- Molina Healthcare (Roswell, NM)
- …or Curry County.** JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates with multidisciplinary team ... coordinating integrated delivery of member care across the continuum. Strives to ensure member progress...to overarching strategy to provide quality and cost-effective member care . Essential Job Duties * Completes assessments of members… more
- CDM Smith (Roswell, NM)
- …CDM Smith Industrial Division is seeking to fill an exciting Project Manager position in our established and growing business with electric utility clients ... across the United States. This Project Manager will bring experience with leading project engineering teams...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- CDM Smith (Roswell, NM)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Molina Healthcare (Roswell, NM)
- …Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties* Collaboratively plans and executes internal healthcare ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… more
- CDM Smith (Roswell, NM)
- …pipeline requisition for future project hires. \#LI-LP2 **Job Title:** Construction Manager (Flex Staff) **Group:** FSI ENT WFT Field **Employment Type:** Temporary ... Experience with large Federal construction projects. * Certified Construction Manager (CCM), Project Management Professional (PMP), PMI Construction Professional… more
- CDM Smith (Roswell, NM)
- …**Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams ... is developed and maintained for claims. **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS **Employment Type:** Regular...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Molina Healthcare (Roswell, NM)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... signs of trends or other issues related to medical care costs. + Work with clinical, provider network and...vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL and… more
- Flynn Applebee's (Roswell, 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 ... an Applebee's Assistant Manager , you will be engaged in all aspects of...Performs routine maintenance and immediately reports to the General Manager /Area Director of needed repairs. + Promotes quality recruitment… more
- 7-Eleven (Roswell, NM)
- …( Manager ) Trainee Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/Store-42455-ROSWELL-NM/Store-Leader-- Manager --Trainee\_R25\_0000008613/apply) ... United States Location Roswell, New Mexico Brand Stripes Store Manager The Store Leader is the heart and soul...entire store team, and ensuring customers are well taken care of. Many of our top managers started their… more
- Molina Healthcare (Roswell, NM)
- …knowledge of foundational Health Insurance Operations; particularly Utilization Management, Care Management, and Clinical Operations + Ability to work occasional ... the SDLC (Systems Development Life Cycle) + Understanding the difference between a Project Manager and a Scrum Master + Experience with JIRA + Knowledge of the… more
- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & contract design… more
- Molina Healthcare (Roswell, NM)
- …timelines are met. **Required Qualifications** * At least 7 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent ... proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program),… more
- Molina Healthcare (Roswell, NM)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization. ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- Molina Healthcare (Roswell, NM)
- …applicable software program(s) proficiency. Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). ... Mexico residency required.** JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and… more
- Molina Healthcare (Roswell, NM)
- …* Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- Molina Healthcare (Roswell, NM)
- …* Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- CVS Health (Roswell, NM)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... At CVS Health, we are focused on transforming health care for our customers and making our company a...for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you… more
- Molina Healthcare (Roswell, NM)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and… more
- Molina Healthcare (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... oversight on daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on investigations conducted by his/her… more