- Molina Healthcare (Davenport, 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 (Davenport, 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 (Davenport, 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 (Davenport, 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 (Davenport, 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 (Davenport, 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 (Davenport, 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
- Molina Healthcare (Davenport, IA)
- …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
- Molina Healthcare (Davenport, 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 (Davenport, 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
- Molina Healthcare (Davenport, IA)
- …with other functional areas that interface with the segment including medical management , network contracting and provider relations, member services, claims ... clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management /quality program … more
- Enviri Corporation (Davenport, IA)
- …40% of the time. . Visits each Service Center in the district regularly to provide direct management oversight for each location. . Willingness and ability to ... Clean Earth is a leading provider of environmental services in the United States...location** Under the general guidance of the Regional Service Director , the District Service Manager will lead a team… more
- Molina Healthcare (Davenport, IA)
- …our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the development and implementation ... of business strategies, operations and vendor management related to in-home assessment activities in all government...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- Trinity Health (Davenport, IA)
- …and participates in Healthcare Failure Mode and Effect Analysis. + Actively supports data management , claims management , and the education components of ... management plan/program on a day-to-day basis, collecting and analyzing risk management data , conducting educational programs, and complying with risk … more
- Molina Healthcare (Davenport, 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 (Davenport, 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
- Robert Half Technology (Moline, IL)
- …###, or email your resume direct to Shawn M Troy - Technology Practice Director with Robert Half (email information is on LinkedIn). What We're Looking For: What ... resume direct to Shawn M Troy - Technology Practice Director with Robert Half (email information is on LinkedIn)....media platforms. * Proficiency in social media advertising, campaign management , and content creation. * Strong skills in video… more
- Molina Healthcare (Davenport, IA)
- …and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key performance measurement ... other departments. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists… more
- Hy-Vee Food Stores (Milan, IL)
- …Professionalism Reporting Relations: Accountable and Reports to: District Store Director ; Assistant Managers Operations; Perishables; Health Wellness Home, Meat ... and on time. Secondary Duties and Responsibilities: + Assumes management duties in absence of Department Manager. + Wraps,...the ability to file, post, and mail materials; copy data from one record to another; interview to obtain… more