- Molina Healthcare (GA)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical ... contracts. **Knowledge/Skills/Abilities** * Oversees/leads the daily operations of assigned Provider Network Administration (PNA) units, ensuring processes… more
- Molina Healthcare (Macon, GA)
- …metrics. Synchronizes data among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on provider ... the strategic goals of the department and organization. + Develops and implements Provider Network and Contract strategies across all lines of business,… more
- Molina Healthcare (GA)
- …and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network . Plans, organizes, staffs, and coordinates the Provider … more
- Molina Healthcare (GA)
- …programs and provider targets. * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to track ... Services. **PREFERRED EDUCATION:** Master's Degree **PREFERRED EXPERIENCE:** 6+ years in Provider Network contracting To all current Molina employees: If you… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …up of 11 hospitals-4 Magnet(R) designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network , established in 2011, is the ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...And more **Work Location:** Atlanta, GA **Description** The Corporate Director of Regulatory Affairs is an operational leader responsible… more
- Molina Healthcare (GA)
- …to enrollment processes and call center performance. * Oversees the Plan's Provider Network Administration activities, specifically ensuring that corporate ... or related field. **Required Experience** * 7-10 years' experience in Healthcare Administration , Managed Care, and/or Provider Services. * 3-5 years' experience… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …up of 11 hospitals-4 Magnet(R) designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network , established in 2011, is the ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...And more **Work Location:** Atlanta, GA **Description** + The Director of Quality External Programsis responsible for leading and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to the diversity and excellence of our academic community. **Description** The Senior Director of Finance will serve as the financial leader of the Emory Health ... claims analysis, forecasting, risk management, and cost optimization. + The Senior Director partners closely with HR, Benefits, Clinical, and Finance leaders across… more
- Highmark Health (Atlanta, GA)
- …realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan ... based on data and market research. Working closely with Contracting and Provider Relation Leaders and others across the enterprise to develop targeted reimbursement… more
- Molina Healthcare (Macon, GA)
- …**Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of ... as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices,… more
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