- Molina Healthcare (Macon, GA)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Macon, GA)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- GE Aerospace (Warner Robins, GA)
- **Job Description Summary** The Senior Program Management Staff Manager will lead a cross-functional team to ensure the successful execution of the United States ... efficiency, and effectiveness of the team's performance. The Senior Program Management Staff Manager operates within commercial...assigned contracts. + Interact with members of the customer service , parts & transactional services , field … more
- Bridgestone Americas (Warner Robins, GA)
- …equivalent. + 4 years of auto service technical experience. + 1 year of service manager or service writer experience. + Problem solving - customer ... locations across North America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career.… more
- Emory Healthcare/Emory University (Warner Robins, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... **Overview** **Emory Healthcare . Where you matter as much as the...with or referrals to other medical professional or community services . + Educates patient on health habits, self-examinations, behavior… more
- Molina Healthcare (Macon, GA)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- CVS Health (Macon, GA)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Molina Healthcare (Macon, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Macon, GA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Macon, GA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Macon, GA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Walgreens (Gray, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Veterans Affairs, Veterans Health Administration (Macon, GA)
- …conduct expert consults with facility staff and if applicable, coordinate care with Healthcare for Homeless Veterans Program Coordinator and/or point of contact. ... people from varied backgrounds. General knowledge of veterans' benefits and services relating to special programs, service -connected compensation, non- service… more
- CVS Health (Macon, GA)
- …genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for ... dispensing, counseling, and immunizing practices + Taking direction from the Pharmacy Manager and overseeing the pharmacy as their proxy during bench shifts without… more
- Stryker (Macon, GA)
- …critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation ... at nothing to live out Stryker's mission to make healthcare better. **What you will do:** As an **Interventional...progress, you proactively communicate your wins with your Regional Manager and push yourself to exceed each goal. When… more
- Rush Enterprises (Macon, GA)
- … service truck and for keeping the vehicle properly stocked. + Report to the Service Manager and will be assigned duties on a daily basis. + Maintain ... Document and submit necessary paperwork or enter into mobile service program as work performed in an...work. Foster positive customer relations. + Advise customer and/or service writer of any repairs or services … more
- PruittHealth (Warner Robins, GA)
- …targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective ... **KNOWLEDGE, SKILLS, ABILITIES:** * Demonstrates principles of the sales process in a healthcare environment. * Able to manage a territory, conduct sales calls and… more
- CVS Health (Macon, GA)
- …Professional Practice + Regulatory Requirements + Quality Assurance + Customer Service + Inventory Management + Workflow Management excluding final prescription ... and colleagues on your team + Support your Pharmacy manager in motivating, inspiring, and developing their Pharmacy Support...and adjust plans to thrive in a dynamic community healthcare setting + Seek new ways to grow, collaborate… more