• Associate Director , Medicaid Value…

    Humana (Santa Fe, NM)
    …of our caring community and help us put health first** The Associate Director , Value-Based Solutions will be responsible for leading the operational performance of ... Humana Healthy Horizon's specialty value-based payment (VBP) model portfolio. The Associate Director will oversee a team of direct reports to implement operational… more
    Humana (04/12/24)
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  • Medical Director - North Central Region…

    Humana (Santa Fe, NM)
    …organization focused on continuously improving consumer experiences. Preferred Qualifications: + Medicaid managed care experience working with LTSS program ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....) is dedicated full time to the Indiana Pathways program to assist the Utilization Management, Care Management, and… more
    Humana (04/25/24)
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  • Sr Director , Value Based Pricing…

    Prime Therapeutics (Santa Fe, NM)
    …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job ... Staff). + Serves as Preferred Drug List product lead for program implementation including developing relationships, RFP support, and other important operational… more
    Prime Therapeutics (04/23/24)
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  • Sr Specialist, Quality Interventions/QI…

    Molina Healthcare (Albuquerque, NM)
    …and implements new and existing healthcare quality improvement initiatives and education programs ; ensures maintenance of programs for members in accordance with ... limited travel to health fairs and community events._ **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one… more
    Molina Healthcare (04/04/24)
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  • Patient Financial Services Director

    HCA Healthcare (Los Alamos, NM)
    …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... have the career opportunities as a Patient Financial Services Director you want with your current employer? We have...and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many… more
    HCA Healthcare (03/14/24)
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  • Medical Director , Children in State…

    Magellan Health Services (Albuquerque, NM)
    …the clinical vision for the health plan(s) for all lines of business ( Medicaid , Medicare, and Commercial) and implements programs to support this vision. ... clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in… more
    Magellan Health Services (03/30/24)
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  • Business Intelligence Associate Director

    Humana (Santa Fe, NM)
    …and valuation of new programs , as well as the maintenance of current programs . + Leads a teams of 7 Senior Business Intelligence Engineers + Utilizes ... of our caring community and help us put health first** The Associate Director , Business Intelligence will be responsible for leading the operational performance of… more
    Humana (04/25/24)
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  • Executive Director - Network & Contract…

    Corus Health (Albuquerque, NM)
    Ensemble of Albuquerque is actively seeking a talented and dynamic Executive Director to lead our established agency and team members to continued success in ... New Mexico. Ensemble is a Clinically Integrated Network of post-acute and senior care providers. Its purpose is to bring together and continuously maintain… more
    Corus Health (03/20/24)
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  • IT Cloud Procurement Category Lead

    Humana (Santa Fe, NM)
    …to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs . + Work ... caring community and help us put health first** The Sr . Manager, Lead Category Manager will report directly into...Manager, Lead Category Manager will report directly into the Director of IT Procurement and will lead the development… more
    Humana (04/14/24)
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