- Molina Healthcare (Sioux City, IA)
- …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 (Sioux City, IA)
- … 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 (Sioux City, IA)
- …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 (Sioux City, IA)
- **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
- Molina Healthcare (Sioux City, IA)
- …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
- Molina Healthcare (Sioux City, IA)
- …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 (Sioux City, IA)
- …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
- Pender Community Hospital District (Pender, NE)
- …engagement through appointment scheduling, care at visit and billing to enable quality management and data collection. + Participate in periodic quality clinic ... Job Descriptions: POSITION SUMMARY The Director of the Rural Health Clinics (RHCs) provides...the hospital organization. This position will be expected to provide leadership, vision and direction in the operation of… more
- Molina Healthcare (Sioux City, IA)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment… more
- Molina Healthcare (Sioux City, IA)
- …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
- WestCare Foundation (Sioux City, IA)
- …participant intake forms, service delivery logs, and case notes into the designated data management systems. + Maintain accurate and complete records for all ... equivalent required; associate's degree or coursework in business, administration, or data management preferred. LICENSURE/CERTIFICATION: + Not Applicable for… more
- UnityPoint Health (Sioux City, IA)
- …Consultation and Data Collection + Works under minimal supervision to provide clinical information and case management advice for telephone calls received ... the patient should be seen by a health care provider . + Utilizes appropriate resources (Poisindex(R), triage and clinical...Windows PC environment + Computer literature search and basic data management skills + Ability to sit… more
- UnityPoint Health (Sioux City, IA)
- …customer service, clinical effectiveness, optimal financial performance, and patient safety. + Provide ongoing, continuous management oversight, as a coach who ... Leadership/ Management . + Clinical Quality Improvement (Process Improvement models, Data Analysis, Benchmarking, and Performance Management ) + Nursing License… more
- Sioux City Community School District (Sioux City, IA)
- …+ Demonstrates effective teaching strategies + Demonstrates competence in classroom management + Ability to effectively communicate and teach social skills + ... of the Americans with Disabilities Act may be directed to Dr. Dora Jung, Director of Student Services & Equity Education/Title IX Coordinator at 627 4th Street,… more
- Molina Healthcare (Sioux City, IA)
- …Compliance. + Implements key quality strategies, which may include initiation and management of provider , member and/or community interventions (eg, removing ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- Molina Healthcare (Sioux City, IA)
- …member of Molina Healthcare's Protection Services Operations Center, reporting to the Director . This role is crisis and threat intelligence focused and includes ... the physical security controls, threat/risk analytics, and incident intake and crisis management support for the enterprise. This role drives and manages physical… more
- Sioux City Community School District (Sioux City, IA)
- …lessons, and assessments to meet individual student needs and to provide high quality, rigorous academic instruction for student with significant disabilities. ... assessments. Assists teachers in the collection, analysis, and use of varied data to identify student adaptive, behavioral, communication, and learning needs, to… more
- Sioux City Community School District (Sioux City, IA)
- …of social emotional instruction, and academic instructional practices impacting classroom management . Overall, the job of the technician is to support the ... strategies as directed by Behavior Coach. Supports team in collection of data needed for functional behavior assessments and behavior intervention plans. Assists… more
- Sioux City Community School District (Sioux City, IA)
- …strategies for integrating technology in the curriculum across all content areas. Provide opportunities to connect staff and students with communities of learners ... locally, nationally, and internationally. Provide information and instruction to staff and students in...student learning. + Demonstrates competence in classroom and resource management . + Engages in professional growth. + Fulfills professional… more
- Hy-Vee Food Stores (Le Mars, IA)
- …+ Professionalism Reporting Relations: Accountable and Reports to: District Store Director ; Store Manager; Assistant Manager of; Perishables, Store Operations, and ... Health Wellness Home; Food Service Director ; Market Grille Department Manager Positions that Report to...and on time. Secondary Duties and Responsibilities: + Assumes management duties in absence of Department Manager. + Writes… more