- Community Health Systems (Las Cruces, NM)
- The Director of Risk Management is responsible for developing, implementing, and maintaining comprehensive risk management programs to ensure the ... safety initiatives. **Essential Functions** + Directs and manages the facility's risk management program, identifying and evaluating risks associated with… more
- Molina Healthcare (Las Cruces, NM)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management … more
- Molina Healthcare (Las Cruces, NM)
- …EXPERIENCE:** * 7+ years managed healthcare experience with proven relationship management responsibilities * Proven experience in risk adjustment, quality, ... **Job Description** **Job Summary** Molina Risk & Quality Solutions (RQS) works with health...implementation of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action… more
- Molina Healthcare (Las Cruces, NM)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, ... Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- Molina Healthcare (Las Cruces, NM)
- …Provider Contracts activities for the state health plan. Works with direct management , senior leadership/ management , Corporate, and staff to develop and ... Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership, oversees development of provider contracting strategies… more
- Molina Healthcare (Las Cruces, NM)
- … management includes estimating, scheduling, costing, planning, and issue/ risk management . **KNOWLEDGE/SKILLS/ABILITIES** + Ability to provide strategic ... **JOB DESCRIPTION** **Job Summary** Focuses on process improvement, organizational change management , project management and other processes relative to the… more
- Molina Healthcare (Las Cruces, NM)
- …and trends. + Research and develop reports and analysis for senior management , effectively presenting and communicating results. + Works closely with operational ... management to identify saving opportunities and areas of medical...support to financial closing process regarding estimated settlements and risk corridor calculations. + Pricing and tracking of capitation… more
- Molina Healthcare (Las Cruces, NM)
- …business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders ... **Required Experience** 7-9 years Application Design, Development Experience and, Management , Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more
- Molina Healthcare (Las Cruces, NM)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy &… more
- CDM Smith (Las Cruces, NM)
- …Program Services Group. Reporting to and working in partnership with the Director , Human Resources Business Partners, this role will provide strategic HR leadership, ... The Senior HR Business Partner will play a key role in mitigating organizational risk and ensuring compliance with company policies and procedures. This role will be… more
- Community Health Systems (Las Cruces, NM)
- …submission of required information. + Collaborates with departments such as Health Information Management (HIM), Quality, and Risk to support the development of ... privileging practices, and regulatory/accreditation requirements. + Strong organizational and time management skills with attention to detail. + Ability to maintain… more
- Community Health Systems (Las Cruces, NM)
- …+ Maintains compliance with facility policies, including safety, infection control, and risk management procedures. + Adapts to changes professionally and ... patients, families, and interdisciplinary teams. + Strong organizational and time management skills to prioritize tasks and maximize productivity. + Commitment to… more