- Molina Healthcare (Owensboro, KY)
- …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 (Owensboro, KY)
- … 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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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
- Molina Healthcare (Owensboro, KY)
- **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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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 (Owensboro, KY)
- …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
- Molina Healthcare (Owensboro, KY)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Molina Healthcare (Owensboro, KY)
- …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
- Molina Healthcare (Owensboro, KY)
- …development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and supports (LTSS), ... establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible… more
- Fresenius Medical Center (Evansville, IN)
- …motivating employees, performance management , and decision making. + Demonstrated management skills necessary to provide leadership in the supervision of ... issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, performance, and ... standards. + Responsible for the continued development and enhancement of the Provider Network Management and Operations Department including the implementation… more
- Amcor (Evansville, IN)
- …upon business needs + Continuous improvement and partnering with IT enabling better data management + Monitoring, Measurement and Metrics: Knowledge of key ... Role** Assists the PET Category Manager and Global PET Director on various procurement activities. Conduct analytical evaluations of...pipelines. + Assist in the development of cost models, data collection and measurements to provide regarding… more
- Molina Healthcare (Owensboro, KY)
- …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
- Medtronic (Evansville, IN)
- …support as we engineer the extraordinary and change lives.** **POSITION DESCRIPTION:** Provide technical, educational and sales support to assist the district in ... the regional CRDN sales strategy as set forth by the National Sales Director ; working with sales representatives and managers of all business units to achieve… more
- LittleStar ABA Therapy (Newburgh, IN)
- …LittleStar ABA Therapy is looking for a motivated and energetic Music Therapist to provide services to families on the Medicaid Waiver and private pay music therapy ... starting at $50k+ depending on experience + Stable, innovative, trend setting ABA provider + Flexible scheduling + A friendly, collaborative, highly skilled team +… more
- Molina Healthcare (Owensboro, KY)
- …+ Integrate external data sources and identify automation opportunities in data extraction processes + Provide comprehensive data analysis, including ... **Job Summary** Reporting to the Director of Clinical Informatics for Analytics & Interfaces,...Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and… more
- ZOLL Medical Corporation (Evansville, IN)
- …we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our ... patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed… more