- Molina Healthcare (Savannah, GA)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Savannah, GA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Savannah, GA)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Savannah, GA)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… 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
- Molina Healthcare (Savannah, GA)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- State of Georgia (Chatham County, GA)
- …Your Role: Forensic Program Director (Psychologist) As Forensic Program Director , you will provide clinical and administrative leadership to GRHS's ... Forensic Program Director - Psychologist - Savannah, GA Georgia -...Georgia's most iconic cities. About DBHDD & Our Hospital Network DBHDD operates five state hospitals across Georgia, providing… more
- Molina Healthcare (Savannah, GA)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Molina Healthcare (Savannah, GA)
- …Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network ), for management and supervision of daily functional ... annual performance goals with assigned department managers, in conjunction with the Director , Account Management so that department goals support overall account… more
- BriteLife Recovery (Hilton Head Island, SC)
- …BriteLife Recovery's philosophy and objectives. Under the supervision of the Clinical Director , the Primary Therapist will provide addiction treatment services ... with you! BriteLife Recovery strives to be the preeminent provider for those living with substance use and co-occurring...appropriate levels of care. + As requested by Case Management , contact referral sources to provide case… 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...a fully sponsored Health plan through APA with Cigna Network , ensuring your health needs are met with ease… 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...a fully sponsored Health plan through APA with Cigna Network , ensuring your health needs are met with ease… more