- Molina Healthcare (Albuquerque, NM)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Albuquerque, NM)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Albuquerque, NM)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Albuquerque, NM)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Albuquerque, NM)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- TAK Communications (Albuquerque, NM)
- MDU Project Director (Telecom/Fiber) ALBUQUERQUE, NM (http://maps.google.com/maps?q=ALBUQUERQUE+NM+USA) *MDU Job Type Full-time Description TAK Broadband is a ... leading end-to-end US fiber broadband network construction contractor operating in 42 states. It builds...professional technicians. We are seeking an experienced **MDU Project Director ** to join our team. The MDU Project … more
- Molina Healthcare (Albuquerque, NM)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Amazon (Albuquerque, NM)
- …Amazon's network size to maximize economies of scale. * Provide frequent on-site monitoring, auditing and enforcement of maintenance execution, safe work ... we have significantly expanded our product offerings, international sites, and worldwide network of fulfillment and customer service centers. Our focus on the… more
- Fresenius Medical Center (Albuquerque, NM)
- …Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important ... profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. PATIENT...Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. +… more
- Fresenius Medical Center (Albuquerque, NM)
- …**About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the ... from Social Worker to Manager, Senior Manager and Senior Director . **Our culture:** We believe our employees are our...Works with patient, family and health care team to provide education tailored to the patient's learning style, communication… more