- Molina Healthcare (Omaha, NE)
- …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 (Omaha, NE)
- … 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 (Omaha, NE)
- …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 (Omaha, NE)
- …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
- Valmont Industries, Inc. (Omaha, NE)
- …+ Exposure to Microsoft Co-Pilot, RPA tools, or chatbot frameworks. + Understanding of data governance and master data management principles. + Experience ... Apply now. **A Brief Summary of This Position:** The Director of Finance Data & Analytics plays...IT infrastructure for broader business and financial transformation. + Provide oversight between business units and finance, ensuring operational… more
- Catholic Health Initiatives (Omaha, NE)
- …patients in the care of the CVSL based on opportunities identified through survey data , provider feedback, and other sources. + Advises and assists with ... the entire service line + Determines (in collaboration with Executive Division Director and CHI Health leadership) provider resource requirements and recruitment… more
- First National Bank of Omaha (Omaha, NE)
- …assert credible challenge. **About This Role:** **Key Accountabilities:** **Regulatory Change Management :** + Provide regulatory advice on all relevant rules, ... into our organization's success.** **Summary of the Job:** The Director of UDAAP Prevention will oversee all aspects of...all aspects of the UDAAP Prevention and Enhanced Vendor Management programs. This includes serving as the subject matter… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …and Cultural Transformation (OPCC&CT). The primary purpose of the position is to provide vision, planning, management , and coordination for the implementation of ... below. Responsibilities The Chiropractor will fill the Whole Health Clinical Director position located within the office of the Nebraska-Western Iowa Healthcare… more
- Zurich NA (Omaha, NE)
- …This role will be responsible for various aspects of Energy portfolio management including utilizing data analytics to inform strategy, stewarding underwriting ... VP, Energy Technical Director 127854 Zurich North America is hiring an...be responsible for: + Identify, prioritize, and escalate portfolio management , technical skills, and product innovation needs. + Manage… more
- Renaissance (Omaha, NE)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... actions, and grow and evolve. **Job Description** The Global Director of Total Rewards is responsible for the strategic...benefits and processes, plans, programs and tools (and the data and information that support them) are competitive, cost… more
- Molina Healthcare (Omaha, NE)
- …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 (Omaha, NE)
- …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
- Acxiom (Omaha, NE)
- The Client Partner Senior Director serves as the primary post-sale point of contact for clients and responsible for their ongoing growth and satisfaction. Uses ... across functional areas of the company, including Professional Services, Data Engineering, Finance, Operations, Marketing, Training, and/or Delivery Support.… more
- Conagra Brands (Omaha, NE)
- …HR digital products, including HCM, LXP, knowledge base, scheduling, timekeeping, case management , employee sentiment, and reporting. You will lead the HR digital ... team, ensuring compliance with technical standards, and partner with the Director of Employee Lifecycle Delivery to deliver an intuitive and seamless digital… more
- Molina Healthcare (Omaha, NE)
- …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
- Acxiom (Omaha, NE)
- …of partner and third-party data collaboration. + Stay abreast of evolving data and cloud technologies to provide clients with future-ready solutions. + ... Acxiom is seeking a highly experienced and visionary Senior Director - MLOps Engineering to spearhead the design and...development of scalable MLOps platform to support Acxiom's modeled data product builds. This role demands a deep understanding… more
- Molina Healthcare (Omaha, NE)
- …* Provides direct oversight, monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards ... and requirements related to non-contracted provider dispute/appeals processing. * Establishes member and non-contracted provider grievance/dispute and appeals… more
- Valmont Industries, Inc. (Omaha, NE)
- …and business performance, enabling timely responses and reducing reliance on senior management for routine investor inquiries. + Provide senior management ... Position:** As a key member of the Investor Relations (IR) team, the Director of Investor Relations plays a critical role in advancing Valmont's relationship with… more
- Molina Healthcare (Omaha, NE)
- …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
- Grifols Shared Services North America, Inc (Omaha, NE)
- …solutions and services in more than 110 countries and regions. The Director , Pricing & Access Analytics is responsible for developing and applying advanced ... + Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and contracting performance and recommend adjustments based… more