- Molina Healthcare (GA)
- …Licensure. JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: ... one or more of the following key health care services functions: care management, utilization management, care...clinical services . * Collaborates with and keeps healthcare services senior leadership informed of operational… more
- HCA Healthcare (Vidalia, GA)
- …Do you want to be an influencer in healthcare ? **Apply for our Director Physician Services II role today!** Supporting HCA Healthcare 's 186 hospitals ... opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a Director Physician Services II. **Unlock your… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of a specific Emory Healthcare Operating Unit or PGP practice area, the ** Director of Patient Care Services (Registered Nurse / RN)** will lead and manage ... and service vision. + Develop programs to enhance value-based services and regulatory compliance. **Clinical & Operational Oversight:** + Oversee clinical and… more
- Molina Healthcare (Atlanta, GA)
- …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency ... Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management,… more
- HCA Healthcare (Savannah, GA)
- …resources/space needed by the department and may participate in the selection of outside services with the Director of Supply Chain Operations. They serve as a ... control costs without compromising patient safety, quality of care of the services delivered + Attends in- service presentations, and complete mandatory education… more
- HCA Healthcare (Dublin, GA)
- …join Fairview Park Hospital which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Fairview Park Hospital offers ... **Introduction** Do you have the career opportunities as a Director of Supply Chain you want with your current...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- HCA Healthcare (Waycross, GA)
- …eligible. **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. ... We care like family! Jump-start your career as a(an) Director of Supply Chain today with Memorial Satilla Health....include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Molina Healthcare (Columbus, GA)
- … director in a managed care organization setting supporting utilization management/quality program management, or equivalent combination of relevant education and ... oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs… more
- Molina Healthcare (Augusta, GA)
- …Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, ... Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical… more
- HCA Healthcare (Augusta, GA)
- …federal law or regulations (unless a medical or religious exemption is approved). HCA Healthcare Laboratory Services is a full- service provider of clinical ... you have the career opportunities as a **Hospital Laboratory Director ** you want with your current employer? We have...which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits**… more
- Molina Healthcare (Augusta, GA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …operating plan for the Emory Health Plan. + Translates trends in claims, utilization , and healthcare market shifts into actionable strategies that support ... to the diversity and excellence of our academic community. **Description** The Senior Director of Finance will serve as the financial leader of the Emory Health… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... **Overview** **B** **e valued. Be rewarded. Belong. At Emory Healthcare .** Join the only health system in Georgia with five Magnet(R)-designated organizations - four… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...* And more **Work Location:** Atlanta, GA **Description** The Director of CRM, Marketing Automation & Analytics will support… more
- Acxiom (Atlanta, GA)
- The Client Partner Senior Director serves as the primary post-sale point of contact for clients and responsible for their ongoing growth and satisfaction. Uses ... being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to… more
- Molina Healthcare (Columbus, GA)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous ... policies and procedures that guide and support the provision of medical staff services . Maintains a working knowledge of applicable national, state and local laws… more
- Elevance Health (Columbus, GA)
- …The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account ... reporting regarding use of medical services by members. Involved in identifying...Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management… more
- Humana (Atlanta, GA)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... size of region or line of business. The Medical Director conducts Utilization Management of the care...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- Molina Healthcare (Columbus, GA)
- …design, development, implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports ... experience in a clinical leadership, clinical systems and/or informatics, utilization management, or care management role. * Experience leading cross-functional… more
- Humana (Atlanta, GA)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with ... size of region or line of business. The Medical Director conducts Utilization Management of the care...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more