- Molina Healthcare (Savannah, 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 (Savannah, 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 (Savannah, 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 (Savannah, GA)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- BriteLife Recovery (Hilton Head Island, SC)
- CLINICAL DIRECTOR Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... with you! BriteLife Recovery strives to be the preeminent provider for those living with substance use and co-occurring...Head Island, SC, and West Kill, NY. What we provide you!! + Comprehensive Benefits Package: Enjoy a fully… more
- Compass Group, North America (Savannah, GA)
- …you can make a difference in the lives of students.** **This Bench position will provide management support to new and existing SSC accounts in K-12 or higher ... SSC **Position Title: BENCH FACILITIES DIRECTOR - SAVANNAH, GA** **Salary:** **Other Forms of...knowledge and experience alongside SSC's extensive training, providing supportive management , and offering unparalleled wage and benefit packages as… more
- Molina Healthcare (Savannah, 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 (Savannah, GA)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Molina Healthcare (Savannah, GA)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (Savannah, GA)
- …* Provides direct oversight, monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards ... and requirements related to non-contracted provider dispute/appeals processing. * Establishes member and non-contracted provider grievance/dispute and appeals… more
- Molina Healthcare (Savannah, GA)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more
- Grifols Shared Services North America, Inc (Savannah, GA)
- …solutions and services in more than 110 countries and regions. The Director , Pricing & Access Analytics is responsible for developing and applying advanced ... + Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and contracting performance and recommend adjustments based… more
- Robert Half Finance & Accounting (Savannah, GA)
- Description We are looking for a skilled Payroll Supervisor/Manager/ Director to oversee payroll operations and ensure compliance with all legal, tax, and union ... adjustments, retroactive payments, and regulatory reporting. * Reconcile gross-to-net payroll data and validate confirmed reports prior to transmission. * Oversee… more
- Molina Healthcare (Savannah, GA)
- …development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and supports (LTSS), ... establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible… more
- Marriott (Savannah, GA)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $89,000 - $117,000 annually **Bonus Eligible:** ... As a department head, directs and works with the management team and hourly employees to successfully execute all...positive atmosphere for guest relations. * Empowers employees to provide excellent customer service. * Strives to improve service… more
- CenterWell (Savannah, GA)
- …caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : Full-time/40 Hours ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- State of Georgia (Chatham County, GA)
- …completion of assigned duties while maintaining strict confidentiality policy in the management of client, service provider , and department information *Performs ... achieving, and maintaining communication access and quality compliance. + Supports management in the delivery of an effective, efficient, and compliant communicative… more
- CenterWell (Savannah, GA)
- …works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists ... Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is...and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination… more
- Mass Markets (Garden City, GA)
- …High school diploma or equivalent + 2+ years of experience in call center operations management + Strong data entry and computer skills + Fluent in English ... Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software… more
- BriteLife Recovery (Hilton Head Island, SC)
- …we'd love to align with you! BriteLife Recovery strives to be the preeminent provider for those living with substance use and co-occurring disorders. Our mission is ... Head Island, SC, and West Kill, NY. What we provide you!! + Comprehensive Benefits Package: Enjoy a fully...philosophy and objectives. Under the supervision of the Clinical Director , the Counselor will facilitate group therapy sessions and… more