- Molina Healthcare (Las Cruces, NM)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Las Cruces, NM)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Las Cruces, NM)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Mass Markets (Mesilla, NM)
- …management associated with day-to-day contact center operations. Operationally, the Associate Director is responsible for the development and implementation of all ... sets performance goals and objectives accordingly + Review and provide guidelines and best practices for maintaining competitive edge...+ High school diploma or equivalent + Experience with data -entry utilizing a computer + The ability to read… more
- Genesis Healthcare (Las Cruces, NM)
- …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... 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 (Las Cruces, NM)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Las Cruces, NM)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (Las Cruces, NM)
- …requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure ... of Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Performance Management &… more
- Molina Healthcare (Las Cruces, NM)
- …establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible ... requirements. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Develops, defines, and… more
- YesCare Corp (Las Cruces, NM)
- …assess candidates' knowledge, skills, and fit within the corrections environment. + Provide ongoing education and training for nursing and healthcare staff. + ... state licensure, accreditation, and regulatory agency requirements. + Oversee patient data and medical records to ensure confidentiality and compliance. + Monitor… more
- Community Health Systems (Las Cruces, NM)
- …utilization. This includes, when appropriate, reviewing monthly provider utilization data and working with the Corporate Optimization Director to schedule ... are terminated. + Consults with local market leadership as requested (Administrator, Sr. Director Clinics, Director of Clinics, Medical Director , Medical… more
- Mass Markets (Las Cruces, NM)
- …pro-actively seeks ways to improve the internal processes and results program -wide. Operations managers conduct regular business meetings with supervisor to complete ... and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and… more
- Mass Markets (Mesilla, NM)
- …pro-actively seeks ways to improve the internal processes and results program -wide. Operations managers conduct regular business meetings with supervisor to complete ... and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and… more