- Molina Healthcare (Owensboro, KY)
- …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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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 (Owensboro, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Molina Healthcare (Owensboro, KY)
- …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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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
- Molina Healthcare (Owensboro, 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
- GE Aerospace (Madisonville, KY)
- …across the digital operations space to include infrastructure, end user support, network , etc. + Improve the operational systems, processes and policies in support ... of organizations mission -- specifically, support better management reporting, information flow and management , business process and organizational planning. +… more
- Fresenius Medical Center (Evansville, IN)
- …statements with Director + Responsible for participating in all required Network reporting and on-site state or federal surveys. + Participates in the completion ... for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison...performance management , and decision making. + Demonstrated management skills necessary to provide leadership in… more
- Fresenius Medical Center (Madisonville, KY)
- …Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important ... profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. PATIENT...Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. +… more
- Amcor (Evansville, IN)
- …At Amcor, we unpack possibility through our innovative and responsible packaging to provide solutions that benefit our customers, our people and our planet. More ... Pay-for-Skill program for applicable sites. + Partner with Global Remuneration Network contacts on compensation related topics and projects across Business Groups.… more