- Molina Healthcare (Savannah, 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 (Savannah, 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 (Savannah, 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 (Savannah, 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 (Savannah, 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
- BriteLife Recovery (Hilton Head Island, SC)
- CLINICAL DIRECTOR Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... with you! BriteLife Recovery strives to be the preeminent provider for those living with substance use and co-occurring...Head Island, SC, and West Kill, NY. What we provide you!! + Comprehensive Benefits Package: Enjoy a fully… more
- Molina Healthcare (Savannah, GA)
- …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 (Savannah, 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 (Savannah, 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
- Compass Group, North America (Savannah, GA)
- …Monitor, evaluate, and advise on process development, compliance, and internal controls; provide information and reporting to management . * Advise on developing ... information, visit www.ChartwellsK12.com. **Job Summary** **Eligible for Relocation Bonus** ** Director of Operations - K 12 District Partnership** **Chartwells K12… more
- Molina Healthcare (Savannah, 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
- Molina Healthcare (Savannah, GA)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- US Foods (Savannah, GA)
- …offer cost-saving tips, and help customers find exactly what they're looking for.The Director of Cash and Carry Operations will visit individual stores and spend ... time interacting with the management team as well as other employees of those...between each store and the Corporate Office. The Region Director - CHEF'STORE is the direct link between the… more
- Molina Healthcare (Savannah, 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
- Spanish Peaks Mountain Club (Bluffton, SC)
- …forward to receiving your application. We welcome applicants with disabilities and provide reasonable accommodations as needed to our applicants. Please discuss with ... Please Click Here (https://www.myworkday.com/montage/d/task/2998$46522.htmld) to apply internally. SUMMARY The Director of Group Sales is responsible to strategize and… more
- Molina Healthcare (Savannah, GA)
- …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 (Savannah, GA)
- …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
- Marriott (Savannah, GA)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $89,000 - $117,000 annually **Bonus Eligible:** ... As a department head, directs and works with the management team and hourly employees to successfully execute all...positive atmosphere for guest relations. * Empowers employees to provide excellent customer service. * Strives to improve service… more
- State of Georgia (Chatham County, GA)
- …Waiver and State Funded services and the requirements thereof * Analyzes operational data , including monthly admission and discharge data , and individual staff ... other program decisions based on findings * Assists the Director and Assistant Director of Field Operations...are matching each individual with an appropriate selection of provider choices * Participates in policy development by presenting… more
- CenterWell (Bluffton, SC)
- …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