- Molina Healthcare (Macon, GA)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Macon, GA)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Macon, GA)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Molina Healthcare (Macon, GA)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Molina Healthcare (Macon, GA)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Macon, GA)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Molina Healthcare (Macon, GA)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment… more
- Molina Healthcare (Macon, GA)
- …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
- Northrop Grumman (Warner Robins, GA)
- … Analyst (Level 3):** + Bachelor's degree in Business Administration (Accounting, Data Analytics, Economics, Finance, Management , Marketing, etc.) or Business ... , cost account managers (CAMs) and business managers to provide financial support and analysis to meet OU requirements....of Government Compliance. + 1+ year experience in strong data mining and database management . + Proficiency… more
- Air National Guard Units (Robins AFB, GA)
- …Officers and Weapons Directors to perform weapons control and battle management functional duties. Provide recommendations on training requirements, performance ... you will: Perform as an instructor for the Air Battle Manager/Weapons Director position. Ensure training encompasses the full spectrum of theory, formal classroom… more
- Molina Healthcare (Macon, GA)
- …Compliance. + Implements key quality strategies, which may include initiation and management of provider , member and/or community interventions (eg, removing ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- Perdue Farms, Inc. (Perry, GA)
- …to review data and determine trends. + Basic knowledge of Management of Change (MOC) execution. **Regulatory and Auditing Schemes - Requirements Proficiency** + ... Sanitation Manager for our Perry-Harvest facility. This position will directly report to the Director of Operations with a dotted line to the Director of… more
- Guidehouse (Robins Air Force Base, GA)
- …**What You Will Do** **:** The Senior Acquisition Program Manager will provide comprehensive support across the Department of Defense (DoD) acquisition lifecycle, ... internal and external stakeholders, supporting capability planning, and applying program management best practices. The candidate will also assist in integrated… more
- Air National Guard Units (Robins AFB, GA)
- …instruction for the following positions: Procedural Controller rated Weapons Director (WD) and Interface Control Technician (ICT). Administers, schedules, and ... of assigned personnel. This position requires paramount knowledge of Air Battle Management techniques and procedures and must possess and maintain the appropriate PC… more
- Molina Healthcare (Macon, GA)
- …member of Molina Healthcare's Protection Services Operations Center, reporting to the Director . This role is crisis and threat intelligence focused and includes ... the physical security controls, threat/risk analytics, and incident intake and crisis management support for the enterprise. This role drives and manages physical… more
- Northrop Grumman (Warner Robins, GA)
- …invoicing, collections, and funding to support financial objectives. + Enter and manage data in the Contract Management System, financial and delivery systems. + ... support various Government programs, capture and proposal activities as well as provide contract operations support. The successful candidate will be a direct report… more
- Northrop Grumman (Warner Robins, GA)
- …software, system, integration, test, cyber, safety, airworthiness, electrical, and configuration and data management . + Collaborate with Program and Engineering ... with providing the skills and experience required to support a robust Quality Management System designed to ensure products and services meet or exceed internal and… more