- Health eCareers (Roswell, NM)
- …CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.5 - 10 shifts monthly with focus on night ... shifts12-hour shifts from 7am - 7pm and 7pm - 7am29,000 annual patient volumeNP support available during day and evening hoursWe negotiate better pay and deposit it weeklyWe arrange complimentary housing and travel and comprehensive malpractice coverageWe… more
- Remote Jobs (Roswell, NM)
- …This position is a work from home position. You will not need to come into the office. No Experience Needed. Benefits: Health Insurance, 401K, Vacation& PTO. Apply ... now! Work from home roles are a critical part of our mission to deliver timely, accurate and professional customer service to all customers. This vital position requires an action-oriented, flexible problem-solver who will assist customers in expediting orders… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Molina's Medicaid Critical Incident Team oversees the Molina Healthcare of Ohio Medicaid Critical Incident Management Process in accordance with Ohio ... Department of Medicaid directives and Ohio Administrative Code Rule 5160-44-05. Work with members and multidisciplinary team staff to review, assist, and coordinate with Care Management to facilitate, plan, and ensure an integrated delivery of care across the… more
- Molina Healthcare (Roswell, NM)
- …Candidates must reside in Georgia **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. ... Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system… more
- Molina Healthcare (Roswell, NM)
- …**_ Candidates must be located in North East Ohio (Cuyahoga, Geauga, Lake, Lorain, Medina, Cleveland) and would require 80 -90% travel. _** Job Summary Provides ... support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes to overarching… more
- Taco Bell (Roswell, NM)
- …Imagine the pride you'll feel setting the gold standard that others aspire to. You'll oversee the recruitment and training of your team, guiding them towards ... promotions and empowering them to build successful careers. By cultivating a team of top performers, you'll create a culture that's vibrant, optimistic, and incredibly rewarding. Your success will be reflected in the achievements of your team. RGMs work a… more
- Walmart (Roswell, NM)
- …Additional compensation includes annual or quarterly performance incentives. Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 ... per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. Employment Type: **Part-Time** Available shifts: **Mid-Shift,… more
- Molina Healthcare (Roswell, NM)
- …Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Molina Healthcare Core Competencies: Generally, the ability to understand,… more
- Molina Healthcare (Roswell, NM)
- …Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across ... the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes comprehensive assessments of members per regulated timelines… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs ... are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary… more
- CDM Smith (Roswell, NM)
- …CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of the software lifecycle, including sourcing, procurement, planning, ... budgeting, compliance, and auditing. In this role, you'll play a key part in shaping how our organization sources, manages, and optimizes IT software and services. You'll work closely with vendors, negotiate contracts that deliver both value and performance,… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** General accounting tasks for tracking, processing, and payment of invoices for services or goods purchased from vendors. Responsibilities include ... ensures all disbursements are made under good financial controls while maximizing cash flow opportunities. **Knowledge/Skills/Abilities** * Works closely with Assoc Processors, Payables and ensure the efficient and accurate processing of payables and the… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and ... effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences. **Job Duties** * Provide service support to members and/or providers using… more
- Health Advocates Network (Roswell, NM)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- Molina Healthcare (Roswell, NM)
- …Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and ... quality cost-effective member care. **Shift Available: 12-830pm EST M-F** Essential Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated ... activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements.… more
- Genesis Healthcare (Roswell, NM)
- …Enrich the lives of our patients/residents as an Activity Assistant where you will plan, organize and implement engagement activities that meet the physical, ... Overview At Genesis Healthcare, we are dedicated to improving the lives we touch 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, inclusive and… more
