- RIVER VALLEY BEHAVIORAL HEALTH (Santa Fe, NM)
- …evidenced by: Assisting in the development of and functioning as the coordinator of the comprehensive treatment/service plan in a manner that is person-centered ... Assists and supports Participants to have and effectively use a primary care physician, dentist, and other specialists as required. Organizes and leads individual… more
- Parexel (Santa Fe, NM)
- …Health Authority inspection, worldwide. + In collaboration with the Global Inspection Coordinator and Head of CQO, maintain and QC the global inspection tracking ... and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business management is… more
- Intermountain Health (Santa Fe, NM)
- …Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support standards of ... care **MUST LIVE IN COLORADO** **This position is day...requirements.** Assists with scorecard initiatives by working with assigned care providers program metrics. Uploads and reviews quality documentation… more
- Intermountain Health (Santa Fe, NM)
- …Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support standards of ... care + **MUST LIVE IN COLORADO** **This position is...position with NO on call requirements.** Participatesinhuddles with primary care practices to assist with scorecard initiatives with assigned… more
- Public Consulting Group (Santa Fe, NM)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... members of the family's social support network to build an individualized plan of care that incorporates formal and informal services and supports to meet the unique… more
- CVS Health (Santa Fe, NM)
- …1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Santa Fe, NM)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM… more
- 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...Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for… more
- CDM Smith (Santa Fe, NM)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... other duties as required. \#LI-LP2 **Job Title:** FEMA - Coordinator **Group:** WAF Field Mod Fringe **Employment Type:** Temporary...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Cardinal Health (Santa Fe, NM)
- Coordinator , Collections **_What Collections contributes to Cardinal Health_** The Accounts Receivable Collections team is responsible for the collection of ... building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of… more
- Prime Therapeutics (Santa Fe, NM)
- …drives every decision we make. **Job Posting Title** Sr Member Outreach Coordinator - Remote **Job Description** Responsible for proactively managing all outbound ... information to ensure member records are complete and accurate + Assists Customer Care Associates and provides guidance with complex issues + Other duties and… more
- Genesis Healthcare (Santa Fe, NM)
- …we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care ... serve. Responsibilities Join our team as our Medical Supply Coordinator where you will manage the medical and nursing...familiar with nursing and medical supplies used in long-term care or healthcare. *Must have a working knowledge of… more
- CVS Health (Santa Fe, NM)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Cardinal Health (Santa Fe, NM)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- Cardinal Health (Santa Fe, NM)
- …obtain authorization for all requested procedures, tests, drugs, etc. The Senior Coordinator , Benefits Eligibility and Authorization may be asked to perform other ... need to happen in order to not delay patient care . + Complete any pre-service appeals to obtain paying...preferred + Strong customer service background, preferably in health care environment + Excellent verbal communication skills + Competence… more
- Datavant (Santa Fe, NM)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... to realize our bold vision for healthcare. As Datavant's PEND Management Coordinator , you will be responsible for managing PEND inventory, coordinating closely with… more
- Lincoln Financial (Santa Fe, NM)
- …to clinical operations by requesting/retrieving medical records from health care providers and processing physician file preparation/assembly, records scan requests, ... and medical invoices for payment. You will follow-up with health care providers as needed to inquire on the status of records requests to ensure timely handling.… more
- Michaels (Santa Fe, NM)
- …if a reasonable accommodation is available. + Public retail store setting taking care of our customers; all public areas are climate controlled; some stock rooms ... receive all other benefits and privileges of employment, please contact Customer Care at ### (1800-MICHAEL)._ EEOC Know Your Rights Poster in English… more
- Cardinal Health (Santa Fe, NM)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid preferred +… more
- Highmark Health (Santa Fe, NM)
- …Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
