- Molina Healthcare (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (NM)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Cardinal Health (Santa Fe, NM)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Cardinal Health (Santa Fe, NM)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Humana (Santa Fe, NM)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- Intermountain Health (Santa Fe, NM)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- Humana (Santa Fe, NM)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... cybersecurity programs, ensuring alignment with organizational security strategies. The IT Program Manager will collaborate closely with leaders to develop… more
- CVS Health (Santa Fe, NM)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Prime Therapeutics (Santa Fe, NM)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Gentiva (Las Cruces, NM)
- …to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a ... high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is… more
- Humana (Santa Fe, NM)
- …and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and ... to drive enterprise-wide value. The IT **Infrastructure** Procurement Category Manager investigates available products, evaluates and recommends products based on… more
- CenterWell (Santa Fe, NM)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and… more
- CenterWell (Santa Fe, NM)
- …to execution, propose solutions, and drive results to meet organizational goals. Program Management & Delivery: + Oversee the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes. Collaboration… more
- Molina Healthcare (Santa Fe, NM)
- …current plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with ... the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. **KNOWLEDGE/SKILLS/ABILITIES** +… more
- CenterWell (Albuquerque, NM)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more