- Molina Healthcare (Rio Rancho, 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 (Rio Rancho, 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 (Rio Rancho, 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 (Rio Rancho, 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
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Center Director . The incumbent is a full member of the organization's top management and participates fully with the Director , Associate Director , Chief ... standards, please visit the United States Office of Personnel Management 's website at http://://www.opm.gov/policy- data -oversight/classification-qualifications/general-schedule-qualification-standards/. Education There is… more
- Molina Healthcare (Rio Rancho, 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
- Molina Healthcare (Rio Rancho, 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
- Fresquez Companies (Albuquerque, NM)
- …priorities in a dynamic environment. Other Skills: + Organization/Prioritization, Time Management , Data Entry Skills, General Math Skills, Analyzing Information, ... member and guest at a time.)" Albuquerque International Airport (Sunport) The Director of Restaurant Operations will work in collaboration with the restaurant… more
- Acxiom (Albuquerque, NM)
- … data use across every stage of product design and execution. + Provide progressive leadership to a high-performing product management team, mentor emerging ... The Senior Director , Product for Real ID Strategy is responsible...with measurable business outcomes + Deep understanding of identity management , data ethics, privacy regulations, and addressability… more
- Molina Healthcare (Rio Rancho, NM)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- RxBenefits (Albuquerque, NM)
- The Clinical Account Director will be responsible for nurturing high-level strategic client relationships, effectively collaborating with various levels of internal ... development and execution of tailored solutions that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client… more
- TXNM Energy (Albuquerque, NM)
- Associate Director , Grid Modernization (PM, Regulatory & Accounting) Location: Albuquerque, NM, United States Job ID: 6089242 Date Posted:Sep 5, 2025 **JOB ... position is open until filled. **PREFERENCES:** Experience with project management , regulatory requirements & filings, and accounting strongly preferred. SUMMARY:… more
- Molina Healthcare (Rio Rancho, 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
- Cornerstone onDemand (Albuquerque, NM)
- Cornerstone OnDemand is seeking an experienced ** Director of GTM Incentive Compensation** to design, implement, and manage the global sales compensation strategy ... payments, and dispute resolution processes, ensuring accuracy and compliance + Provide strategic recommendations on compensation trends, policies, and structures to… more
- Molina Healthcare (Rio Rancho, 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
- Fresenius Medical Center (Albuquerque, NM)
- …field based position.** PURPOSE AND SCOPE: In coordination with regional and area management , and under the direction of the VP of Market Development, responsible ... regarding target identification, initiation of contacts, follow-up on leads, presentations, data collection to guide financial modeling and proposal generation, plan… more
- IQVIA (Albuquerque, NM)
- …medical (territory and account) plans in coordination with the MSL Field Director . The successful candidate will be highly motivated with clinical or scientific ... policies, legal, regulatory, and compliance requirements + Ensures effective administrative management of regional business as well as operational budgets +… more
- Yearout Mechanical LLC (Albuquerque, NM)
- …Matrix and maintain training records of all employees. + Work closely with the Director of Safety, Project Managers, and foremen to ensure safe projects and to ... safety issues before they become major problems. + Maintain statistical safety data and information. + Building and Construction - Knowledge of materials, methods,… more
- RxBenefits (Albuquerque, NM)
- …support, enabling informed decision making, and producing KPIs for senior leadership + Analyze data to uncover potential issues / provide financial impacts + ... other data programming languages + Strong team building, relationship management , and project management skills + Independent/self-starting nature + Process… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …and the Women Veterans Program Manager (WVPM) and Women's Health Medical Director . Facilitates coordination of maternity care for pregnant Veterans on inpatient ... and tracking of maternal and fetal outcomes. Retrieves statistical data on maternity care and utilization at the local...Veteran is in the care of the VA authorized provider in the community and documents the call(s) in… more