- Molina Healthcare (Macon, GA)
- …Design. Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Healthcare Services Group, Inc. (Milledgeville, GA)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... and embraced. Join Our Team Join Our Team (https://careers-hcsgcorp.icims.com/jobs/673967/environmental- services manager -in-training/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336028984) Submission FAQs (https://icims.help/candidate-faq) Job… more
- Molina Healthcare (Macon, GA)
- …in Georgia. JOB DESCRIPTION Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following ... and application of protocols and guidelines. + Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources,… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Macon, GA)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Macon, GA)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Compass Group, North America (Macon, GA)
- …professional food service team members. **Job Summary** We are seeking a **Patient Services Manager ** to lead our Patient Services Team in an Acute ... **Morrison Healthcare ** is a leading national food and nutrition services company exclusively dedicated to serving more than 600 hospitals and healthcare… more
- Molina Healthcare (Macon, GA)
- …to improve member quality of life and to control costs. + Train/educate healthcare services staff on professional standards of documentation + Reeducate staff ... that align with Molina programs and protocols + Assists Manager with data for team member performance reviews +...quality of life and to control costs. + Train/educate healthcare services staff on professional standards of… more
- Molina Healthcare (Macon, GA)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- CVS Health (Milledgeville, GA)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Molina Healthcare (Macon, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Macon, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Macon, GA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Macon, GA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Macon, GA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- STG International (Milledgeville, GA)
- STGi is seeking a RN Unit Manager to provide services at our Georgia War Veterans Home. If you have compassion and a passion to care for Veterans, this could be ... be a graduate of an approved Registered Nurse (RN) program . + Must be able to obtain and maintain...practices. STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services… more
- Walgreens (Milledgeville, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
- Walgreens (Milledgeville, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more