Physician Assistant / Urgent Care / Georgia / Permanent / Acute Care Physician Assistant
HCA Healthcare 4.5
HCA Healthcare job in Augusta, GA
Description Specialization: Acute Care Job Summary: ICC (Intensive Care Consortium) is seeking an experienced acute care nurse practitioner or physician assistant to join HCA Doctors Hospital of Augusta in Augusta, Georgia.
$140k-197k yearly est. 1d ago
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Gastroenterology Hospitalist
HCA Healthcare 4.5
HCA Healthcare job in Augusta, GA
**Specialization:** Gastroenterology Doctors Hospital of Augusta is seeking a GI Hospitalist to add to their team in Augusta, Georgia. **Qualified Candidates:** + Board certified or Board eligible in Gastroenterology + Licensed in Georgia or the ability to become licensed prior to starting
+ ERCP/EUS Preferred
+ Up to 14 Days of Call per month
**Incentive/Benefits Package:**
+ Competitive salary driven by MGMA data and industry benchmarking
+ Benefit offerings that cater to your lifestyle: health, dental, vision, pharmacy, & financial
+ Paid time off paired with allocated dollars and days toward CME
+ Relocation and signing incentives offered in most circumstances
**About Doctors Hospital of Augusta:**
Doctors Hospital is a full service, 354-bed acute care hospital serving Augusta and the surrounding area known as the CSRA (Central Savannah River Area).
Leading the way in robotic surgery, advanced endoscopic procedures, emergency care, general and vascular surgery, and women's services, we have expert physicians our patients can rely on, who are committed to excellent outcomes in a safe environment.
Doctors Hospital was recognized by Healthgrades as one of America's 50 Best Hospitals in Surgical Care in 2022, along with numerous Healthgrades excellence awards, demonstrating a culture of excellence and safety.
Doctors Hospital is a Level II Trauma Center and Bariatric Center of Excellence as designated by the American College of Surgeons, Accredited by the Commission on Cancer, and is certified in Primary Stroke Care, Stroke Rehab, and Total Joint Care by the Joint Commission.
As the home of the largest burn center in the United States, the Joseph M. Still Burn Center, Doctors Hospital provides complex and comprehensive burn and wound care for more than 3,000 patients from across the country each year.
Join a community in the second largest city in Georgia! Doctors Hospital is centrally located in Augusta in the Central Savannah River Area (CSRA), with surrounding cities like Evans, Martinez, Grovetown, Harlem, Appling, Thomson, North Augusta, Aiken and more! The area is one of the fastest growing communities in the state of Georgia. Augusta is a rare find - a perfect mix of nature, history, diversified industry, and excellent housing value. The area also has a thriving art scene and vibrant downtown life with restaurants, shops, and bars that all add to the high quality of life. There is also year-round golf, as one would expect, with Augusta being the home to the Masters Golf Tournament each year.
The CSRA is the perfect place to live for those who love outdoor activities with family and friends. The mild climate allows for year-round outdoor activities including kayaking in the Savannah River or Augusta Canal, and swimming, boating, fishing and more in Clark's Hill Lake (aka Strom Thurmond). Money Magazine named Evans, Georgia, as the #1 Best Place to Live in America. These amenities along with a strong public school system are a part of the many reasons you should consider Doctors Hospital for your next healthcare career.
$170k-244k yearly est. 60d+ ago
Analyst, Data (Member Retention)
Molina Healthcare Inc. 4.4
Augusta, GA job
JOB DESCRIPTIONJob Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES
* Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
* Sets up process for monitoring, tracking, and trending department data.
* Prepares any state mandated reports and analysis.
* Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
* Implements and uses the analytics software and systems to support the departments goals.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $116,835 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-116.8k yearly 2d ago
Lead, Risk Adjustment - Predictive Analytics
Molina Healthcare 4.4
Augusta, GA job
The Lead, Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina's Prospective and Retrospective Interventions. Provides technical, functional and business training to other team members to enable them to perform the tasks required.
**Knowledge/Skills/Abilities**
+ Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions.
+ Design and development ad-hoc as well as automated analytical modules related to Risk Adjustment for Medicaid, Marketplace and Medicare/MMP.
+ Assist Risk Adjustment Data Analytics Leaders in designing and developing Automated Suspect and Target/Ranking Engine for all line of businesses.
+ Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial data like risk score, revenue and cost.
+ Conduct root cause analysis for business data issues, report to leadership the summary of findings and resolutions.
+ Design and lead development of tracking system for risk scores for all intervention outcome and for overall markets and LOB.
+ Work in an agile business environment to derive meaningful information out of complex as well as large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis.
+ Work directly with interdepartmental / intradepartmental stakeholders along with Molina Executives to establish/deliver/explain the business requirement as well as data/data points and do necessary escalation as required.
+ Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation and other statistical methodologies to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Act as a subject matter expertise by following CMS/State regulations related to Risk adjustment Analytics and provide training as required. Stay current with industry regulation changes and educate the team and management as necessary.
+ Track, Facilitate and Manage changes in the Datawarehouse platform and perform transparent upgrades to analytics reporting modules to ensure no impact to the end users.
+ Conduct preliminary and post impact analyses for any logic and source code changes for data analytics and reporting module keeping other variables as constant that are not of focus.
+ Develop training modules to help analysts understand processes, solutions or designs to meet the customer request for new/existing staff.
+ Provide technical, functional and business training to other team members to enable them to perform the tasks required.
+ Maintain a team culture to adopt fast faced agile environment and foster a positive attitude to take on challenging and time sensitive projects.
+ Take accountability of tasks and projects assigned.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline.
**Required Experience**
+ 6+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data.
+ 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
+ 5+ years of experience in working with Microsoft T-SQL, SSIS and SSRS.
+ Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage.
+ 5+ Years of experience in Analysis related to Risk Scores, Encounter Submissions, Payment Models for at least one line of business among Medicaid, Marketplace and Medicare/MMP.
+ 5+ Years of experience in Prospective/Retrospective/Audit targeting Analytics and Reporting.
+ 5+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics.
+ 5+ Years of experience in Statistical Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions
**PHYSICAL DEMANDS**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.4k-188.2k yearly 27d ago
Medical Director (Medicare)
Molina Healthcare 4.4
Augusta, GA job
Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Determines appropriateness and medical necessity of health care services provided to plan members.
- Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. -Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization.
- Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
- Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity.
- Participates in and maintains the integrity of the appeals process, both internally and externally.
- Responsible for investigation of adverse incidents and quality of care concerns.
- Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications.
- Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams.
- Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.
- Reviews quality referred issues, focused reviews and recommends corrective actions.
- Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.
- Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer.
- Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process.
- Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
- Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care.
- Ensures medical protocols and rules of conduct for plan medical personnel are followed.
- Develops and implements plan medical policies.
- Provides implementation support for quality improvement activities.
- Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed.
- Fosters clinical practice guideline implementation and evidence-based medical practices.
- Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management.
- Actively participates in regulatory, professional and community activities.
Required Qualifications
- At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience.
- Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice.
- Board certification.
- Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
- Ability to work cross-collaboratively within a highly matrixed organization.
- Strong organizational and time-management skills.
- Ability to multi-task and meet deadlines.
- Attention to detail.
- Critical-thinking and active listening skills.
- Decision-making and problem-solving skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
- Experience with utilization/quality program management.
- Managed care experience.
- Peer review experience.
- Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
\#PJHS
\#LI-AC1
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$186.2k-363.1k yearly 23d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare Inc. 4.4
Augusta, GA job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
* Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
* Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
* Ensures that adequate staffing coverage is present at all times of operation.
* Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
* Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
* Participates, researches, and validates materials for both internal and external program audits.
* Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
* Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
* Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
* Participates in the daily workload of the department, performing Representative duties as needed.
* Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
* Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
* Communicates effectively with practitioners and pharmacists.
* Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
* Assists with development of and maintenance of pharmacy policies and procedures
* Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
Required Qualifications
* At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
* Knowledge of prescription drug products, dosage forms and usage.
* Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
* Working knowledge of medical/pharmacy terminology
* Excellent verbal and written communication skills.
* Microsoft Office suite, and applicable software program(s) proficiency.
Preferred Qualifications
* Supervisory/leadership experience.
* Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
* Call center experience.
* Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$27k-34k yearly est. 35d ago
Data Developer/ BI Developer (MS Azure/ Databricks/ Process Optimization)
Molina Healthcare 4.4
Augusta, GA job
Database Developer is responsible for the overall development, maintenance, and integrity of various reporting database. You will be responsible for testing, reviewing SQL queries, stored procedures and facilitating code reviews for improving and maintaining new and existing datasets. You will be required to collaboratively work with other infrastructure and business stakeholders to adhere to data governance and ensure system integrity.
**Job Duties**
+ Responsible for integrity of data as utilized by the department
+ Develops framework for the automation of data processes across platforms.
+ Prepares data for use in reporting and business intelligence systems for internal and external stakeholders
+ Creates policies and procedures documenting the technical and business criteria underlying the use of data by the department
+ Ensures the propagation of Molina data management process for the department across functional units. This includes the collection of data, the sharing of data, and utilization of data across teams.
+ Conduct periodic code review
+ Ensure all database programs meet company and performance requirements
+ Keep abreast of new technology to keep our platform current
+ Conduct data analysis, Gap analysis, Root cause analysis and provide recommendations based on findings.
**Job Qualifications**
**REQUIRED EDUCATION** :
Bachelor of Science (BSc) degree in Computer Science or relevant field. 4-5 years working in Data Development in in lieu of degree.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ Minimum of 2 years hands on **experience with SQL and database development, one of the BI analytics tool (Power BI, Tableau etc), MS Azure, Datalake, Databricks**
+ Minimum 2 years hands on experience using SSIS and SSRS.
+ Knowledge of software development and application program interface.
+ Ability to understand users' requirements and a strong problem-solving skillset.
**PREFERRED EDUCATION** :
Master of Science (MSc) degree in Computer Science or System Analysis.
**JOB PROFILE**
**PREFERRED EXPERIENCE** :
+ Minimum of 5 years hands on experience with SQL and database development.
+ Experience working in a **Medicare environment is highly preferred** .
+ Experience working with **Python is highly preferred.**
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.4k-188.2k yearly 3d ago
Adjudicator, Provider Claims-On the phone
Molina Healthcare 4.4
Augusta, GA job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 34d ago
Trauma Data Abstractor
HCA Healthcare 4.5
HCA Healthcare job in Augusta, GA
**Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Trauma Data Abstractor Parallon
**Benefits**
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
We are seeking a(an) Trauma Data Abstractor for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
As a Trauma Data Abstractor, you will be responsible for abstraction of data for injured patients. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for dedicated professionals like you to be a part of our Data Abstraction team. Join us in our efforts to better our community!
**What you will do in this role:**
Complete abstraction process for the assigned facility/facilities, including abstraction of cases into the required system (e.g Traumabase, Digital Innovations, TraumaOne, or Imagetrend)
Review medical records to abstract information according to the standards of various regulatory and accreditation agencies (e.g., ACS, NTDB, TQIP, and state regulations.).
Submit data timely through the appropriate reporting system.
Resolve errors resulting in the rejection of records from the data entry system.
**What qualifications you will need:**
High School education/GED required
Undergraduate (Associate or Bachelor) degree or successful completion of a certified coding program preferred
Trauma Abstracting experience preferred
1 year in Health Information Management; Coding, Nursing, and/or Health Registry abstraction experience preferred.
Certificate/License: RHIA, RHIT, CSS, LVN or RN preferred
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Trauma Data Abstractor opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$58k-72k yearly est. 43d ago
Program Manager (Provider Network)
Molina Healthcare 4.4
Augusta, GA job
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Provide project summaries that will be senior leadership facing with ties to market SAI goals.
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Provider Network and SAI
- Excel and PowerPoint
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Surgical Service Aide PRN
HCA Healthcare 4.5
HCA Healthcare job in Augusta, GA
**Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Surgical Service Aide PRN with Doctors Hospital of Augusta you can be a part of an organization that is devoted to giving back!
**Benefits**
Doctors Hospital of Augusta offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Doctors Hospital of Augusta family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Surgical Service Aide PRN to help us reach our goals. Unlock your potential!
**Job Summary and Qualifications**
As a Surgical Services Aide, you will play a vital role in supporting life-changing surgeries that heal and improve lives every day. Your attention to detail as you prepare operating rooms, safely transport patients, and maintain a clean, organized environment will directly impact patient safety, comfort, and the high-quality care we're committed to delivering.
**Your responsibilities will include:**
+ Preparing and stocking operating room with the right supplies, equipment, and fluids to ensure every procedure can start smoothly
+ Transporting and transferring patients safely, verifying their identity, and following protocols for those with special needs or medical equipment
+ Assisting with cleaning and turning over operating rooms between cases and at the end of the day to maintain a safe, sterile environment
+ Monitoring equipment for potential issues and promptly reporting concerns to support smooth, safe surgical operations
+ Maintaining cleanliness and safety throughout the surgical suite, including hallways, supply areas, and common spaces, to help protect every patient
**What qualifications you will need:**
+ Basic Cardiac Life Support must be obtained within 30 days of employment start date
"
**Doctors Hospital of Augusta** has provided quality healthcare services since 1973. We give patient's access to trained physicians and advanced technology. With nearly 50 years of pioneering healthcare, our **350+ bed hospital** is one of the region's leading acute care facilities. We offer a wide range of services for our patients. Our services include our **nationally recognized Burn Center and Cancer Center** , accredited by the American College of Surgeons. We are Chest Pain Accredited. We have earned the Joint Commission's certificate of distinction for total hip and total knee replacement and spinal fusion surgery and are the **only CARF accredited facility in the area** .
At Doctors Hospital, our care like family culture extends to our patients, our people and our Augusta community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Surgical Service Aide PRN opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$25k-30k yearly est. 8d ago
Patient Experience Concierge Full-Time Days
HCA 4.5
HCA job in Augusta, GA
Introduction Do you want to join an organization that invests in you as a Patient Experience Concierge? At Doctors Hospital of Augusta, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Doctors Hospital of Augusta offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Experience Concierge Full-Time Days like you to be a part of our team.
Job Summary and Qualifications
As a Patient Experience Concierge, you will provide exceptional service to our patient population. You will be responsible for greeting and navigating patients and their guests in the registration lobby. You'll provide assistance to patients checking-in for services and expedite patient flow.
What you will do in this role:
* Oversee the daily activities of the front desk and lobby areas including tidiness of the area
* Greet patients upon arrival, and navigate patient flow
* Assist with check in process; monitor patient registration tracker
* Perform lobby rounding to ensure patients are kept aware of their wait time expectations
* Perform lobby rounding to ensure lobby and waiting room area is clean, safe and comfortable for patients, family and visitors.
* Encourage and assist with patient enrollment in the Patient Portal
* Empowerment to make decisions on their own to help a customer; escalate appropriately
* Understands that our reputation is only as good as our customer's last experience; ensure it is the best.
* Consistently provide patient flow updates to PTAC leadership
* Assist in resolving real-time patient concerns
What qualifications you will need:
* High school diploma or GED preferred
* Hospitality degree preferred
* Minimum 3 year's patient access, hotel, restaurant, retail, or customer service experience required
* Previous Patient Access experience preferred
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Experience Concierge opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$23k-27k yearly est. 3d ago
Senior Medical Records Collector
Molina Healthcare 4.4
Augusta, GA job
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records.
- Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.
- Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.
- Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.
- Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.
- Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives.
- Participates in and prepares feedback for meetings with vendors related to the medical record collection process.
- Some medical records collection related travel may be required.
Required Qualifications- At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
- Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).
- Proficiency with data analysis tools (e.g., Excel).
- Ability to manage files, schedules and information efficiently.
- Ability to effectively interface with staff, clinicians, and leadership.
- Strong prioritization skills and detail orientation.
- Strong verbal and written communication skills, including professional phone etiquette.
- Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
- Registered Health Information Technician (RHIT).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 8d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Augusta, GA job
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 16d ago
Senior Auditor, Delegation Oversight
Molina Healthcare 4.4
Augusta, GA job
Provides senior level audit support for delegation oversight activities. Responsible for ensuring delegates are complaint with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements for the health plan(s) they support. Identifies risk and non-compliance, issues corrective action, and actively manages the corrective action process to completion reducing and managing Molina's risk.
**Essential Job Duties**
- Leads and performs pre-delegation, annual audits, and ensures all components of audit activities comply with contractual, regulatory, and accreditation requirements.
- Conducts detailed and focused audits on delegates' policies, procedures, case files and evidence of ongoing monitoring to ensure quality and cost-effective provision of delegated services.
- Engages delegate leadership to educate, collaborate, and/or remediate risks to Molina.
- Leverages highly skilled analytical insights and experience to identify delegate systemic issues and risks that impact the business; collaborates with health plans and/or corporate departments and other business owners to actively address and mitigate risk to Molina.
- Conducts analysis of audit issues to identify root-causes, develops and issues corrective action plans (CAPs), and documents follow-up to ensure successful remediation.
- Prepares, tracks and provides audit finding reports in accordance with departmental requirements.
- Prepares, submits and presents audit reports to delegation oversight committees.
- Presents audit findings to delegates, and makes recommendations for improvements based on audit results.
- Collaborates with delegation oversight leadership to develop and maintain assessment tools.
- Makes independent decisions on complex issues and project components.
- Serves as subject matter expert on policies, regulations, contractual requirements and delegate contracts for the relevant area.
- Remains current on applicable regulatory, contractual and accreditation requirements and standards; interprets regulatory, contractual and accreditation changes and assesses their impact on the relevant area.
- Conducts outreach to multiple department heads regarding key performance indicator (KPI) data analysis for quarterly meetings.
- Provides training and support to new and existing delegation oversight team members.
**Required Qualifications**
- At least 3 years of managed care experience, including at least 2 years of delegation oversight auditing experience, or equivalent combination of relevant education and experience.
experience.
- Ability to work independently or in a team, support multiple projects at once, and perform other duties or special projects as required.
- Ability to collaborate cross-functionally across a highly matrixed organization.
- Strong attention to detail and organizational skills.
- Strong critical-thinking, and problem-solving/analytical abilities.
- Strong interpersonal and verbal/written communication skills.
- Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs.
**Preferred Qualifications**
- Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $80,168 - $128,519 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-128.5k yearly 44d ago
Corporate Development Manager (Mergers and Acquisitions)
Molina Healthcare 4.4
Augusta, GA job
Provides lead level support in the execution of merger and acquisition transactions and actively contributes to the advancement of Molina Healthcare's overall growth strategy. Duties include strategically identifying, sourcing, evaluating, and executing Molina Healthcare's inorganic growth initiatives, including acquisitions, divestitures, joint ventures, and strategic partnerships. Collaborates closely with Molina Healthcare's Mergers and Acquisitions (M&A) and operational leadership to evaluate and execute meaningful growth initiatives.
**Job Duties**
+ Partners with internal stakeholders to research and assess potential acquisition opportunities.
+ Develops financial and valuation models and perform comprehensive analyses to assess potential transaction opportunities and influence decision-making.
+ Coordinates all aspects of the M&A process, including due diligence, data rooms, transaction documents, internal updates, and senior management/board presentations.
+ Coordinates deal activities among internal cross-functional teams and external parties.
+ Embraces ad-hoc assignments and projects across Corporate Development and in support of post-acquisition integration efforts.
+ Actively participates in reviewing and negotiating transaction agreements.
+ Establishes a robust understanding of customer segments, industry trends, market positioning, and emerging opportunities.
**Required Qualifications**
+ At least 5 years' experience in investment banking, private equity, management consulting, corporate development, or similar environments, or equivalent combination of relevant education and experience
+ Exceptional financial modeling, interpersonal, and project management skills.
+ Attention to detail. Strong work ethic. Proactive self-starter. Calm under pressure. Able to adapt to fast-paced, ambiguous environments. High learning agility. Consummate teammate.
+ Excellent written communication skills. Strong spoken communication skills.
**Preferred Qualifications**
+ Bachelor's degree in Finance, Economics, Mathematics, or a similar field.
+ Previous healthcare experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$88.5k-207k yearly 9d ago
Radiology - CT Tech
HCA Doctors Hospital Augusta Ga 4.2
Augusta, GA job
Join Our Team at Thrive Staffing!
Are you a skilled CT Tech, Radiology? Thrive Staffing is actively seeking talented individuals like you to join our team.
How to Apply: If you are passionate about patient care and are interested in joining our team, we encourage you to reach out to us. To learn more about this exciting opportunity and to begin building a healthy relationship with us, please contact us using one of the following methods:
Fill out a profile on our website: **********************************************
Email us at: **************************
Call us at: ************
We look forward to hearing from you and discussing how you can thrive in your career with us at Thrive Staffing.
$56k-74k yearly est. Easy Apply 9d ago
National Contracting Director (Large Hospital Systems)
Molina Healthcare 4.4
Augusta, GA job
Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully establish and maintain distinct high performing networks of compassionate and culturally sensitive providers who:
- Are aligned with our mission to provide quality health services to financially vulnerable families and individuals covered by government programs;
- Help meet or exceed applicable access criteria and adequacy standards for covered services;
- Agree to sign standard provider services agreements approved by applicable state/federal agencies and built on Molina's business standards that include sustainable value-based reimbursements; and
- Are committed to providing quality healthcare for low income Members in an efficient and caring manner.'
**Knowledge/Skills/Abilities**
- Under the leadership of the AVP, Provider Network Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership.
- Develops and maintains a standard provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies). Obtains input from Corporate, Legal and other stakeholders regarding new reimbursement models and oversees their development.
- Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the year; utilizes and oversees departmental training on the enterprise contract management system (Emptoris).
- Directs the preparation of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines with physicians, hospitals, and other health care providers.
- Contributes as a key member of the department's leadership team and participates in committees addressing the department's strategic goals and organization.
- Oversees the maintenance of all provider contract information and provider contract templates and ensures that contracts can be configured within the QNXT system. Works with Legal, Corporate and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Monitors and reports network adequacy for Medicare and Medicaid services.
- Develops strategies to improve EDI/MASS rates.
- Educates and works with assigned state Health Plans on any corporate changes or initiatives as necessary.
- Works with assigned national vendors to improve contractual terms and maintain positive relationships.
- Provides national contracts support for other Molina departments/functions, including: Provider Services (and activities with provider association(s) and Joint Operating Committee management); Delegation Oversight; Provider Network Administration (provider information management and business analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances.
- Coordinates with Corporate and Business Development teams to ensure that Molina grows faster (profitable growth) than our competitors in target new markets and expansion opportunities.
- Provides training and guidance as needed to the Contract Managers and Contract Specialist(s).
- Helps develop and utilize standardized contract templates and Pay for Performance strategies.
- Utilizes sound reporting and analytical tools to develop and refine strategic work plans..
**Job Qualifications**
**Required Education**
Bachelor's Degree in a related field (Business Administration, etc.) or equivalent experience.
**Required Experience**
7 - 10 years minimum experience in Healthcare Administration, Managed Care, and/or Provider Network Mgmt & Operations with an emphasis on value based provider contracting.
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
3-5 years minimum experience in contracting with hospitals, physician groups, high volume specialists and ancillary providers.
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $250,446 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$68k-111k yearly est. 20d ago
Sanitation Specialist Food Nutrition
HCA 4.5
HCA job in Augusta, GA
Introduction Do you want to join an organization that invests in you as a(an) Sanitation Specialist Food Nutrition? At Doctors Hospital of Augusta, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Doctors Hospital of Augusta offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Sanitation Specialist Food Nutrition like you to be a part of our team.
Job Summary and Qualifications
The Food & Nutrition Sanitation worker will be a competent employee who is responsible for the cleanliness and organization in the Food & Nutrition Department. Demonstrates the ability to perform specific competencies as listed on the Competency Checklist. Meets mutually agreed upon performance goals/objectives established annually as listed on the performance management plan.
Quality
Adhere to HACCP/food safety guidelines/policies & procedures
Utilizes systems/processes to ensure patient safety, infection control practices, department security & HIPPA guidelines.
Maintain and adhere to Food & Nutrition uniform and personal appearance standards at all time
Report all hazards and unsafe work conditions.
Service
Utilizes proper processes to achieve patient, customer & physician satisfaction goals.
Utilizes systems to quality process/standards around sanitation
Reports customer complaints to appropriate supervisor.
People
Foster a culture of commitment to the HCA vision, mission, and values of the organization.
Participate in team and individual employee training.
Growth
Participate in training with other members of the Food Service department staff to further develop/advance within the industry.
Finance
Utilizes cost control processes to meet goals and reduce waste
Follow all time keeping standards: time clock procedures, meal breaks, timely clocking
Education & Experience:
High School Graduate\Equivalent. Required
1 + years of experience in healthcare Preferred
Doctors Hospital of Augusta has provided quality healthcare services since 1973. We give patients access to trained physicians and advanced technology. With nearly 50 years of pioneering healthcare, our 350+ bed hospital is one of the regions leading acute care facilities. We offer a wide range of services for our patients. Our services include our nationally recognized Burn Center and Cancer Center, accredited by the American College of Surgeons. We are Chest Pain Accredited. We have earned the Joint Commissions certificate of distinction for total hip and total knee replacement and spinal fusion surgery and are the only CARF accredited facility in the area.
At Doctors Hospital, our care like family culture extends to our patients, our people and our Augusta community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sanitation Specialist Food Nutrition opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$56k-66k yearly est. 44d ago
Telemetry Technician
HCA 4.5
HCA job in Augusta, GA
Introduction Do you have the career opportunities as a Telemetry Technician you want with your current employer? We have an exciting opportunity for you to join Doctors Hospital of Augusta which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Doctors Hospital of Augusta offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a Telemetry Technician where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
Provides physical comfort and care to all patients assigned to them, answers telephone and intercom, assists in transcribing medical orders and nursing information, observes and maintains the cardiac monitors and telemetry units.
What you will do in this role:
* You will interpret Rhythms and Arrhythmias.
* You will report all changes in heart rate/rhythm to appropriate nursing staff.
* You will maintain Telemetry Supplies.
* You will record patient condition utilizing computerized documentation systems.
* You will perform duties with full understanding of related age specific factors.
* You will orient and mentor new staff members.
* You will follow Standard Precautions using personal protective equipment as required.
What qualifications you will need:
* Basic Cardiac Life Support must be obtained within 30 days of employment start date
* Must be able to pass the Rhythms and Arrhythmias exam
* Monitor Tech experience preferred
Doctors Hospital of Augusta has provided quality healthcare services since 1973. We give patients access to trained physicians and advanced technology. With nearly 50 years of pioneering healthcare, our 350+ bed hospital is one of the regions leading acute care facilities. We offer a wide range of services for our patients. Our services include our nationally recognized Burn Center and Cancer Center, accredited by the American College of Surgeons. We are Chest Pain Accredited. We have earned the Joint Commissions certificate of distinction for total hip and total knee replacement and spinal fusion surgery and are the only CARF accredited facility in the area.
At Doctors Hospital, our care like family culture extends to our patients, our people and our Augusta community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Telemetry Technician opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.