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Nursing House Supervisor - PT 0.5 Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities ..
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Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Physician - CenterWell - Atlanta, GA in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description As the Associate Director, IT Project Management, you will ... your background and experience in program management to lead and manage ... our Medicare segment. The Associate Director is..
Pharmacy Tech - FT 0.875 Department: Pharmacy Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Pharmacy Technician, under the supervision of a licensed pharmacist, works to provide ..
... refers to Case manager or Director of Case Management as appropriate. ... in service Monitors use of healthcare resources. Communicates with physicians to ... expert resource to physicians and..
Nursing House Supervisor - PRN Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities for ..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), ... There is a two-person assist..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
... Participate in continuous quality improvement program at University of New Mexico-Sandoval ... schedule, etc Collaborate with other healthcare professionals in the selection and ... to drug information requests from..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... collaboration with other leaders, this Director will develop and..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Albuquerque New Mexico Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
