- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- Evolent (Santa Fe, NM)
- …on driving analysis and support for Evolent's fast growth and innovative risk -based Performance Suite business. **Collaboration Opportunities:** This person will ... more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate...across the organization to analyze, communicate, and negotiate client performance and contracting. **What You'll Be Doing:** + Serve… more
- Evolent (Santa Fe, NM)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst, Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst, Performance Analytics to join our Performance Suite...analytic work; be comfortable breaking new ground + Execute high- quality analyses with accuracy and attention to detail; anticipate… more
- Lincoln Financial (Santa Fe, NM)
- …this opportunity. **Requisition #:** 74664 **The Role at a Glance** As a Sr Consultant National Accounts Group Underwriter, you will provide subject matter expertise ... You will determine whether to accept or reject a risk based on their analysis of the customers information....the risks posed by sales. + Analyzes financial health, performance , operations, and personnel levels of customers to determine… more
- Evolent (Santa Fe, NM)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Our Performance Analytics team offers candidates the opportunity to support the evolution of ... patient value and demonstrate this by ensuring that our risk -based financial arrangements are equitable and sustainable. We are...individual will serve as a key member of the Performance Suite Analytics team at Evolent. Primarily focused on… more
- Chemours (Santa Fe, NM)
- …siding that lower energy demands-our chemistry is at work. Chemours is seeking a Sr . Environment Health & Safety Specialist to join the Workplace Safety Center of ... sites, research & development facilities and external partners to ensure risk management effectiveness and compliance. **The responsibilities of the position… more
- Lincoln Financial (Santa Fe, NM)
- …for this opportunity. **Requisition #:** 74552 **The Role at a Glance** As a Sr . Consultant I on the Specialty Health team, you will be responsible for underwriting ... determine price at which LFG will accept risks, alter coverage plans/levels based on risk & pricing, and bind LFG in transactions for insurance products. You will… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing ... with health plan partner goals within their specific markets + Interpret financial performance reports to monitor performance against pharmacy claims data and… more
- Sedgwick (Santa Fe, NM)
- …Fortune Best Workplaces in Financial Services & Insurance RN Consultant Sr - Professional Liability **Prior Legal Nurse Consulting expereince highly preferred ... determine liability issues and exposure; and to assist in identification of risk management issues to decrease liability exposure and associated legal costs.… more
- Sedgwick (Santa Fe, NM)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Data Analyst **PRIMARY PURPOSE OF THE ROLE:** To create comprehensive reporting ... to monitor data for processing and procedures issues; and to support performance initiative by providing technical support and training to colleagues. **ARE YOU… more
- Verint Systems, Inc. (Santa Fe, NM)
- …of feature design - proactively work with others to identify issues or potential risk areas with the architecture ( performance etc.) + Distill requirements from ... opportunities. Learn more at www.verint.com . **Overview of Job Function:** Verint's Senior Software Engineer is responsible for all aspects of the development of… more
- Cardinal Health (Santa Fe, NM)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... policies, workflows, and additional tracking requirements to improve efficiency and reduce risk . + Work closely with Legal and Privacy to ensure compliance with… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to ... minimize risk . The Senior Risk Management...This incentive opportunity is based upon company and/or individual performance . **Description of Benefits** Humana, Inc. and its affiliated… more
- Navient (Santa Fe, NM)
- …are about our mission, read more below, and let's build something great together! **The Senior Platform Quality Engineer position will report to the Head of ... Quality Engineering.** **As the Senior Platform ...potential production issues and help devise strategies to mitigate risk . + Help build a culture of shift-left and… more
- Prime Therapeutics (Santa Fe, NM)
- …leading a high- performance team. + Prepare and present reports on risk activities to executive management, offering clear, actionable insights. + Other duties as ... drives every decision we make. **Job Posting Title** Enterprise Risk Management Manager - Remote **Job Description** In a...sustainability in a fast-paced environment. In collaboration with the Senior Director of ERM, the Manager ERM will lead… more
- Humana (Santa Fe, NM)
- …around the organization; solicits feedback and outside-in perspective on org performance . Facilitates meetings with senior leaders; brings together key ... our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning… more
- Cardinal Health (Santa Fe, NM)
- …Development & Maintenance contributes to Cardinal Health_** We have a career opening for a Sr Engineer _of Rebates & Incentives for our Pharma IT division_ . We are ... + Plans and executes system implementations that ensure success and minimize risk of system outages or other negative production impacts. + Demonstrates conceptual… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Principal, Health Plans Underwriter - REMOTE **Job Description** The Senior ... for overseeing the development of recommended pricing terms; offer structure and risk analysis for highly complex and visible cases, primarily in the Health… more
- Rocket Software (Santa Fe, NM)
- …high- risk , and often multi-region initiatives-managing timelines, deliverables, and quality standards to meet aggressive yet achievable deadlines. + Define and ... improve standardized policies, procedures, and best practices that support consistent, high- quality project delivery. + Track key performance indicators (KPIs)… more
- Molina Healthcare (Santa Fe, NM)
- …Molina members, including but not limited to Fee-For-Service and Pay for Performance Providers. It is an external-facing, field-based position requiring an in-depth ... subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more