- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- Curia (Albuquerque, NM)
- Associate Director , Environmental Health & Safety Program in Albuquerque, NM Build your future at Curia, where our work has the power to save lives. The ... Associate Director of Environmental, Health & Safety...EH&S programs across the site. This position ensures full compliance with all applicable federal, state, and local environmental… more
- CenterWell (Santa Fe, NM)
- …part of our caring community and help us put health first** The Associate Director , Clinical Strategy and Practice builds strategies for development, engagement, ... and processes for clinical community within the enterprise. The Associate Director , Clinical Strategy and Practice requires...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Santa Fe, NM)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
- Humana (Santa Fe, NM)
- …us put health first** We are seeking a strategic, collaborative, and results-driven Associate Director to lead the development and execution of leadership and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Santa Fe, NM)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Santa Fe, NM)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- Humana (Santa Fe, NM)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… more
- Humana (Santa Fe, NM)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Santa Fe, NM)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- CenterWell (Santa Fe, NM)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- Touro University (Albuquerque, NM)
- Overview The Instructional and IT Clinical Support Associate position reports to the Assistant Executive Dean in New Mexico in the new Touro College of Dental ... the support of the clinical information system working with the Assistant Director of Clinical Information System, and participates in the continuous evaluation and… more
- Humana (Santa Fe, NM)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Community Health Systems (Las Cruces, NM)
- …monthly provider utilization data and working with the Corporate Optimization Director to schedule onsite optimization visits. + Responsible for the on-boarding ... Consults with local market leadership as requested (Administrator, Sr. Director Clinics, Director of Clinics, Medical ...standards. **Qualifications** + HS Diploma or GED required + Associate Degree in a related field preferred + 1-3… more
- Community Health Systems (Carlsbad, NM)
- …decisions. + Communicates appropriate information to lead staff member, supervisor, manager or director in a timely manner. + Maintains a clear, neat and safe ... skills. + Adheres to safety standards for staff and patients, and encourages compliance by others. + Provides services with respect to human dignity and the… more
- Community Health Systems (Las Cruces, NM)
- …medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards. **Essential Functions** + ... management activities, including records of referrals, patient interactions, and compliance with reporting requirements. + Identifies and appropriately refers cases… more
- Community Health Systems (Carlsbad, NM)
- …+ Accurately processes and maintains patient health records, ensuring compliance with healthcare regulations and organizational standards. + Performs data ... Conducts quality checks on patient records to ensure accuracy, completeness, and compliance with legal and regulatory requirements. + Assists with the preparation… more