EmploymentCrossing Jobs

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...

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 ...

Clinical Dietician PRN - USA-NM-Rio Rancho

Thu, 23 Mar 2023 00:00:00 CDT

Clinical Dietician PRN Department: Food & Nutrition Services Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Clinical Dietitian provides overall nutrition care to patients....

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-NM-Albuquerque

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Behavioral Health Medical Director - USA-NM-Albuquerque

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

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...

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...

Program Manager of Trauma - USA-NM-Rio Rancho

Sun, 16 Apr 2023 00:00:00 CDT

Program Manager of Trauma Department: Quality Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the management, development, implementation, evaluation, and coordin...

Medical Director - South Central - USA-NM-Albuquerque

Thu, 20 Apr 2023 00:00:00 CDT

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

Clinical Manager - USA-NM-Albuquerque

Sun, 07 May 2023 00:00:00 CDT

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be p...

Job Posting Title Provider Network Operations Coordinator 3 / Contract Maintenance - USA-NM-Albuquerque

Wed, 10 May 2023 00:00:00 CDT

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting d...

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...

Registered Behavior Technician - Full Time - USA-NM-Albuquerque

Tue, 30 May 2023 00:00:00 CDT

Registered Behavior Technician - Full Time ******* • Albuquerque NM 87113 Job #2510090029 ID 2022-2749 Category Clinical Position Type Full Time Overview ******* ABA is a behaviora...

Gastroenterology in New Mexico - USA-NM-Los Alamos

Tue, 30 May 2023 00:00:00 CDT

We are currently looking for a Gastroenterology\u00a0physician or locum tenens support in New Mexico.\u00a0 VISTA's client is searching for locum tenens to offer continuing inpatient planned clinical...

Neurology Job with Excellent Benefits in New Mexico - Call Today - USA-NM-Albuquerque

Tue, 30 May 2023 00:00:00 CDT

We are seeking a Neurologist in New Mexico. Strong specialty support will help you serve this underserved community. With an average of 273 sunny days per year, outdoor and sporting activities are ver...

Physician (Electrophysiologist) - USA-NM-Albuquerque

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n To qualify for this position, you must meet the basic requirements as well as any additio...

Behavioral Health Responder Level III - USA-NM-Rio Rancho

Fri, 09 Jun 2023 00:00:00 CDT

Behavioral Health Responder Level III Department: Behavioral Health Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Behavioral Health Responder (BHR) 3 works with an interdis...

Behavioral Health Responder IV - Full-time - USA-NM-Rio Rancho

Fri, 09 Jun 2023 00:00:00 CDT

Behavioral Health Responder IV - Full-time Department: Behavioral Health Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Behavioral Health Responder (BHR) 4 works with an int...