- Molina Healthcare (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, 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
- Molina Healthcare (Augusta, 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 (Augusta, 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 (Augusta, 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 (Augusta, GA)
- …Monitor, evaluate, and advise on process development, compliance, and internal controls; provide information and reporting to management . * Advise on developing ... **Job Summary** **Eligible for Relocation & Sign On Bonus** ** Director of Operations - K 12 District Partnership** **Chartwells...leaders; set a joint roadmap, run QBRs, and turn data into clear, persuasive narratives that drive action. *… more
- US Foods (Augusta, 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 (Augusta, GA)
- **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 (Augusta, 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
- Kedplasma (Augusta, GA)
- …regarding the benefits we offer please let us know, and we would be glad to provide you with our full benefits guide, as well as answering any questions you may ... direction of the Center Manager, Physician Substitute Supervisor and Center Medical Director . Operates within the scope of EU Guidance on Good Manufacturing… more
- HealthTrust Workforce Solutions (Augusta, GA)
- …on crafting opportunities that expand skill sets, broaden career horizons, provide economic stability, and cultivate personal growth. This position is responsible ... available resources + Monitor and assist staff with work progress and provide constructive criticism + Continual evaluation of current business processes and systems… more
- Molina Healthcare (Augusta, GA)
- …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 (Augusta, GA)
- …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
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …processes and analysis tools. Compiles and disseminates social work quality management findings, actions, and outcomes to social workers, medical center staff, ... assigned by the Chief of Social Work, Medical Center Director , or Central Office. Serves the Medical Center at...the advanced practice level, and must be able to provide supervision for licensure. Demonstrated Knowledge, Skills, and Abilities.… more