EmploymentCrossing Jobs

Lead Data Architect - USA-NM-Albuquerque

Sun, 10 Sep 2023 00:00:00 CDT

Description The Lead Data Architect works in all data environments which includes data design, database architecture, metadata and repository creation. The Lead Data Architect works on problems of di...

Commercial Medical Director - Work At Home - USA-NM-Albuquerque

Mon, 26 Jun 2023 00:00:00 CDT

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...

House Supervisor - RN (Full Time - 0.90 FTE) - USA-NM-Rio Rancho

Mon, 26 Jun 2023 00:00:00 CDT

House Supervisor - RN (Full Time - 0.90 FTE) Department: Staffing Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Provide professional and administrative advice, guidance, analyt...

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...

Grievances and Appeals Medical Director - Nationwide - USA-NM-Albuquerque

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Manager, Compliance - Agent Investigation Unit - USA-NM-Albuquerque

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Albuquerque New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Comp...

Medical Director - South Central - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

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...

Broker Relationship Executive - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Medical Director - Claims Management - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

Pharmacy Contracting Professional - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

Description CenterWell Pharmacy is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 w...

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...

Ambulatory Scheduling Coordinator - Full-time - USA-NM-Rio Rancho

Sat, 13 May 2023 00:00:00 CDT

Ambulatory Scheduling Coordinator - Full-time Department: Primary Care Clinics Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Coordinate with providers, directors, and other lea...

Senior Manager Medicare Sales - Albuquerque, NM - USA-NM-Albuquerque

Fri, 19 May 2023 00:00:00 CDT

Job Information Humana Senior Manager Medicare Sales - Albuquerque, NM in Albuquerque New Mexico Description Are you passionate about the Medicare population, looking for a role in management with the...

Customer Service Representative - USA-NM-Albuquerque

Sun, 21 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

Correspondence Representative 2 - USA-NM-Albuquerque

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Associate Director, Infrastructure Engineering - USA-NM-Albuquerque

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Infrastructure Engineering scope of responsibility includes ensuring the technical foundation for Virtualization, Operating Systems, Security, and support of cloud...

Business Support Coordinator 1 - Medical Records - USA-NM-Albuquerque

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Immigration Associate Attorney - USA-NM-Albuquerque

Mon, 18 Mar 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...