- Molina Healthcare (Davenport, IA)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Davenport, IA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Davenport, IA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Davenport, IA)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Davenport, IA)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Davenport, IA)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Molina Healthcare (Davenport, IA)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Trinity Health (Davenport, IA)
- …quality among the Midwest's best peer groups. In 2023 Genesis joined MercyOne's Partnered Provider Network ; allowing us to expand on our work to transform care ... to join our Occupational Medicine team. Under the supervision of the Medical Director , the Occupational Health Provider serves as a self-directed healthcare… more
- Trinity Health (Milan, IL)
- …to join our Occupational Medicine team. Under the supervision of the Medical Director , the Occupational Health Provider serves as a self-directed healthcare ... employee health and safety through clinical care, compliance oversight, and injury management . **Key Responsibilities:** * **Employee Health & Safety** + Assess and… more
- Trinity Health (Davenport, IA)
- …potential; and proactively engages in risk reduction activities. + Supports the risk management plan/program in order to efficiently provide services across the ... purpose of job as directed. **POSITION PURPOSE** The purpose of the Specialist of Risk Management is, under the direction of the director , to assist in leading,… more