate strategies and goals.
  • Creates and modifies the product vision, creates user stories and acceptance criteria, grooms the product backlog, plans releases and attends Scrum ceremonies.
  • Coordinates all user acceptance testing (UAT) within each Sprint.
  • Accepts the product increment by ensuring that the acceptance criteria of the story is met.
  • Makes decisions that determine the profitability of the product (ROI).
  • Ensures team is working on items that will deliver maximum value and are aligned with product vision.
  • Provides input and guidance to the portfolio team on the current and future state of the product roadmap.
  • Develops appropriately detailed specifications for product features and ensures they are clearly understood by the team.
  • Motivates the team to deliver innovative solutions with an appropriate sense of urgency.
  • Acts as an ambassador for the product internally and externally, and as the primary technical contact for queries related to the product.
  • Works with key stakeholders across the company to ensure successful product releases.
  • Maintains market awareness of third-party solutions to improve speed of delivery and efficiencies.
  • Maintains third party relationships and evaluates vendor solutions for integration into EMC capabilities.
  • Gathers and documents feedback from the users to improve their overall customer experience.
Education & Experience:
  • Bachelor's degree or equivalent relevant experience
  • Five years of experience in the field of IT projects, business analysis or equivalent subject matter expertise in applicable business field, including two years of experience as a product owner or similar role in the industry
  • Experience in an Agile software development environment or related experience preferred
  • Certified Scrum Product Owner (CSPO) or Certified Scrum Master (CSM) preferred
Knowledge, Skills & Abilities:
  • Strong understanding of the Scrum framework and Agile development techniques
  • Excellent business knowledge to lead development in coordination with all of the stakeholders
  • Strong ability to produce concrete product features and subsequent roadmap while collaborating to drive implementation
  • Strong understanding of the importance of efficient story writing and acceptance test-driven development
  • Excellent knowledge of Microsoft Word, Excel, PowerPoint and Outlook
  • Good knowledge of project management software, such as JIRA
  • Excellent leadership and organizational skills
  • Excellent written and verbal communication skills
  • Strong ability to prioritize work and pivot focus as issues arise


The hiring salary range for this position will vary based on geographic location, falling within either the $83,925 - $15,647 range or 92,509 - 127,495 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.

Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.

All of our locations are tobacco free including in company vehicles.
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Manager, Provider Network Administration (Remote)

50381 Des Moines, Iowa Molina Healthcare

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Job Description

**Job Description**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Senior Specialist, Provider Network Administration

50381 Des Moines, Iowa Molina Healthcare

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Job Description

**JOB DESCRIPTION**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Utilization Management Administration Coordinator (SNF)

50381 Des Moines, Iowa Humana

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**Become a part of our caring community and help us put health first**
The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Job Description
**Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
The Home Solutions UM Team is hiring for a UM Administration Coordinator that will provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in the Home Solutions organization and contributes to the Value-Based segment partnering with CenterWell and Onehome.
+ Manages NLP's for chart reviews for the nursing team
+ Builds and pends authorizations for review
+ Responsible for inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day
+ Documents calls and attaches clinical information received
+ Requests clinical information from providers/facilities
+ Creates and sends out written correspondence
+ Creates and distributes determination letters
+ Collaborates with multiple roles/departments/providers/team members
*** REMINDER: ATTACH A COPY OF YOUR RESUME***
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 1+ years' experience working in an administrative support capacity
+ Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately
+ Ability to quickly learn new systems (proficient to advanced)
**Preferred Qualifications**
+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
+ Proficient utilizing electronic medical record and documentation programs
+ Proficient and/or experience with medical terminology and/or ICD-10 codes
+ Prior member service or customer service telephone experience desired
+ Experience with SNF and/or Home Health
+ Prior experience with CGX, SRO and HCHB
+ Prior experience in a metric driven environment
+ Prior experience in the healthcare industry
**Additional Information**
+ **Remote position with possibility of flexible working hours Monday to Friday between 8am and 8pm EST (8 paid hours per business day)**
+ **Overtime available based upon business needs**
+ **Weekend and/or holiday work possible for this role**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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Specialist, Provider Network Administration (EST business hours)

50381 Des Moines, Iowa Molina Healthcare

Posted today

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Job Description

**JOB DESCRIPTION**
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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2026 Administrative Fellowship - Master of Healthcare Administration (Full-Time)

50131 Johnston, Iowa ChildServe

Posted 12 days ago

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2026 Administrative Fellowship - Master of Healthcare Administration (Full-Time)

Admin & Support (Operations, Accounting, HR, HIM, Marketing) Johnston, Iowa

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Description

ChildServe is seeking an Administrative Fellow whose passion is to become a leader in the healthcare industry. ChildServe's Administrative Fellowship Program is a 12-month learning experience commencing in summer of 2026, dedicated to preparing new professionals for future healthcare career success. Fellows will work closely with the leadership team throughout the program on strategic projects that further the organization's mission and vision. Fellows will have exposure to the executive team through mentorship, project work, and meetings. The fellowship consists of core rotations in areas such as Administration, Clinical Operations, Finance, Quality, and Human Resources. Fellows will spend time shadowing and working on projects with key leaders in each of the rotations to gain perspective on day-to-day operations and decisions faced by healthcare leaders.

Join us virtually to learn more about the fellowship on Thursday, June 26, 9:00 a.m. CST. Email (email protected) to receive the link. Please note that as part of our selection process, a virtual interview may be included for candidates selected to advance in consideration for the fellowship position. Invitations for interview will be extended after the close date of September 6th, 2025.We are unable to provide visa sponsorship for individuals participating in the Administrative Fellowship Program.

What You'll Do During the fellowship, individuals will learn about the range of services and programs offered at ChildServe. Individuals will cultivate leadership skills by pursuing areas of interest based on personal and professional goals, as well as contribute to organizational priorities. ChildServe’s Administrative Fellowship Program offers an unparalleled opportunity to learn and grow as a healthcare professional.

  • Project Work - Administrative Fellows work closely with leaders on a wide variety of impactful projects throughout the organization. A fellow and program leader will evaluate the project proposals to ensure there is benefit to the fellow’s career development. Ultimately, the project is expected to be mutually beneficial to both the fellow and ChildServe.

  • Observational Learning Experiences - Fellows will rotate through a set of experiences that give a broad overview of healthcare administration.

  • Professional Development - Each fellow will work closely with a preceptor and organizational leaders to discuss expectations, progress, and next steps. These relationships provide the fellow with a strong connection to the organization and our community. Other opportunities will be available for professional development, introductory/informational meetings, and career-focused networking within the organization and community.

What You'll Need

  • Recent attainment (2023 - 2025) of a master's degree in Healthcare Administration program or be on schedule to complete the degree before the fellowship start date in June/July 2026.

  • Prefer candidates with a master's degree from a program accredited by the Commission on Accreditation of Healthcare Management Education (CAHME); candidates from non-CAHME programs are accepted for review.

  • Healthcare industry experience such as an internship or applicable employment.

  • Broad knowledge of current and historical perspectives on healthcare strategy, business management and administration, clinical practice management, clinical research and education, hospital administration and management, finance, human resources and organizational development, information systems, and managed care.

  • An ability to maintain positive working relationships and demonstrate sensitivity to, and respect for, a diverse population.

  • Demonstration of proficient organizational and time management skills with developed problem-solving skills and decision-making, and ability to prioritize multiple demands.

  • Computer skills including Microsoft Office, and ability to proficiently learn new software programs.

  • Ability to interpret and follow applicable policies, procedures, and regulations.

  • Authorization to work in the US without future visa sponsorship.

  • Ability to communicate in English effectively for understanding, in writing and verbally.

Application Requirements:

In addition to completing the online application, please submit these documents by email to (email protected) Please include all attachments in one email.

  • Complete applications must be submitted no later than September 6th, 2025. Incomplete applications will not be considered.

  • Current resume (one to two pages) including:

  • degrees, GPA, college/university, date degrees received/anticipated

  • Personal statement (one to two pages) outlining:

  • interest in health care administration as a career

  • interest in pursuing a fellowship

  • qualifications for ChildServe's Administrative Fellowship Program

  • how ChildServe and the fellowship align with your career goals and plans

  • expected outcomes of the fellowship experience with ChildServe

  • career objectives following the fellowship

  • Graduate letters of recommendation:

  • one academic

  • one professional

  • Transcripts:

  • unofficial transcripts accepted but must state degree awarded/degree conferred

Additional Details

  • City: Johnston

  • State: Iowa

  • Exemption status: Exempt

  • Benefits eligible: Yes.

  • Schedule: Full Time, Monday-Friday, business hours

  • Remote work option: No

  • Start date: June/July 2026

Why ChildServe?

About ChildServe: ChildServe partners with families to help children with special healthcare needs live a great life. ChildServe is 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. ChildServe partners with families to help children with special healthcare needs live a great life. ChildServe is 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.

ChildServe has also earned the title of Top Workplace every year since 2014. Here’s why employees love working here:

  • Our work matters. We partner with families to help children with special healthcare needs live a great life.

  • We’re not your average non-profit. We serve more than 5800 children each year through over 30 specialty pediatric services in the Ames, Des Moines, Iowa City, and Cedar Rapids areas. Many of our programs are one-of-a-kind.

  • Our team rocks. Our teams are filled with people who care about their coworkers, and who believe that collaboration is key to providing exceptional care to children.

  • Our learning never stops. As a non-profit dedicated to innovation, we’re proud to help team members gain new certifications, continue their education, take their expertise to the next level, and find new opportunities to advance their career right here at ChildServe.

  • We believe we our differences make us great. We are on a continuous journey to create an environment where different perspectives are valued, and all feel safe and welcome.

  • We’re moving forward together. Experts across multiple disciplines work together to help kids get the best care possible.

Ready to leave work every day knowing you’ve made a difference for kids and families? Let’s move Forward Together - apply today!ChildServe is an Equal Opportunity Employer.

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