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Healthcare Management Healthcare Administration

RN Clinical Transformation Lead — Utilization & Quality

Remote / Online - Candidates ideally in
Des Moines, Polk County, Iowa, 50319, USA
Listing for: Highmark Health
Remote/Work from Home position
Listed on 2026-03-02
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare organization in Iowa seeks a skilled professional to work with network providers, ensuring quality and appropriate care while improving performance. The candidate must have strong analytical skills and at least 5 years of experience in the healthcare field, with a focus on utilization management. Responsibilities include developing strategies based on data analysis, educating providers about medical policies, and fostering relationships with stakeholders.

The role is office- or remote-based with a competitive salary.
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