- 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
- CDM Smith (Roswell, NM)
- …Ready to take the next step in your career? Passionate about helping others grow professionally? As a Regional Team Leader, you'll guide and support a team, offering ... mentorship, training, and leadership to help them reach their full potential. The Infrastructure Services Group (ISG) is seeking a Regional Team Leader and Senior Specification Writer to lead our Specifications Group. We're looking for candidates with… more
- Leprino Foods (Roswell, NM)
- …and Experience: + Must be willing to work nights, days, holidays, weekends and rotating shifts. + Must be able to lift up to55 lbs., climb stairs, vertical ladders ... and inclined ladders, work with arms fully extended in front of body and above head. Must also be able to squat, kneel, crawl, lie on back and stomach, work in environments with varying degrees of temperature, work around chemical fumes, work in tight spaces… more
- Genesis Healthcare (Roswell, NM)
- …**Title:** Physical Therapist Assistant **Location/work environment:** In facility **Reporting structure:** Reporting to Director of Rehab As a Physical Therapist ... Assistant, you help patients get well. You are the person who can bring their power back. In doing this, you will implement physical therapy programs and activities, follow developed recovery plans, and deliver therapy treatments. You're a healer and a helper,… more
- Molina Healthcare (Roswell, NM)
- …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 cost-effective based on… more
- Hussmann Corporation (Roswell, NM)
- …+ Performs prescribed, routine maintenance procedures on supermarket refrigeration system and self-contained temperature-controlled merchandisers. + Enough system ... **Overview** Performs maintenance, diagnosis and repair of refrigeration, heating & air-conditioning systems commonly installed in supermarkets, convenient stores and cold storage facilities. Operates independently with minimal direct supervision. Develops… more
- CareerStaff Unlimited (Roswell, NM)
- …for this Licensed Practical Nurse opportunity include, but are not limited to: * Assist residents with daily bath, dressing, grooming, dental care, bowel and bladder ... functions, preparation for medical tests and exams, ear and eye care and positioning in and out of beds, chairs, bathtubs, etc. * Provide nursing functions as directed by supervisor including daily perineal care, catheter care, turn residents in bed, all… 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** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized ... representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical ... analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for reviewing and resolving Provider No Surprises Act cases in accordance with the standards and requirements established by the Centers ... for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of Provider No Surprises Act cases to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using… more
- Acosta Group (Roswell, NM)
- …of the role.** + **Physical Ability:** Must be able to stand, bend, stoop, climb ladders, and lift products2weighing up to 50 lbs. without assistance** **We are an ... **Retail Display Installer - Electronics - Part Time** Location**NM - ROSWELL** Are you ready to dive into the world of cutting-edge electronics and make a real impact? Join ActionLink as a Part-Time Retail Merchandiser for Roswell, NM and the surrounding… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** The Sr Engineer, Cloud assists IT colleagues and partners to develop, migrate and deploy key cloud initiatives in a dynamic environment, while also ... ensure stability and functionality requirements from business customers are met. **Knowledge/Skills/Abilities** * Supports the planning, configuration, and operation of Molina cloud infrastructure migration and services. * Works to configure and support… more
- CDM Smith (Roswell, NM)
- …CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims. This role is critical in evaluating and analyzing financial data ... related to disaster-related claims, including property damage, business interruption, and other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect potential fraud, and ensure the integrity and… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management ... criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical ... analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment ... records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call… more
- Community Health Systems (Roswell, NM)
- …The MRI Technologist I performs routine magnetic resonance imaging (MRI) procedures to support diagnostic and treatment services. This role ensures patient safety and ... comfort, produces high-quality images for physician evaluation, and maintains compliance with department protocols and safety standards. The MRI Technologist I is responsible for operating and maintaining imaging equipment, managing MRI supplies, and providing… more
- Molina Healthcare (Roswell, NM)
- …**Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various ... departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve… more