• Director , Network Strategy

    Molina Healthcare (Roswell, NM)
    …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
    Molina Healthcare (04/13/25)
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  • Revenue Manager Full Service, RMCC Managed

    Hilton (Santa Fe, NM)
    …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director , you will work on ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
    Hilton (05/21/25)
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  • AVP, Medicaid Proposal Strategy - Remote

    Molina Healthcare (NM)
    …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
    Molina Healthcare (04/30/25)
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  • Call Center Site Director

    Mass Markets (Mesilla, NM)
    …have established ourselves as a trusted partner in the industry. The Associate Director is responsible for the management and development of supervisors and all ... management associated with day-to-day contact center operations. Operationally, the Associate Director is responsible for the development and implementation of all… more
    Mass Markets (05/10/25)
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  • Call Center Site Director

    Mass Markets (Las Cruces, NM)
    …have established ourselves as a trusted partner in the industry. The Associate Director is responsible for the management and development of supervisors and all ... management associated with day-to-day contact center operations. Operationally, the Associate Director is responsible for the development and implementation of all… more
    Mass Markets (05/07/25)
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  • Insurance Strategy Lead

    Humana (Santa Fe, NM)
    …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
    Humana (05/08/25)
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  • Director , Actuarial Services - Transform…

    Evolent (Santa Fe, NM)
    …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
    Evolent (03/22/25)
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  • National Contracting Director

    Molina Healthcare (Roswell, NM)
    …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
    Molina Healthcare (06/03/25)
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  • VP Business Development & Strategy

    Genesis Healthcare (Santa Fe, NM)
    …support long-term growth objectives. *Build and nurture strategic relationships with Managed Plans, Accountable Care Organizations, healthcare providers, and ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...willing to relocate to the state if needed. The Strategy Advisor is a senior leadership role responsible for… more
    Genesis Healthcare (05/14/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Santa Fe, NM)
    …profitability goals and ensure the delivery of quality, cost effective services to our Managed Care stakeholders. You will act as a subject matter expert and ... technical resource to Managed Care stakeholders regarding operational and regulatory...we insure 90% of the Fortune 500(R). Our growth strategy is not limited to our business. As an… more
    Zurich NA (05/22/25)
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  • Provider Contracts Manager HP - Complex (Remote…

    Molina Healthcare (Roswell, NM)
    …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
    Molina Healthcare (04/30/25)
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  • Senior Manager, Pharma Services Growth

    CVS Health (Santa Fe, NM)
    …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health's… more
    CVS Health (05/16/25)
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  • Call Center Operations Manager I

    Mass Markets (Mesilla, NM)
    …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... and sets performance goals and objectives accordingly + Develop and maintain strategy on ensuring customer satisfaction on all service interaction + Provide team… more
    Mass Markets (05/10/25)
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  • Call Center Operations Manager I

    Mass Markets (Las Cruces, NM)
    …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... and sets performance goals and objectives accordingly + Develop and maintain strategy on ensuring customer satisfaction on all service interaction + Provide team… more
    Mass Markets (05/07/25)
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