- Molina Healthcare (Sioux City, IA)
- …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 (Sioux City, IA)
- … 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 (Sioux City, IA)
- …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 (Sioux City, IA)
- …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
- Molina Healthcare (Sioux City, IA)
- …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 (Sioux City, IA)
- …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 (Sioux City, IA)
- …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 (Sioux City, IA)
- …* 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 (Sioux City, IA)
- …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
- Molina Healthcare (Sioux City, IA)
- …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
- WestCare Foundation (Sioux City, IA)
- …participant intake forms, service delivery logs, and case notes into the designated data management systems. + Maintain accurate and complete records for all ... equivalent required; associate's degree or coursework in business, administration, or data management preferred. LICENSURE/CERTIFICATION: + Not Applicable for… more
- UnityPoint Health (Sioux City, IA)
- …Consultation and Data Collection + Works under minimal supervision to provide clinical information and case management advice for telephone calls received ... the patient should be seen by a health care provider . + Utilizes appropriate resources (Poisindex(R), triage and clinical...Windows PC environment + Computer literature search and basic data management skills + Ability to sit… more
- UnityPoint Health (Sioux City, IA)
- …customer service, clinical effectiveness, optimal financial performance, and patient safety. + Provide ongoing, continuous management oversight, as a coach who ... Leadership/ Management . + Clinical Quality Improvement (Process Improvement models, Data Analysis, Benchmarking, and Performance Management ) + Nursing License… more
- Fresenius Medical Center (Dakota Dunes, SD)
- …years' supervisory or project/program management experience preferred. + Demonstrated management skills necessary to provide leadership in the supervision of ... highest standards of care are provided. Collaborates with the Business Unit management team to grow the assigned Home Therapies program(s). **PRINCIPAL DUTIES AND… more
- Sioux City Community School District (Sioux City, IA)
- …+ Demonstrates effective teaching strategies + Demonstrates competence in classroom management + Ability to effectively communicate and teach social skills + ... of the Americans with Disabilities Act may be directed to Dr. Dora Jung, Director of Student Services & Equity Education/Title IX Coordinator at 627 4th Street,… more
- Molina Healthcare (Sioux City, IA)
- …+ Integrate external data sources and identify automation opportunities in data extraction processes + Provide comprehensive data analysis, including ... **Job Summary** Reporting to the Director of Clinical Informatics for Analytics & Interfaces,...Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and… more
- Sioux City Community School District (Sioux City, IA)
- …lessons, and assessments to meet individual student needs and to provide high quality, rigorous academic instruction for student with significant disabilities. ... + Assists teachers in the collection, analysis, and use of varied data to identify student adaptive, behavioral, communication, and learning needs, to plan… more
- Sioux City Community School District (Sioux City, IA)
- …of social emotional instruction, and academic instructional practices impacting classroom management . Overall, the job of the technician is to support the ... strategies as directed by Behavior Coach. Supports team in collection of data needed for functional behavior assessments and behavior intervention plans. Assists… more
- Sioux City Community School District (Sioux City, IA)
- …strategies for integrating technology in the curriculum across all content areas. Provide opportunities to connect staff and students with communities of learners ... locally, nationally, and internationally. Provide information and instruction to staff and students in...student learning. + Demonstrates competence in classroom and resource management . + Engages in professional growth. + Fulfills professional… more
- Sioux City Community School District (Sioux City, IA)
- …of bus drivers, or any combination of education and experience that would provide the necessary leadership, knowledge and/or management skills. Must have a ... background in assessment and have the ability to interpret data , which may be very complex and varied. Must...Disabilities Act may be directed to Dr. Dora Jung, Director of Student Services/Title IX Coordinator at 627 4th… more