- Elevance Health (Columbus, GA)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... as required by law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as the Operational Medical … more
- Elevance Health (Columbus, GA)
- **Manager, Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... as required by law. Alternate locations may be considered. The **Manager, Medical Director ** will serve as a clinical and strategic advisor to enterprise… more
- Molina Healthcare (Columbus, GA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Columbus, GA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Columbus, GA)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Columbus, GA)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Columbus, GA)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- CSL Plasma (Auburn, AL)
- …Options for health care benefits, including choices of plans for medical , dental, and vision, prescription drug coverage; Company-provided basic life insurance ... and Short- and Long-Term Disability; the option to participate in CSL's 401(k) Savings Program; Paid Time Off (PTO) for use in connection with vacations, illness, and other personal business; and paid observed holidays as designated by the Company. For more… more
- Elevance Health (Columbus, GA)
- …+ May process a medical necessity denial determination made by a Medical Director . + Refers complex or non-routine reviews to more senior nurses ... Medical Management Clinician Associate - 40 hours, 4-5...be 12 hrs, 10 hours, or 8 hours. The ** Medical Management Clinician Associate** responsible for ensuring appropriate, consistent… more
- CSL Plasma (Auburn, AL)
- …to determine suitability to donate plasma * In conjunction with the Center Medical Director , responds to medically related questions and provides information to ... donor suitability for automated pheresis procedures * Provides limited emergency medical care to donors and staff including administering medication or treatments… more
- Gentiva (Phenix City, AL)
- …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… more
- Auburn University (Auburn, AL)
- …**Division Name** AL Cooperative Extension System **Position Title** County Extension Director - Lauderdale County **Job Class Code** CA69 **Appointment Status** ... Extension System, Auburn University, is seeking a dynamic **County Extension Director ** to provide visionary leadership, oversee county-level programs, and serve the… more
- RTX Corporation (Midland, GA)
- …up. Are you ready to go beyond? **What You Will Do:** The **Associate Director , Quality** will own the execution of long & short-term quality strategy and ... operational direction. The Associate Director , Quality will lead multiple teams, directing Quality Engineering, MRB, Escape management, and CAPA for the… 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 of ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Molina Healthcare (Columbus, GA)
- …+ Analyze results to identify early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies related to medical care ... with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding… more
- RTX Corporation (Midland, GA)
- …for EH&S concerns regarding facilities and employee practices. Will have responsibility for medical at the site. + Organizes and maintains EH&S policies to achieve ... may be eligible for benefits, including but not limited to, medical , dental, vision, life insurance, short-term disability, long-term disability, 401(k) match,… more
- Molina Healthcare (Columbus, GA)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting ... IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product within a… more
- Molina Healthcare (Columbus, GA)
- …recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation ... and negotiations of provider contracts and oversee negotiation of contracts, including VBP, in concert with established company guidelines with physicians, hospitals, and other health care providers. * Utilizes standardized contract templates and VBP/Pay for… more
- Auburn University (Auburn, AL)
- …immediate action. + Handle medical issues during the evening hours. Document using the medical form. Contact the Camp Director if the medical issue needs ... the evening schedule. + Handle discipline problems during the evening hours. Document using the incident forms. Contact the Camp Director if the problem needs… 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