- Molina Healthcare (Santa Fe, NM)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… 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 ... our systems remain stable and performant as we scale. The Lead Director of Observability Engineering is a critical leadership role within Solutions Engineering… more
- CVS Health (Santa Fe, NM)
- …compensation program . **Responsibilities** The primary responsibilities of the Sales Director will be to develop and execute a sales strategy and process ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title)… 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 ... And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving… more
- Molina Healthcare (Santa Fe, NM)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Prime Therapeutics (Santa Fe, NM)
- …solutions, including optimizing optimize drug utilization, patient outcomes, and cost -effectiveness through value-based care models, digital health initiatives, ... and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description**… more
- Molina Healthcare (Santa Fe, NM)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… 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 ... heart, each and every day. **Position Summary** CVS Health is seeking a Lead Director of Public Affairs Campaigns to join our team in Washington, DC. This position… 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 ... candidate to sit in EST**_** **Position Summary** The Lead Director of Business Development & Innovation will drive strategic...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Molina Healthcare (Santa Fe, NM)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… 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 ... performance insights to advise leadership on vendor strategy. Identify opportunities for cost savings, service enhancements, and innovation. + Manage a team of… more
- Molina Healthcare (Santa Fe, NM)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Kyndryl (Santa Fe, NM)
- …+ Align contact center transformation with healthcare business models including value-based care , STAR ratings, and cost containment. + Embed intelligent ... experience is a strong plus, especially in payer/provider operations and care management workflows. **Preferred Qualifications: ** + 15+ years' experience in… more
- Molina Healthcare (Santa Fe, NM)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Humana (Santa Fe, NM)
- …provider performance in value-based programs. + Identify opportunities for new clinical program initiatives by assessing cost and utilization drivers, inclusive ... quality improvement initiatives, including root cause analysis, best practices to close care gaps. **Vendor/Pilot Program Evaluation and Monitoring:** + Assist… 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 ... build and sustain innovative solutions. The role will report to the Director of Application Engineering.** **Responsibilities** + **Lead diverse, remote teams to… more
- Hilton (Santa Fe, NM)
- …bereavement days, flexible spending accounts, a health savings account, an employee assistance program , access to a care coordination program \("Wellthy"\), ... our BirchStreet and ReactorNet P2P systems\. Reporting to the Director of Procurement Applications Americas, you'll contribute to system...programs and benefits such as: + Go Hilton travel program : 110 nights of discounted travel with room rates… more
- General Motors (Santa Fe, NM)
- …General Motors' health and well-being objectives. This position reports to the Director , Global Benefits, Hourly Compensation & Labor Relations. This role requires ... of physical, emotional, and financial well-being initiatives, including preventive care , mental health support, and chronic condition management + Establish… more
- Genesis Healthcare (Santa Fe, NM)
- …you will be responsible for the delivery of compliant, high-quality and cost -effective health care while achieving positive clinical outcomes, and patient/family ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...employee satisfaction on your assigned unit. *Collaborate with the Director of Nursing to maintain adequate nursing coverage to… 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 ... innovation for Aetna Commercial Pharmacy Health Plans, partnering closely with the Director of Strategic Initiatives and Product. You'll lead the charge in launching… more