- Mitsubishi Chemical Group (Santa Fe, NM)
- ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
- Highmark Health (Santa Fe, NM)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... including patient education, regular check-ins, and addressing potential barriers to compliance . + Take ownership of intricate patient cases involving multiple… more
- Cardinal Health (Santa Fe, NM)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Provide caseload coverage outside of assigned duties as needed. + Ensure compliance with company and manufacturer policies. **_Qualifications_** + 3-6 years of… more
- Sumitomo Pharma (Santa Fe, NM)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Manager , Compliance , Training & Strategic Alliance (CTSA), PVRM** . The ... Associate Manager , Compliance , Training & Strategic Alliance (CTSA),... issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Veterans Affairs, Veterans Health Administration (Clovis, NM)
- …a virtual position. Functional Statement #: Social Worker (Mental Health Intensive Case Manager )Permanent Change of Station (PCS): Not Authorized Financial ... Summary The Mental Health Intensive Case Management Program (MHICM) Social Worker duties and...the impact of psychosocial problems on health care and compliance with treatment. Reference can be found at the… more
- Travelers Insurance Company (Santa Fe, NM)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Community Health Systems (Las Cruces, NM)
- …required + BCLS - Basic Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... **Job Summary** The Care Manager - RN is responsible for coordinating and...coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This… more
- Horizon Services, Inc. (Albuquerque, NM)
- …the provision of Medication Assisted Treatment (MATs) as appropriate + Discharge - Linking case manager team members into the treatment process to ensure clients ... community resources related to health, mental health, financial support, case management, and housing; + Assess, prioritize, and plan...random audit of files in partnership with the program's Compliance Manager + Maintain a working knowledge… more
- CDM Smith (Santa Fe, NM)
- …**Job Description:** CDM Smith is seeking a Senior Data Privacy and IT Compliance Specialist to join our Corporate Business Technology team. This role is critical ... in safeguarding our information assets and ensuring compliance with data privacy regulations and IT security standards....Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Walgreens (Rio Rancho, NM)
- …and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. ... events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and… more
- Lumen (Santa Fe, NM)
- …we digitally connect the world and shape the future. **The Role** The Manager , Information Security leads the Information Security Identity team that is responsible ... requirements and coordinating information security risk assessments to ensure compliance with corporate policy, standards, procedures and industry best practices.… more
- Datavant (Santa Fe, NM)
- …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Highmark Health (Santa Fe, NM)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- CDM Smith (Santa Fe, NM)
- …Description:** CDM Smith is seeking to fill an exciting position for a Project Manager in our established and growing power generation sector. The Project Manager ... by our marketing team. * Leading and managing a multi-discipline engineering and compliance team to deliver required compliance and engineering deliverables to… more
- Rocket Software (Santa Fe, NM)
- …BELIEVE in what they're doing!** **Job Description Summary:** This Senior Project Manager will lead the delivery of complex modernization projects primarily for ... including document storage, retrieval, and governance. + Familiarity with regulatory compliance and high-volume document processing in industries such as financial… more
- Humana (Santa Fe, NM)
- …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design,...oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI… more
- Datavant (Santa Fe, NM)
- …+ Build and maintain strong working relationships with engineering, UX/UI, security, compliance , and other relevant stakeholders. **About You** + **You have 5+ years ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Datavant (Santa Fe, NM)
- …or engineering** ideally working in a healthcare (or a similar industry) where security / compliance play a major role in how things get designed & developed + **You ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Datavant (Santa Fe, NM)
- …or engineering** ideally working in a healthcare (or a similar industry) where security / compliance play a major role in how things get designed & developed + **You ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more