- Fluor Corporation (Aiken, SC)
- …*Report directly to a task force project manager or project director *Execute administrative tasks *Ensure that project correspondence and project documentation ... effectively with audiences that include but are not limited to management , coworkers, clients, vendors, contractors, and visitors *Job related technical knowledge… more
- Molina Healthcare (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, 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
- Molina Healthcare (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, 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
- Compass Group, North America (Augusta, GA)
- …Monitor, evaluate, and advise on process development, compliance, and internal controls; provide information and reporting to management . * Advise on developing ... information, visit www.ChartwellsK12.com. **Job Summary** **Eligible for Relocation Bonus** ** Director of Operations - K 12 District Partnership** **Chartwells K12… more
- Molina Healthcare (Augusta, 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 (Augusta, GA)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Disaster Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Disaster Recovery (DR) will oversee and...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Molina Healthcare (Augusta, 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
- Molina Healthcare (Augusta, 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
- Molina Healthcare (Augusta, GA)
- …practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and directed ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- CenterWell (Aiken, SC)
- …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 (Richmond 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
- Fluor (Aiken, SC)
- …small/large and/or less complex sites/projects. This position reports functionally to the Senior Director of Commissioning and Start up and/or to the Director of ... respective business group and administratively to the assigned project director /manager in the home office and site manager in...home office and site manager in the field. * Provide a planned, documented, and managed engineering and construction… more
- Kedplasma (Augusta, GA)
- …regarding the benefits we offer please let us know, and we would be glad to provide you with our full benefits guide, as well as answering any questions you may ... direction of the Center Manager, Physician Substitute Supervisor and Center Medical Director . Operates within the scope of EU Guidance on Good Manufacturing… more
