Associate Manager Claims Jobs in New Mexico

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

... Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, ... Our Fortune 100 Company values associate engagement & your well-being. We ... Experience reading and interpreting medical..

Description The Associate Director, Payment Integrity uses technology ... identify and collect overpayment of claims. Contributes to the investigations of ... and our financial recovery. The Associate Director, Payment Integrity..

Job Information Humana Manager, Release Management, Remote in Albuquerque ... Albuquerque New Mexico Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Associate Director, Provider Data Interoperability in ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, ... Responsibilities The Provider Data Interoperability Associate Director will..

... Information Humana Medicaid Senior Project Manager (Remote) in Albuquerque New Mexico ... Albuquerque New Mexico Description Humana's Claims Process Organization is looking for ... looking for a Senior Project..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..

Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Albuquerque New Mexico Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Associate Director of Clinical Audit, Payment ... Albuquerque New Mexico Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..

Job Information Humana Associate Director, Health Information Management in ... Albuquerque New Mexico Description The Associate Director, Health Information Management ensures ... our encounter submissions systems. The Associate Director, Health..

Job Information Humana Manager, Operations, Release and Process in ... Albuquerque New Mexico Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Associate Director, Retail Claims Technology Solutions in Albuquerque New ... Albuquerque New Mexico Description The Associate Director, Technology Solutions devises an ... on IT business initiatives. The..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Manager, Pharmacy and Medical Trend in Albuquerque New Mexico Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque ... Albuquerque New Mexico Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in ... Albuquerque New Mexico Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..

Job Information Humana Lead Product Manager - Healthcare API in Albuquerque New Mexico Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..

Job Information Humana Manager of Release Engineering, Remote in ... Albuquerque New Mexico Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..