- Molina Healthcare (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, 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
- HCA Healthcare (Augusta, GA)
- …**Introduction** Do you have the career opportunities as a **Hospital Laboratory Director ** you want with your current employer? We have an exciting opportunity ... of Augusta** which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Doctors Hospital...Do you want to work as a Hospital Laboratory Director where your passion for creating positive patient interactions… more
- Molina Healthcare (Augusta, 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
- Molina Healthcare (Augusta, 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
- Molina Healthcare (Augusta, GA)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Amergis (Grovetown, GA)
- …communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based ... Salary: $2080 / Week The Director of Nursing (DON) assumes authority,responsibility, and accountability...and regulations + Ability to make presentations before top management , publicgroups, and staff. + Current CPR if applicable… 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)
- …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
- Emerson (Aiken, SC)
- …on-site inspections to audit physical conditions and safe work practices. Provide advice and counseling for all compliance regulations. + Coordinate training ... an unsafe condition. Report all safety concerns immediately. + Network with peers at other Emerson locations as needed....by example. + Perform other tasks as assigned by Director of Operations. **Who You Are:** You proactively develop… more