- Molina Healthcare (Roswell, NM)
- …strategy to provide quality and cost-effective member care. Essential Job Duties * Supervises healthcare services operations support team members within ... health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated… more
- Molina Healthcare (Roswell, NM)
- …standards, policies, protocols. * Maintains detailed records of auditing results. * Assists healthcare services with developing training materials or job aids as ... May conduct staff trainings as needed. * Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively… more
- Molina Healthcare (Roswell, NM)
- JOB DESCRIPTION Job SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/program/process ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** + Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and ... while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider… more
- Molina Healthcare (Roswell, NM)
- …requirements relative to clinical operations . + Responsible for oversight of healthcare services related to delegation oversight monitoring + Oversees and ... **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members,...decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions… more
- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** Provides support for Molina Healthcare 's Protection Services Operations Center (PSOC) by conducting daily ... closely with PSOC partners, Human Resources, Legal, and other stakeholders to support both routine and complex investigations and helps develop tools and processes… more
- Molina Healthcare (Roswell, NM)
- …Services Operations Center (PSOC), you will be a member of Molina Healthcare 's Protection Services Operations Center, reporting to the Director. This ... as well as equipment and facilities. This position also oversees Protection Services Operations (PSOC) projects, programs and deliverables to ensure compliance… more
- Molina Healthcare (Roswell, NM)
- …for retrieving specified information from data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, ... **Job Summary** The Manager, Medical Economics provides support and consultation to the New York Health...related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor… more
- Molina Healthcare (Roswell, NM)
- …in self- service , first contact resolution (FCR), and customer satisfaction. ** Operations , Engineering & Service Excellence** + Provide executive oversight ... with business goals to enhance member satisfaction, workforce productivity, and service quality. + Establish governance, key performance indicators, and service… more
- Molina Healthcare (Roswell, NM)
- …services facilities (including computer systems, networks applications, telecommunications, technical support and Service Desk) can be recovered within ... Disaster Recovery related to the Information Technology (IT) organization's technology services to all customers working closely with the Network Operating Center… more
- Molina Healthcare (Roswell, NM)
- …analytic observations into meaningful clinical/operational actions and management of clinical services to support , guide and influence decision making related ... and identify opportunities to improve performance and data management, and support , guide and influence decision-making related to clinical programs, initiatives and… more
- Molina Healthcare (Roswell, NM)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to ... of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior… more
- Molina Healthcare (Roswell, NM)
- …impact and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements… more
- Genesis Healthcare (Roswell, NM)
- …certification preferred). *Minimum five years of progressive HR experience, ideally in healthcare or multi-site operations . *Proven ability to partner across ... Overview At Genesis Healthcare , we are dedicated to improving the lives...control. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support … more
- Molina Healthcare (Roswell, NM)
- …Reimbursement will be primarily responsible for implementation, maintenance, and support of provider reimbursement for all provider types, including hospitals ... PPS pricing methodologies. Works closely with IT, the pricing software vendor, operations , health plan representatives, and other business teams involved in claim… more
- Molina Healthcare (Roswell, NM)
- …value at scale. Partner with cross-functional teams (data science, engineering, product, operations , etc.) to align project outcomes with the company's AI roadmap ... project teams to increase efficiency (for example, using Moveworks for internal support automation). Encourage knowledge sharing and training on these tools. Stay… more
- Molina Healthcare (Roswell, NM)
- …provider-related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider Services /Provider Inquiry Research & ... that enhance operational performance and productivity. + Deliver customer-focused support and training to ensure smooth project delivery, successful adoption… more
- Walgreens (Hobbs, NM)
- …immunizations, diagnostic testing, disease state management, and other healthcare services + Partners with centralized support for patient registration, ... of medications and drug interaction awareness. Offers preventive and clinical healthcare services , including immunizations, diagnostic testing, and patient… more
- Providence (Hobbs, NM)
- …partnerships, financing, and credit deals, as well as internal reorganizations of service lines and operations . Experience with entity formation, corporate ... Are you a strategic mastermind with a passion for legal intricacies and healthcare ? Do you thrive on navigating complex challenges and shaping the future of… more
- Walgreens (Hobbs, NM)
- …medication usage, side effects, and cost-effective options + Deliver clinical healthcare services , including immunizations, diagnostic testing, and medication ... and Puerto Rico. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first… more