- Molina Healthcare (Albuquerque, NM)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Albuquerque, NM)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Albuquerque, NM)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Albuquerque, NM)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- CBRE (Albuquerque, NM)
- Property Manager Job ID 229654 Posted 22-Jul-2025 Service line Advisory Segment Role type Full-time Areas of Interest Property Management Location(s) Albuquerque - ... of America **About The Role:** As a CBRE Property Manager , you will be responsible for supervising the team...rent and common area maintenance recovery charges to ensure payment is on time. + Lead by example and… more
- Molina Healthcare (Albuquerque, NM)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- Molina Healthcare (Albuquerque, NM)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Kiewit (Albuquerque, NM)
- …Kiewit Nuclear Solutions team has an immediate opening for an experienced Prime Contracts Manager in our growing District. You will be part of our rapidly growing ... that achieve client expectations and further Kiewit's core values of People, Integrity , Excellence, and Stewardship. On our team, you'll have the opportunity to… more