- Molina Healthcare (Columbus, 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 (Columbus, 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 (Columbus, 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 (Columbus, 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 (Columbus, 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
- Elevance Health (Columbus, GA)
- …guidance across multiple enterprise transformation initiatives, including: + **Medical Cost Management ** + **HealthOS and enterprise data platforms** + ... Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &...teams on ethical and clinically appropriate use of healthcare data . + Partner with Provider Network leaders… more
- Auburn University (Auburn, AL)
- …Extension System, Auburn University, is seeking a dynamic **County Extension Director ** to provide visionary leadership, oversee county-level programs, and ... **Division Name** AL Cooperative Extension System **Position Title** County Extension Director - Lauderdale County **Job Class Code** CA69 **Appointment Status**… more
- Molina Healthcare (Columbus, 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 (Columbus, 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
- Auburn University (Auburn, AL)
- …S4845P **Home Org Name** Athletic Development TUF Contract **Division Name** Director Intercollegiate Athletics **Position Title** Director , Athletic Donor ... donor engagement for Auburn Athletics? If so, then the ** Director of Athletic Donor Services** may be the perfect...follow-ups. + Maintains accurate records and assists with donor data entry and reporting. + Ensures all activities comply… more
- Molina Healthcare (Columbus, 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
- Molina Healthcare (Columbus, 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
- Auburn University (Auburn, AL)
- …the Associate Dean for Graduate and Executive programs, as well as Harbert's Director of Birmingham Operations, assists with the management and strategic ... Administration **Division Name** College of Business **Position Title** Executive Director , Graduate Programs **Job Class Code** AD06 **Appointment Status**… more
- RTX Corporation (Midland, GA)
- …MRB, Escape management , and CAPA for the organization. The Associate Director , Quality will set strategies and develop operational plans to develop, modify, ... to go beyond? **What You Will Do:** The **Associate Director , Quality** will own the execution of long &...Provide guidance and leadership for the identification and management of risk in product development, driving utilization of… more
- Auburn University (Auburn, AL)
- …Detail Information **Salary Range** $86,390 - $155,510 **Job Category** Executive/ Director / Management **Working Hours if Non-Traditional** **City position is ... Name** College of Forestry, Wildlife, and Environment **Position Title** Assistant Director , Environmental Compliance - Natural Resource Managment Center **Job Class… more
- Molina Healthcare (Columbus, 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 (Columbus, GA)
- …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
- CenterWell (Columbus, GA)
- …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
- Auburn University (Auburn, AL)
- …through exhibitions and hosting artists and scholars from across the nation to provide positive impacts for students and faculty. Serving beyond the gallery walls, ... to endow positions and programs, establish scholarships, acquire and conserve art, and provide adequate teaching space, all to further center its role within the… more
- Molina Healthcare (Columbus, GA)
- …+ 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