- Molina Healthcare (Santa Fe, 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 (Santa Fe, 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
- Oracle (Santa Fe, NM)
- …and continually evolving business environment. Career Level - IC5 **Responsibilities** + Lead operations support of the healthcare and life science ... **Job Description** As an Healthcare Ethics and Compliance Operations Program...facilitating contracting for and use of Oracle's products and services by such customers. We advise and collaborate with… more
- Molina Healthcare (Santa Fe, 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 (Santa Fe, 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 (Santa Fe, 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
- Cardinal Health (Santa Fe, NM)
- …contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers ... Operations is responsible for providing outstanding customer service and managing accounts while providing sales support...service while multi-tasking between phone calls and e-mail support . + Experience within healthcare customer … more
- Molina Healthcare (Santa Fe, 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
- Cardinal Health (Santa Fe, NM)
- …employees with experience building a bench of talent + Prior experience in patient support services , healthcare , or related field, preferred + Pharmacy and ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to...life. Our diverse expertise in pharma, payer, and hub services allows us to deliver best-in-class solutions-driving brand and… more
- Oracle (Santa Fe, NM)
- …is a leader in generative AI for healthcare , focusing on cutting-edge cloud services that streamline healthcare operations . Our EHR and Clinical AI Agent ... technical proficiency, and a culture of accountability and continuous improvement in service operations Operations Engineering: Oversee deployment and … more
- Kyndryl (Santa Fe, NM)
- …Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) spaces. ... innovative solutions that enhance customer journeys, improving customer technology operations , and integrate cutting-edge capabilities such as Agentic AI. The… more
- Molina Healthcare (Santa Fe, 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
- Oracle (Santa Fe, NM)
- …directly enable AI-first solutions that drive outcomes for clinicians, patients, and healthcare operations . Your biggest contribution will be converting highly ... HealthCare Product Suite. Our product is designed to automate complex healthcare workflows-from clinical decision support to patient communication to… more
- Oracle (Santa Fe, NM)
- …algorithms, and programming paradigms) + Experienced at building highly available services , possessing knowledge of common service -oriented design patterns and ... **Do you want to be a part of changing healthcare ?** Oracle is excited to be using our resources,...and building scalable, distributed, and resilient software components and services + Own the complete software development lifecycle, from… more
- Humana (Santa Fe, NM)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... value of the work. In addition, this role will support the inventory of existing Stars initiatives and help...functional areas (care coordination, quality, billing, claims, and customer service ). + Collaborate with each Insurance Operations … more
- Molina Healthcare (Santa Fe, 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 (Santa Fe, 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 (Santa Fe, 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
- CenterWell (Santa Fe, NM)
- …help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations … more
- Humana (Santa Fe, NM)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... community and help us put health first** The Associate Director, HEDIS Operations of Non-Standard Supplemental for business operations supports all aspects… more