- Health Care Service Corporation (Santa Fe, 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
- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... care and drive medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this role supports the strategic direction… 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
- 3M (Santa Fe, NM)
- **Job Description:** **Key Account Manager - FCS** **Collaborate with Innovative 3Mers Around the World** Choosing where to start and grow your career has a major ... provides an opportunity to transition from other private, public, government or military experience to a 3M career.** **The...You'll Make in this Role** As a Key Account Manager , you will drive Food Service efforts in 3M… more
- Datavant (Santa Fe, NM)
- …life experiences to realize our bold vision for healthcare. The Strategic Initiatives Program Manager is responsible for delivering high-quality project and ... time, high efficiency, and with high customer satisfaction. The Strategic Initiatives Program Manager must maintain processes and documentation to guarantee the… more
- GovCIO (Santa Fe, NM)
- … Manager of Procurement (Reseller Agreement Specialist) to support our Connected Care Integrated Network (CCIN) program within our Veterans & Enterprise ... without discernable direction while following established guidelines and polices. The Manager of Procurement will be primarily responsible for sourcing suppliers,… more
- Humana (Santa Fe, NM)
- …condition. In their role, the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case closure ... **25%** Coordinate and collaborate with other members of the care management team or external programs to...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- General Motors (Santa Fe, NM)
- …and accident benefits, life insurance, paid vacation & holidays, tuition assistance programs , employee assistance program , GM vehicle discounts and more. GM ... **Job Description** **Customer Experience Manager - GM Energy** About GM Energy: GM's...sits at the intersection of customer journey design, customer care collaboration, VOC analytics and insights management, with a… more
- General Motors (Santa Fe, NM)
- …that location three times a week, at minimum.** **The Role** The Group Product Manager Applied Analytics - Customer Care & Aftersales will manage analytics and ... benefits, life insurance, paid vacation & holidays, tuition assistance programs , employee assistance program , GM vehicle discounts...GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN… 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
- CVS Health (Santa Fe, NM)
- …abilities. **Preferred Qualifications** + **Experience working with healthcare payors and/or government programs such as Medicare and Medicaid** + CPA ... including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs , tuition assistance, retiree medical… 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)
- …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 ... to realize our bold vision for healthcare. We are seeking a QA Audit Manager to lead Datavant's Quality Assurance Audit function. This role is pivotal in ensuring… 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