- Molina Healthcare (Las Cruces, 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 (Las Cruces, 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 (Las Cruces, 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 (Las Cruces, NM)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Molina Healthcare (Las Cruces, NM)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Mass Markets (Mesilla, NM)
- …Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software ... expanding, industry-leading organization. TheCall Center Site Directoris responsible for the management and development of supervisors and all other operational … more
- Molina Healthcare (Las Cruces, 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
- Molina Healthcare (Las Cruces, 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
- Molina Healthcare (Las Cruces, NM)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment… more
- Molina Healthcare (Las Cruces, NM)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Cupertino Electric (Santa Teresa, NM)
- **Posting Title:** Project Purchasing Manager - Data Center **Reports To:** Director of Procurement **Location:** Santa Teresa, New Mexico **Salary Range:** ... qualifications and requirements listed on this specific job description. We provide a competitive compensation package that recognizes your experience, credentials,… more
- City of Las Cruces, NM (Las Cruces, NM)
- …Executive Director in managing budget, accounting, procurement, payroll/benefits, and management issues and projects. ENVIRONMENTAL FACTORS 80% of the day is ... + Anticipates and prepares material needed by the ASCMV Executive Director and/or management staff for correspondence, appointments, meetings, conferences,… more
- Community Health Systems (Las Cruces, NM)
- …utilization. This includes, when appropriate, reviewing monthly provider utilization data and working with the Corporate Optimization Director to schedule ... are terminated. + Consults with local market leadership as requested (Administrator, Sr. Director Clinics, Director of Clinics, Medical Director , Medical… more
- Mass Markets (Las Cruces, NM)
- …Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software ... and possess a strong work ethic. A background in call center operations management is required, and customer service, technical support, or back-office experience is… more
- Mass Markets (Mesilla, NM)
- …High school diploma or equivalent + 2+ years of experience in call center operations management + Strong data entry and computer skills + Fluent in English ... Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software… more
- Community Health Systems (Las Cruces, NM)
- …and delivering high-quality care based on established clinical protocols and physician/ provider orders. The RN collaborates with physicians, nurses, and other ... team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for… more
- SAIC (Las Cruces, NM)
- …program control/budget analyst to independently oversee and manage the budget and provide financial management of ongoing projects and portfolios in support ... of the NRO Budget Director , site senior leadership, and the NRO mission. In...candidate will be able to analyze large and complex data ; apply critical problem-solving skills and proactively develop creative… more
- Community Health Systems (Las Cruces, NM)
- **_MountainView Regional Medical Center_** is your community healthcare provider . This 168-bed facility, accredited by The Joint Commission, provides a broad range ... execute financial and operational strategies that drive revenue growth and cost management . + Works closely with corporate senior leadership, providing updates on… more
- Community Health Systems (Las Cruces, NM)
- …and delivering high-quality care based on established clinical protocols and physician/ provider orders. The RN collaborates with physicians, nurses, and other ... team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for… more
- Molina Healthcare (Las Cruces, NM)
- …Compliance. + Implements key quality strategies, which may include initiation and management of provider , member and/or community interventions (eg, removing ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more