Top 27 management analyst Jobs in iowa

Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
Molina Healthcare, Inc. —Iowa
- $83,252 - $155,508 a year
- Full-time
- Remote
- Organizational skills
- Senior level
- 2 years
- Health insurance
12d
Epic Compliance & Environment Management Analyst
CVS Health —Iowa
- $64,890 - $173,040 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- 3 years
- Health insurance
- Dental insurance
1d
Lead Compliance Analyst - Transamerica AM
Aegon Asset Management —Cedar Rapids, IA
- $95,000 - $100,000 a year
- Full-time
- Hybrid work
- Marketing
- 5 years
- Research
- Wellness program
- Paid parental leave
Epic Certified Health Information Management (HIM) Senior Analyst 5944593
Accenture —Des Moines, IA
- $48 - $55 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Senior Analyst, Financial Planning and Management, Deloitte Global Finance
Deloitte —Davenport, IA
- Research
- Mid-level
- Office
12d
Lead Compliance Analyst - Broker Dealer & Registered Investment Advisor (Hybrid)
Transamerica —Cedar Rapids, IA
- $92,000 - $100,000 a year
- Full-time
- Hybrid work
- Marketing
- 5 years
- Office
- Wellness program
- Paid parental leave
IT - SAP Senior Functional Analyst (Transportation Management)
Woodgrain —West Des Moines, IA
- $85,000 - $130,000 a year
- Full-time
- Hybrid work
- Computer Science
- 5 years
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
Treasury Management Sales Analyst
U.S. Bank National Association —Des Moines, IA
- $81,515 - $95,900 a year
- Mid-level
- Office
- 3 years
- Paid holidays
- Disability insurance
8d
Senior Project Management Analyst (Aetna Dental/Vision)
CVS Health —Des Moines, IA
- $46,988 - $112,200 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
5d
Sr. Asset Managment Specialist (Open to hiring at Asset Management Analyst level)
Wellmark, Inc. —Des Moines, IA
- Full-time
- Hybrid work
- Computer Science
- Research
- Mid-level
Quick Apply
1d
Business Reporting and Insights Analyst, Sr. Analyst, Lead Analyst
MidAmerican Energy Company —Des Moines, IA
- Full-time
- Microsoft Excel
- Mid-level
- Office
12d
Data Analyst-Revenue Cycle Management (Full-Time)
The Iowa Clinic —West Des Moines, IA
- Full-time
- Mid-level
- Office
- Finance
- Profit sharing
- Wellness program
2d
Lead Tax and Regulatory Analyst - Hybrid
Transamerica —Cedar Rapids, IA
- $30 - $38 an hour
- Full-time
- Hybrid work
- Research
- Office
- High school diploma or GED
- Wellness program
- Paid parental leave
8d
Lead Quality Analyst
Silgan Containers Mfg Corp —Fort Dodge, IA
- $31.37 an hour
- Overtime
- Mid-level
- High school diploma or GED
- In-person
- Paid holidays
- Health insurance
13d
Senior Vendor Security Risk Management Analyst
Factory Mutual Insurance Company —Johnston, IA
- $106,000 - $152,000 a year
- Full-time
- Azure
- Computer Science
- 5 years
- Disability insurance
- Health insurance
2d
Lead Sales Incentive Compensation Analyst
Transamerica —Cedar Rapids, IA
- $86,000 - $100,000 a year
- Full-time
- Hybrid work
- 7 years
- Office
- Finance
- Wellness program
- Paid parental leave
6d
Investment Operations Analyst (Asset Management)
Principal Financial Group —Des Moines, IA
- $28.32 - $47.95 an hour
- Full-time
- Research
- Office
- Finance
- Paid time off
14h
Policy Administration Data Analyst Manager
EquiTrust Life Insurance Co. —West Des Moines, IA
- Hybrid work
- Marketing
- 3 years
- High school diploma or GED
- Paid parental leave
- Paid holidays
Quick Apply
1d

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Capital Markets Analyst - AI Trainer
DataAnnotation —Des Moines, IA
Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management.
$50 - $60 an hour
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Investment Analyst
FBL Financial Group, Inc. —West Des Moines, IA
Bachelor's degree in Finance or related field required. Knowledge of financial markets, valuation, fixed income, and statistical analysis.
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Lead Programmer/Analyst
Robert Half —Dublin, OH
Design and develop scalable solutions using RESTful APIs and integration patterns. Strong problem-solving skills in complex technical environments.
$52.88 - $62.50 an hour
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Lead Business Analyst
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Bachelor’s degree in Computer Science, Information Systems, or related field. The role involves close collaboration with stakeholders, product owners, and…
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management analyst jobs near iowa

Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)

Molina Healthcare, Inc. -
Iowa

Apply Now

Job Details

Full-time
$83,252 - $155,508 a year
12 days ago

Benefits

Health insurance

Qualifications

Medical claims processing
Managed care
Medicare coding guidelines
Managed care organization experience
Spreadsheets
Regulatory compliance in claims processing
Health insurance knowledge
Project management in healthcare
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing projects
Productivity software
Cross-functional collaboration
Financial data analysis tools
Cross-functional communication
Data analysis software

Full Job Description

JOB DESCRIPTION Job Summary

Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives tied to payment integrity (PI) and provider claims accuracy. Makes recommendations that inform decisions which contribute to health plan strategy, and acts as a trusted voice in assessing and assisting resolution of complex business challenges that impact cost-containment and regulatory compliance.

Essential Job Duties

Business Leadership & Operational Ownership
Assists with and executes projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions.
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met.
Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
Partners with the network team to communicate recovery projects to ensure provider relations is informed and able to respond to provider inquiries.

Analyze data to identify and develop new recovery opportunities
- Analyze data from Payment Integrity and Vendors against contracts, billing, and processing guidelines
- Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
- Conduct peer reviews of recovery concepts and offer recommendations for logical improvements; assist team members in their analysis of data sets and trends.
Responsible for documenting policies and procedures related to concept approvals
- Conduct trainings and prepare training documentation for teams
- Other duties as assigned

Strategic Business Analysis

Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
Applies understanding of health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans.
Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.

Applied Analytical Support
Uses data analysis tools/systems to support business analysis.
Validates findings and tests assumptions through data, and leads with contextual knowledge of claims processing, provider contracts, and operational realities.
Creates succinct summaries and visualizations that enable faster leadership decision-making.

Required Qualifications

At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent combination of relevant education and experience.
Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
Strong data analysis/queries experience, and ability to analyze data to inform business decisions.
Strong business judgment, cross-functional coordination, and ownership of high-value deliverables.
Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
Strong written and verbal communication skills, including ability to synthesize complex information.
Microsoft Office suite (including advanced Excel), and applicable software program(s) proficiency.

Claims processing background
Experience with Medicare, Medicaid, and/or Marketplace lines of business.

Preferred Qualifications

Experience with Medicare, Medicaid, and/or Marketplace lines of business.
Certified Business Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification.
Project management experience.
Familiarity with Medicaid-specific scorable action items (SAIs), operational cost-management efforts, payment integrity (PI) programs, and regulatory/compliance adherence.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

Apply Now

Refine Your Search

management analyst jobs in iowa

Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)

Epic Compliance & Environment Management Analyst

Lead Compliance Analyst - Transamerica AM

Epic Certified Health Information Management (HIM) Senior Analyst 5944593

Senior Analyst, Financial Planning and Management, Deloitte Global Finance

Lead Compliance Analyst - Broker Dealer & Registered Investment Advisor (Hybrid)

IT - SAP Senior Functional Analyst (Transportation Management)

Treasury Management Sales Analyst

Senior Project Management Analyst (Aetna Dental/Vision)

Sr. Asset Managment Specialist (Open to hiring at Asset Management Analyst level)

Business Reporting and Insights Analyst, Sr. Analyst, Lead Analyst

Data Analyst-Revenue Cycle Management (Full-Time)

Lead Tax and Regulatory Analyst - Hybrid

Lead Quality Analyst

Senior Vendor Security Risk Management Analyst

Lead Sales Incentive Compensation Analyst

Investment Operations Analyst (Asset Management)

Policy Administration Data Analyst Manager

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