- Fluor Corporation (Aiken, SC)
- …*Report directly to a task force project manager or project director *Execute administrative tasks *Ensure that project correspondence and project documentation ... effectively with audiences that include but are not limited to management , coworkers, clients, vendors, contractors, and visitors *Job related technical knowledge… more
- 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)
- …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
- ADP (Augusta, GA)
- **ADP is hiring a Director , Program Management .** + _Do you have Program Management experience, including leading large, highly complex, cross-functional ... Well, this may be the role for you. As Director , Program Management , you will be responsible...**A little about ADP:** We are a comprehensive global provider of cloud-based human capital management (HCM)… 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
- Gentiva (Augusta, GA)
- …**Expand Access. Strengthen Leadership. Transform Hospice Care.** We are seeking a Regional Director of Operational Excellence to join our leadership team and play a ... assigned branches and reports to the Vice President of Operations. **As Regional Director of Operational Excellence, you will:** + Serve as a strategic advisor and… 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
- Molina Healthcare (Augusta, GA)
- …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 (Augusta, GA)
- …* 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
- Molina Healthcare (Augusta, GA)
- …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 (Augusta, GA)
- …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
- Molina Healthcare (Augusta, GA)
- …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
- CenterWell (Aiken, SC)
- …caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : Full-time/40 Hours ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- State of Georgia (Richmond County, GA)
- …completion of assigned duties while maintaining strict confidentiality policy in the management of client, service provider , and department information *Performs ... achieving, and maintaining communication access and quality compliance. + Supports management in the delivery of an effective, efficient, and compliant communicative… more
- Fluor (Aiken, SC)
- …small/large and/or less complex sites/projects. This position reports functionally to the Senior Director of Commissioning and Start up and/or to the Director of ... respective business group and administratively to the assigned project director /manager in the home office and site manager in...home office and site manager in the field. * Provide a planned, documented, and managed engineering and construction… 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
- Southern Company (Waynesboro, GA)
- …repairs using the work management process + Assist with Sample IQ data management applications + Participate in training activities such as on-the-job ... + Serve as external vendor contract administrator and/or task director + Participate in Corrective Action Program and coordinator...Southern Company (NYSE: SO ) is a leading energy provider serving 9 million customers across the Southeast and… more
- Molina Healthcare (Augusta, GA)
- …+ 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
