- Molina Healthcare (Albuquerque, NM)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **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 (Albuquerque, NM)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Albuquerque, NM)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Albuquerque, NM)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- MAPFRE Insurance (Albuquerque, NM)
- Director , Risk Management Fede Date: Sep 25, 2025 Location: ALBUQUERQUE, NM, US Company: MAPFRE ** Now Hiring: Director of Risk Management - Shape the ... Are you a strategic thinker with a passion for data -driven decision-making? Do you thrive in dynamic environments where...outcomes? Century Automotive Service Corporation is seeking a visionary ** Director of Risk Management ** to lead our… more
- Community Hospital Corporation (Los Lunas, NM)
- The Materials Management Director for Valencia County Hospital will report directly to the facility CFO and have dotted line reporting to the CHC Supply Chain ... Regional Director . This role is responsible for the strategic leadership and operational management of all supply chain activities within the facility. About… more
- Renaissance (Albuquerque, NM)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... actions, and grow and evolve. **Job Description** The Global Director of Total Rewards is responsible for the strategic...benefits and processes, plans, programs and tools (and the data and information that support them) are competitive, cost… more
- Molina Healthcare (Albuquerque, NM)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Fresquez Companies (Albuquerque, NM)
- …priorities in a dynamic environment. Other Skills: + Organization/Prioritization, Time Management , Data Entry Skills, General Math Skills, Analyzing Information, ... member and guest at a time.)" Albuquerque International Airport (Sunport) The Director of Restaurant Operations will work in collaboration with the restaurant… more
- Molina Healthcare (Albuquerque, NM)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Acxiom (Albuquerque, NM)
- The Client Partner Senior Director serves as the primary post-sale point of contact for clients and responsible for their ongoing growth and satisfaction. Uses ... across functional areas of the company, including Professional Services, Data Engineering, Finance, Operations, Marketing, Training, and/or Delivery Support.… more
- Molina Healthcare (Albuquerque, 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
- Acxiom (Albuquerque, NM)
- …of partner and third-party data collaboration. + Stay abreast of evolving data and cloud technologies to provide clients with future-ready solutions. + ... Acxiom is seeking a highly experienced and visionary Senior Director - MLOps Engineering to spearhead the design and...development of scalable MLOps platform to support Acxiom's modeled data product builds. This role demands a deep understanding… more
- Molina Healthcare (Albuquerque, NM)
- …* Provides direct oversight, monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards ... and requirements related to non-contracted provider dispute/appeals processing. * Establishes member and non-contracted provider grievance/dispute and appeals… more
- TXNM Energy (Albuquerque, NM)
- Associate Director , Grid Modernization (PM, Regulatory & Accounting) Location: Albuquerque, NM, United States Job ID: 6089242 Date Posted:Sep 5, 2025 **JOB ... position is open until filled. **PREFERENCES:** Experience with project management , regulatory requirements & filings, and accounting strongly preferred. SUMMARY:… more
- Cengage Group (Albuquerque, NM)
- …more, please see https://www.cengagegroup.com/about/inclusion-and-belonging/ . Ed2go is seeking a ** Director of Inside Sales** who is passionate about supporting ... engagement. This role requires a leader who can build a consistent, data -driven operating rhythm, elevate leadership capability, and foster an equitable and… more
- Molina Healthcare (Albuquerque, NM)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more
- Grifols Shared Services North America, Inc (Albuquerque, NM)
- …solutions and services in more than 110 countries and regions. The Director , Pricing & Access Analytics is responsible for developing and applying advanced ... + Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and contracting performance and recommend adjustments based… more
- Molina Healthcare (Albuquerque, NM)
- …development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and supports (LTSS), ... establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible… more
- Fresenius Medical Center (Albuquerque, NM)
- …field based position.** PURPOSE AND SCOPE: In coordination with regional and area management , and under the direction of the VP of Market Development, responsible ... regarding target identification, initiation of contacts, follow-up on leads, presentations, data collection to guide financial modeling and proposal generation, plan… more