Healthcare Risk Manager Jobs in New Mexico

Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Albuquerque New Mexico Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Job Information Humana Senior Medical/Financial Risk Clinical Professional in Albuquerque New ... Mexico Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Albuquerque New Mexico Description The Risk Management Professional 2 identifies and .....

... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... and coordinating patient care for high-risk patients across the healthcare continuum. Ensures the delivery of ... is..

... honor of working with dedicated healthcare professionals that make a positive ... impact in aiding those needing healthcare services across the U.S. every ... our focus in assisting remarkable..

... Finance M&A Integration Senior Project Manager in Albuquerque New Mexico Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Albuquerque New ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Job Information Humana Technical Product Manager - Remote in Albuquerque New ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in ..

... Humana Telephonic Behavioral Health Care Manager in Albuquerque New Mexico Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

... honor of working with dedicated healthcare professionals that make a positive ... impact in aiding those needing healthcare services across the U.S. every ... our focus in assisting remarkable..

Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..

Job Information Humana Medicare Risk Adjustment Documentation and Coding Improvement ... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment..