- Molina Healthcare (Bowling Green, KY)
- …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 (Bowling Green, KY)
- … 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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- **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
- Western Kentucky University (Bowling Green, KY)
- …and above all, expect professionalism at all times. Position Summary: The Assistant Director of Strategic Operations is responsible for data analysis and trend ... quality reporting, forecasting and analytical support for the division that will provide quantitative data -driven results for optimal decision-making. Being able… more
- Molina Healthcare (Bowling Green, KY)
- …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
- HCA Healthcare (Bowling Green, KY)
- …flexible scheduling + Occurrence based malpractice Insurance + Expert practice management including privileging, provider enrollment, and billing and collections ... **Job Summary:** ICC (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the TriStar Greenview Regional Hospital ICU team in Bowling… more
- Molina Healthcare (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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
- Western Kentucky University (Bowling Green, KY)
- …Staff Posted On: Wed Oct 29 2025 Job Description: Position Summary The Assistant Director for Fitness & Wellness, reporting to the Director of Campus Recreation ... for all participants. Primary Duties and Responsibilities + Lead, mentor, and provide supervision for the Fitness & Wellness Coordinator and Fitness & Wellness… more
- Molina Healthcare (Bowling Green, KY)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Molina Healthcare (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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
- Western Kentucky University (Bowling Green, KY)
- …as all-inclusive. Duties may be added, deleted and assigned based on management discretion and institutional needs. + Responsible for communication with vendors who ... provide supplies and equipment to campus + Enforces WKU...or adjust errors + Checks out supplies to Facilities Management maintenance employees + Coordinates uniform ordering with Business… more
- Western Kentucky University (Bowling Green, KY)
- …as all-inclusive. Duties may be added, deleted and assigned based on management discretion and institutional needs. + Performs electrical work in installing, ... HID lamps + Marks underground utilities for contractors (operates locating equipment) + Provide cost estimates for assigned work + Willing and able to perform work… more