- Health Care Service Corporation (Las Vegas, NM)
- …Certification in Case Management, Training, Project Management or nationally recognized health care certification. + Government Programs experience + ... and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in… more
- Health Care Service Corporation (Santa Fe, NM)
- …and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in ... of equivalent experience in managed care , a state care coordination or waiver program . + Knowledge of healthcare terminology + Experience coordinating member… more
- GovCIO (Santa Fe, NM)
- **Overview** GovCIO is looking for a Program Manager for PGHD serves as the strategic and operational lead supporting the Department of Veterans Affairs (VA) ... Digital Health Platform (DHP) and OCC strategic priorities. The Program Manager also acts as a key...governance audiences. + Demonstrated success guiding digital health or connected- care programs from pilot through scale. +… more
- Sharecare (Santa Fe, NM)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...to perform work directly or indirectly on Federal health care programs ._ Sharecare and its subsidiaries are… more
- Molina Healthcare (Santa Fe, NM)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based ... combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & contract… more
- GovCIO (Santa Fe, NM)
- **Overview** GovCIO is seeking a Senior Program Manager to play a pivotal role in bridging clinical insight with strategic planning. This position ensures that ... Affairs' (VA) mission, legislative priorities, and desired health outcomes. The Senior Program Manager will integrate clinical expertise into program … more
- Sharecare (Santa Fe, NM)
- …where they can dynamically and easily connect to the information, evidence-based programs and health professionals they need to live their healthiest, happiest and ... is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by… more
- Prime Therapeutics (Santa Fe, NM)
- …drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account Manager ... business by driving communications, client-facing initiatives, and product and program recommendations. This position leads client initiatives both cross-functionally… more
- Prime Therapeutics (Santa Fe, NM)
- …* Project management experience * PBM and/or health plan experience * Government Programs , Medicare Part D/B and/or Medicaid experience RxCLAIM experience ... decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health...of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That… more
- Datavant (Santa Fe, NM)
- …better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care . By ... to realize our bold vision for healthcare. **Role Summary:** The Zone Manager , Provider Privacy will provide operational oversight and leadership as well as… more
- Datavant (Santa Fe, NM)
- …effective quality assurance programs . **You will:** + Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor ... is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for... agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a… more
- Datavant (Santa Fe, NM)
- …better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care . By ... We're Looking For** We are seeking an experienced Engineering Manager to lead our Identity & Access Management (IAM)...oversee the implementation and daily management of our IAM program , ensuring secure, efficient, and scalable access control for… more
- Cardinal Health (Santa Fe, NM)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so patients can access, afford, and remain on the therapies they ... direct employees in enrollment and eligibility reimbursement for patient support programs + Responsible for the overall direction, coordination, and evaluation of… more
- Molina Healthcare (Santa Fe, NM)
- …a managed care organization (Medicaid, Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... a health care related vocational program in health care (ie, certified coder, billing, or medical assistant). To all current Molina employees: If you are… more
- Sharecare (Santa Fe, NM)
- …is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit… more
- CenterWell (Santa Fe, NM)
- …submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical… more
- CenterWell (Santa Fe, NM)
- …us put health first** The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to ... evaluate and develop a plan of care personalized to fit the patient's emotional and social...patients' condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process… more
- Cadmus (Santa Fe, NM)
- …(PTO), paid holidays, voluntary time off (VTO), tuition reimbursement, adoption assistance program , other optional benefits and various bonus programs . The ... intervention strategies, understand system and market dynamics, and advise utility and government clients on a range of complex utility demand side management (DSM)… more
- Sharecare (Santa Fe, NM)
- …and if necessary and with the participants permission contacting their Primary Care Provider according to the disease management program intervention guidelines. ... is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by… more
- Sharecare (Santa Fe, NM)
- …is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...and enrollment issues. + Drive member's engagement into appropriate programs and offerings. + Be an educator on health… more