- Battelle Memorial Institute (Fort Benning, GA)
- …using pre-established utilization review criteria to recognize and report actual or potential quality and risk management issues to improve practice and ensure ... line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our...to optimizing and sustaining the mission readiness, longevity, and performance of Special Operations Forces (SOF). Through integrated and… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- Molina Healthcare (Columbus, GA)
- …processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality / ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more
- Molina Healthcare (Columbus, GA)
- …and post-go‑live; steward change management (training, SOPs, job aids, communications). + Risk , Compliance & Quality : Ensure alignment to CMS, HIPAA, state ... leading readiness, cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance, risk management, and escalation handling in a… more
- RTX Corporation (Midland, GA)
- …suppliers. **What You Will Do** + Supplier relationships: delivery and quality performance , business reviews, underperforming supplier reviews, customer ... part of Pratt & Whitney's Global Supply Chain, is looking for an Supply Chain Manager in support of Powder Value Stream to manage shop assist suppliers and requires… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- Terracon (Columbus, GA)
- …completing the project as per its contracted scope; monitor progress and performance against the project plan. Troubleshoot and recommend or resolve operational ... intelligence, invoicing and collections + Develop understanding and be aware of project-related risk . Be familiar with what could go wrong on a project and how… more
- Kemper (Columbus, GA)
- …evaluation of multiple factors. + Works with team members to research, conduct high- quality analyses, report, and communicate key product performance metrics. + ... **Position Summary:** Kemper Auto is seeking a Associate Product Manager . As a member of the Product team, you...historical patterns that can be utilized to improve business performance . + Recognizes potential system opportunities or issues during… more
- CDM Smith (Columbus, GA)
- …the day-to-day delivery operation of TSG, including company reputation, project performance , P&L, overhead efficiency, pricing strategies, risk management, ... reporting, health and safety and monitoring of monthly performance figures. * Analyzes monthly performance metrics...estimates at completion (EAC) variances, revenue execution, schedule, budget, quality , and risk in compliance with CDM… more
- CDM Smith (Columbus, GA)
- …of all relevant legislation that impacts the industrial market. * Knowledge of risk management and quality assurance practices. * Contract knowledge and ... construction delivery organization. * Oversees groups operations including staffing, quality , profitability, sales support and client service. * Monitors business… more
- Molina Healthcare (Columbus, GA)
- …contracting and provider relations, member services, claims management, payment integrity, pharmacy, quality and risk adjustment. * Acts as a critical segment ... Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Molina Healthcare (Columbus, GA)
- …Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... for working in partnership with the Credentialing Supervisor or Manager , serving as a team lead for credentialing staff....ensures turn-around time requirements are being met and monitors quality of work by conducting regular audits and tracking… more
