- CHRISTUS Health (Santa Fe, NM)
- … environments with a wide variety of Healthcare Management Information Systems applications recommended. Extensive clinical practice preferred. NATURE OF ... SUPERVISION: Responsible to: Director , Surgical Services ENVIRONMENT: -Bloodborne pathogen: A General office and hospital setting with exposure to computer room and patient care evironment. PHYSICAL and SCHEDULING REQUIREMENTS: Some travel required May be… more
- Molina Healthcare (Santa Fe, NM)
- JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems . Responsible for provision of product ownership of clinical applications ... as industry subject matter expert in the functional area and leads clinical systems to meet critical needs. * Communicates and collaborates with customers to… more
- Sumitomo Pharma (Santa Fe, NM)
- …highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D Organization. This ... individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem… more
- Humana (Santa Fe, NM)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Santa Fe, NM)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Santa Fe, NM)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CenterWell (Santa Fe, NM)
- …National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, and ... improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement… more
- Grifols Shared Services North America, Inc (Santa Fe, NM)
- …more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct ... (MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, and… more
- Humana (Santa Fe, NM)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... 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 … more
- Evolent (Santa Fe, NM)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- Genesis Healthcare (Santa Fe, NM)
- …oversees discharge processes, and establishes relationships within both hospital and non-hospital systems . The Director plays a key role in enhancing efficiency ... meaningful impact in the communities we serve. Responsibilities The Post-Acute Services Director drives the growth and success of assigned nursing centers by… more
- Molina Healthcare (Santa Fe, NM)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. +… more
- Molina Healthcare (Santa Fe, NM)
- …in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality ... enterprise-wide teaching on psychiatric diagnoses and treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for… more
- Evolent (Santa Fe, NM)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products.… more
- Evolent (Santa Fe, NM)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical , Performance Solutions and Partner Delivery. **What You'll Be… more
- Sedgwick (Santa Fe, NM)
- …ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding ... Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient… more
- Travelers Insurance Company (Santa Fe, NM)
- …assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong ... analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical… more
- Cognizant (Santa Fe, NM)
- …. Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health… more
- Fujifilm (Santa Fe, NM)
- …National Director of Business Development. + Understand the healthcare systems , market dynamics, and competitive landscapes in the various geographies within the ... **Position Overview** This position reports into the National Director of Business Development and is the primary regional point of contact for liaising with key… more
- Fujifilm (Santa Fe, NM)
- …development and provide valuable feedback on products and market (ie coordinate clinical labs and office/conference evaluations for new products with KOL and global ... marketing teams). + Play a central role to provide clinical , technical, and market knowledge in the product franchise(s): which includes, but is not limited to… more
