- Molina Healthcare (Albuquerque, NM)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Health Care Service Corporation (Albuquerque, NM)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... lines of business. Responsible for improving the quality of care related to various State and CMS quality measures...The role will lead efforts related to operational and cost efficiency, product design, pricing, sales strategy and revenue… more
- Health Care Service Corporation (Albuquerque, NM)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... for electronic documentation of case reviews PREFERRED REQUIREMENTS: + 3 years Managed Care experience + Speciality drug review + Peer-peer experience **This is a… more
- Health Care Service Corporation (Albuquerque, NM)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Molina Healthcare (Albuquerque, NM)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Molina Healthcare (Albuquerque, NM)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Albuquerque, NM)
- …least 2 years as a medical director in a managed care organization setting supporting utilization management/quality program management, or equivalent ... specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral… more
- Genesis Healthcare (Albuquerque, NM)
- …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 ... the communities we serve. Responsibilities We are seeking a Director of Nursing who has a passion for working...with a relentless drive to deliver high quality health care . You will combine your nursing and administrative skills… more
- Molina Healthcare (Albuquerque, NM)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Molina Healthcare (Albuquerque, NM)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Albuquerque, NM)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Genesis Healthcare (Albuquerque, NM)
- …on your assigned nursing unit for the delivery of high-quality and cost -effective health care while achieving positive clinical outcomes, patient/family and ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...and federal regulations and licensing requirements. Collaborate with the Director of Nursing to maintain adequate nursing coverage to… more
- ATI Physical Therapy (Albuquerque, NM)
- …assignments while still providing long-term stability. Throughout the course of the program , clinicians select and travel to multiple locations in an outpatient ... Be-Well days, and more. + Weekly 1:1 case-based meetings with Clinic Director (supervisor) **Stronger Together:** ATI is the largest physical therapy company under… more
- Genesis Healthcare (Albuquerque, NM)
- …you will be responsible for the delivery of compliant, high-quality and cost -effective health care while achieving positive clinical outcomes, and patient/family ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...employee satisfaction on your assigned unit. *Collaborate with the Director of Nursing to maintain adequate nursing coverage to… more
- Apple American Group (Albuquerque, NM)
- …each of these brands. We will achieve this by focusing on our core values; Care Genuinely for People, Play like a Champion, and Win as One. Position Description As ... + Performs routine maintenance and immediately reports to the General Manager/Area Director of needed repairs. + Promotes quality recruitment and referrals of… more