Senior Provider Relations Specialist
4 weeks ago
Prime Therapeutics is seeking a highly skilled Senior Provider Relations Specialist to join our team. As a key member of our Provider Relations team, you will be responsible for managing contracting efforts for low to mid complexity pharmacies. This role requires strong communication and problem-solving skills, as well as the ability to work independently and as part of a collaborative team.
Key Responsibilities- Conduct root cause analysis to investigate, monitor, resolve, and report on pharmacy contract issues, grievances, and CMS Prescription Drug Events (PDE) rejections.
- Serve as a primary point of contact for electronic transaction file set-up and maintenance.
- Collaborate with key pharmacy chains, Network Management, Client Engagement, Finance, and Benefit Operations to resolve escalated issues and complete root cause analysis.
- Draft and manage communication efforts on behalf of Network Management, Client Engagement, Compliance, and Government Programs to participating pharmacies.
- Identify trends in escalated pharmacy issues and develop strategies to enhance processes and reduce the number of escalated pharmacy issues.
- Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience.
- 2 years of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, Pharmacy Benefit Management (PBM), or other relevant experience in a related industry.
- Must be eligible to work in the United States without need for work visa or residency sponsorship.
- Experience working with RxClaim system or other claims processing experience.
- Pharmacy Technician certification (CPhT) or equivalent pharmacy experience.
- Experience using Contract Management software including maintaining and managing databases.
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Senior Compensation Specialist
3 weeks ago
Des Moines, Iowa, United States Planned Parenthood North Central States Full timeJob Title: Senior Compensation SpecialistAbout the Role:We are seeking a highly skilled Senior Compensation Specialist to join our team at Planned Parenthood North Central States. As a key member of our human resources department, you will play a critical role in developing and implementing compensation strategies that align with our organization's goals and...
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Senior Distributed Training Specialist
4 weeks ago
Des Moines, Iowa, United States American Systems Full timeJob Title: Senior Distributed Training SpecialistAre you an experienced Joint Technology SME with a proven track record in executing distributed Operational Training (OT) for warfighters in Live-Virtual-Constructive (LVC) training environments? We're seeking a skilled professional to join our team in Des Moines, IA.As a Senior Distributed Training...
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New Business Senior Specialist
3 weeks ago
Des Moines, Iowa, United States EquiTrust Full timeThe New Business Senior Specialist plays a pivotal role in ensuring seamless customer service experiences. This position requires collaboration with team members and independent work to accomplish daily responsibilities.Key responsibilities include coordinating the processing of incoming applications, issuing life insurance policies, and resolving...
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Senior Internal Audit Specialist
4 weeks ago
Des Moines, Iowa, United States Athene Full timeAthene's Internal Audit TeamWe are seeking a highly skilled and experienced Senior Internal Audit Specialist to join our team. As a key member of our audit team, you will be responsible for providing independent assurance on the adequacy, effectiveness, and sustainability of our risk, control, and governance frameworks.Key Responsibilities: Develop and...
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Senior Investment Accounting Specialist
4 weeks ago
Des Moines, Iowa, United States Selby Jennings Full timeAre you a detail-oriented accounting professional looking to make a meaningful impact in the investment industry? We have an exciting opportunity for a Senior Investment Accounting Specialist to join our team at Selby Jennings.Key Responsibilities:Prepare and analyze investment reports to ensure compliance with accounting standards.Support financial analysis...
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Senior Control Management Specialist
3 weeks ago
Des Moines, Iowa, United States Wells Fargo Full timeAbout this role:Wells Fargo is seeking a Senior Control Management Specialist for our Consumer Lending Operations Evidence-Based Control Evaluation (EBCE) group. This role will perform evidence-based control testing which may involve sampling and inspecting evidence to assess the design and operating effectiveness of controls and whether they are mitigating...
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Senior Oracle Hyperion Planning Specialist
3 weeks ago
Des Moines, Iowa, United States Syntricate Technologies Full timeKey Responsibilities:As a Senior Oracle Hyperion Planning Specialist at Syntricate Technologies, you will work closely with business partners to coordinate IT efforts and support existing Hyperion applications. You will also be responsible for end-to-end coordination on new enhancements, infrastructure updates, and tech refreshes.Key skills include...
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Senior Command and Control Specialist
4 weeks ago
Des Moines, Iowa, United States American Systems Full timeJob Title: Senior Command and Control SpecialistAre you an experienced Command and Control (C2) professional with a proven track record in the execution of distributed Operational Training (OT)?We are seeking a highly skilled Senior Command and Control Specialist to join our team in Des Moines, IA. As a key member of our team, you will be responsible for...
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Senior Data Management Specialist
3 weeks ago
Des Moines, Iowa, United States HexaQuEST Global, Inc. Full timeJob Title: Senior Data Management SpecialistJob Summary:HexaQuEST Global, Inc. is seeking a highly skilled Senior Data Management Specialist to join our team. The ideal candidate will have expertise in data management and analysis, with a strong background in data cleaning and preparation. The selected candidate will be responsible for overseeing the data...
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Senior Reinsurance Accounting Specialist
3 weeks ago
West Des Moines, Iowa, United States The Mutual Group Full timeJob Title: Senior Reinsurance Accounting SpecialistJob Summary:The Mutual Group is seeking a highly skilled Senior Reinsurance Accounting Specialist to join our team. As a key member of our finance department, you will be responsible for the accounting and reporting of various tasks with respect to outside reinsurers, reinsurance brokers, and related...
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Senior Investment Accounting Specialist
3 weeks ago
Des Moines, Iowa, United States Selby Jennings Full timeJob OverviewWe are seeking a highly skilled Senior Investment Accounting Specialist to join our team at Selby Jennings. As a key member of our financial team, you will play a crucial role in supporting the financial strategy of a leading global reinsurance firm.Key Responsibilities:Assist in preparing and analyzing investment reports to ensure compliance...
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Senior Legal Specialist
3 weeks ago
Des Moines, Iowa, United States Principal Financial Group Full timeJob SummaryWe are seeking a highly skilled Senior Legal Specialist to join our Real Estate Legal Team at Principal Financial Group. As a key member of our team, you will be responsible for providing exceptional legal support and ensuring the flawless execution of complex projects.Key ResponsibilitiesManage complex projects with a high degree of independence...
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Senior Care Professional
4 weeks ago
Des Moines, Iowa, United States Highmark Senior Living Full timeJob SummaryWe are seeking a compassionate and enthusiastic Senior Care Professional to join our team at Highmark Senior Living. As a Life Enrichment Assistant, you will play a vital role in delivering meaningful opportunities to our residents by helping to develop and execute programming that incorporates the Six Dimensions of Wellness.Under the direction of...
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Senior Surveillance Specialist
3 weeks ago
Des Moines, Iowa, United States Ethos Risk Services Full timeWe are seeking a skilled Senior Surveillance Specialist to join our team at Ethos Risk Services. As a key member of our fraud investigations team, you will conduct covert surveillance, review files, and draft detailed case reports.Key Responsibilities:Conduct surveillance operations in the field, capturing video evidence of targetsCollaborate with Operations...
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Senior Learning Specialist
4 weeks ago
Des Moines, Iowa, United States Principal Financial Group Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Learning Specialist to join our team at Principal Financial Group. As a key member of our organization, you will be responsible for designing and delivering training programs that meet the needs of our employees and support the company's overall business objectives.Key...
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Senior Software Development Specialist
3 weeks ago
Des Moines, Iowa, United States Accede Solutions Inc. Full timeJob SummaryWe are seeking a highly skilled Senior Software Development Specialist to join our team at Accede Solutions Inc. As a key member of our software development team, you will be responsible for designing, developing, and implementing software solutions using Java and JavaScript. Key Responsibilities- Design and develop UI and Service components of a...
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Senior Risk Management Specialist
3 weeks ago
Des Moines, Iowa, United States Wells Fargo Full timeAbout This RoleWe are seeking a highly skilled Senior Control Management Specialist to join our Commercial Banking Operations team. In this role, you will be responsible for managing risk and control activities, identifying and mitigating risks, and providing risk management consulting to support business growth.Key Responsibilities:Own and independently...
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Certified Nursing Assistant
4 weeks ago
West Des Moines, Iowa, United States Pivotal Health Care Full timeAbout UsPivotal Health Care is a family of retirement communities dedicated to enriching the lives of our residents through purpose, passion, and joy. Our mission is to provide quality care and a great work environment for our team members.Job SummaryWe are seeking a dedicated Certified Nursing Assistant (CNA) to join our team. The CNA will provide direct,...
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Medication Technician
3 weeks ago
Des Moines, Iowa, United States Bickford Senior Living Full timeJob Summary:As a Medication Technician at Bickford Senior Living, you will play a vital role in ensuring the health and well-being of our residents. You will be responsible for accurately administering medications, understanding and following the "Six rights of medication administration," and communicating effectively with clinical...
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Talent Management Specialist
3 weeks ago
Des Moines, Iowa, United States LCS Full timeThe Talent Management Specialist will support the talent initiatives and processes at LCS, including performance management, career development, succession planning, employee engagement, Talent ID and exit Interviews.At LCS, we believe that our employees are our greatest asset. As a Talent Management Specialist, you will play a critical role in helping us...