EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-NM-Albuquerque

Wed, 30 Aug 2023 00:00:00 CDT

Description The Associate Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Associate Director, N...

Staff Utilization Management Pharmacist - Work at Home - Contract Position - USA-NM-Albuquerque

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Staff Utilization Management Pharmacist (Contract Position) - USA-NM-Albuquerque

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-NM-Albuquerque

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Albuquerque New Mexico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ...

Director, Digital Transformation and Implementation - USA-NM-Albuquerque

Sun, 16 Apr 2023 00:00:00 CDT

Job Information Humana Director, Digital Transformation and Implementation in Albuquerque New Mexico Description The purpose of the Director, Technology Solutions Implementation is to lead the Busines...

Compliance Lead - Remote - USA-NM-Albuquerque

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Albuquerque New Mexico Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of di...

Provider Contracting Executive - National Transplant Network - USA-NM-Albuquerque

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Provider Contracting Executive - National Transplant Network in Albuquerque New Mexico Description The Provider Contracting Executive initiates, negotiates, and executes physici...

M&A Integration Technology Lead - USA-NM-Albuquerque

Fri, 07 Apr 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Medical Director-KY Medicaid - USA-NM-Albuquerque

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Claims Research and Resolution Professional 2 - USA-NM-Albuquerque

Sun, 01 Jan 2023 00:00:00 CST

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator m...

Leadership Development - Senior Talent Management Professional - USA-NM-Albuquerque

Sat, 22 Apr 2023 00:00:00 CDT

Description The Talent Management Senior develops, implements, and evaluates employee development plans and programs to support organizational needs in a combination of disciplines such as management...

Medical Director - Behavioral Health - Tricare - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Behavioral Health Medical Director - Tricare - USA-NM-Albuquerque

Fri, 28 Apr 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Innovation Design Advisor - USA-NM-Albuquerque

Mon, 11 Sep 2023 00:00:00 CDT

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare syst...

Provider Engagement Principal - USA-NM-Albuquerque

Sat, 13 May 2023 00:00:00 CDT

Description Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure ne...

Value Based Programs Strategy Lead - USA-NM-Albuquerque

Sat, 13 May 2023 00:00:00 CDT

Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) re...

Pharmacy Contracting Executive - USA-NM-Albuquerque

Thu, 18 May 2023 00:00:00 CDT

Description The Pharmacy Contracting Executive leads a team responsible for contracting pharmacies and managing Humana's hospice pharmacy network on behalf of Enclara Pharmacia. The Pharmacy Contract...

Information Technology Portfolio Management - Financial - USA-NM-Albuquerque

Tue, 30 May 2023 00:00:00 CDT

Description The Finance Management Professional is a key business support function for the Humana IT Team. This role serves as a strategic finance partner for the Infrastructure and Operations group ...

Associate Attorney needed for Albuquerque office - USA-NM-Albuquerque

Fri, 31 May 2024 00:00:00 CDT

Job Overview: A law firm in Albuquerque, NM, is seeking a passionate and aggressive Associate Attorney dedicated to the pursuit of justice. The ideal candidate will have experience in wrongful deat...

Immigration Associate Attorney - USA-NM-Albuquerque

Thu, 13 Jun 2024 00:00:00 CDT

A law firm in Albuquerque, NM, is seeking an Immigration Associate Attorney with 3-5 years of experience to represent public school districts and other educational institutions in immigration, labo...