- Molina Healthcare (Savannah, GA)
- …capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure… more
- HCA Healthcare (Savannah, GA)
- …of plan. What qualifications you will need: + Bachelor's degree in Business Management , Healthcare Administration, Finance, or similar Required. + Minimum of ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...care like family! Jump-start your career as an Assistant Director of Surgical Specialty Services today with Memorial Health… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management , and cost optimization. + The Senior Director partners ... and excellence of our academic community. **Description** The Senior Director of Finance will serve as the financial leader...the Emory Health Plan. + Translates trends in claims, utilization , and healthcare market shifts into actionable… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and outreach with the broader libraries, Emory's academic mission, and the healthcare mission. The AUL and Director provides leadership, support, coaching ... Biomedical Sciences, the Emory National Primate Research Center, and Emory Healthcare hospitals including components of the Emory Clinic. Branch libraries… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …backend systems and infrastructure to ensure seamless automation workflows, efficient data management , and robust analytics reporting. The Director will lead a ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...* And more **Work Location:** Atlanta, GA **Description** The Director of CRM, Marketing Automation & Analytics will support… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …specific Emory Healthcare Operating Unit or PGP practice area, the ** Director , Patient Care Service** will lead and manage clinical operations and initiatives to ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...and evaluate nursing operational plans, objectives, and standards. The Director will also be accountable for budget oversight, resource… more
- Molina Healthcare (Macon, GA)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization… more
- Kyndryl (Atlanta, GA)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Contribute to Profitable ... as a strategic partner. + Bring consulting experience-preferably in the Healthcare space-to tailor engagements that resonate with industry-specific needs and… more
- Kyndryl (Atlanta, GA)
- …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more
- Community Health Systems (Statesboro, GA)
- …+ Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable ... Life and disability insurance and more! **Job Summary** The Director , Care Management is responsible for overseeing...experience required + 3-5 years of experience in care management or utilization review required + 1-3… more
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