- Molina Healthcare (Kearney, NE)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Kearney, NE)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **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 (Kearney, NE)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Kearney, NE)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Molina Healthcare (Kearney, NE)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Kearney, NE)
- …programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; ... key quality strategies, which may include initiation and management of provider , member and/or community interventions (eg, removing barriers to care); preparation… more