- Molina Healthcare (Rio Rancho, NM)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Healthcare Services Group, Inc. (Rio Rancho, NM)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... and embraced. Join Our Team Join Our Team (https://careers-hcsgcorp.icims.com/jobs/676461/environmental- services manager -in-training/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336028984) Submission FAQs (https://icims.help/candidate-faq) Job… more
- Molina Healthcare (Rio Rancho, NM)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Rio Rancho, NM)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Molina Healthcare (Rio Rancho, NM)
- …member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports ... Strong verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. * In some states, a bachelor's degree in a… more
- Molina Healthcare (Rio Rancho, NM)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Natural Grocers (Los Alamos, NM)
- Salary Range USD $79,000.00/Yr. - Overview The Job in a Nutshell: The Store Manager is responsible for the successful operation and profitability of the store which ... and serviced per company standards of World Class customer service and staff are also trained on how to...county food safety certifications and registration. + The Store Manager is responsible for ensuring that the store is… more
- Genesis Healthcare (Rio Rancho, NM)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Molina Healthcare (Rio Rancho, 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 ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- Molina Healthcare (Rio Rancho, NM)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Rio Rancho, NM)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Natural Grocers (Los Alamos, NM)
- Salary Range USD $20.00/Hr. - Overview Job in a Nutshell: The Vitamin Manager is responsible for the successful operation and profitability of the vitamin department ... and are required to fulfill the duties of the Manager on Duty (MOD) on a scheduled basis. Applications...10/27/2025 Responsibilities Main Ingredients + Providing World Class Customer Service as a number one priority. + Exemplifying integrity,… more
- Natural Grocers (Los Alamos, NM)
- …Range USD $20.00/Hr. - Overview The Job in a Nutshell: The Produce Manager is responsible for the successful operation and profitability of the produce department ... and are required to fulfill the duties of the Manager on Duty (MOD) on a scheduled basis. Applications...12/02/2025 Responsibilities Main Ingredients: + Providing World Class Customer Service as a number one priority. + Exemplifying integrity,… more
- Molina Healthcare (Rio Rancho, NM)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Genesis Healthcare (Rio Rancho, NM)
- …**Don't Forget To Ask About Increased Pay in Lieu of Benefits!** At Genesis Healthcare , we are dedicated to improving the lives we touch through the delivery of ... high-quality care and exceptional service . As a leading provider in the long-term care...You know your goal is the design of a program that will restore, reinforce, and enhance their physical… more
- Molina Healthcare (Rio Rancho, NM)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Walgreens (Bernalillo, NM)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Walgreens (Rio Rancho, NM)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Natural Grocers (Los Alamos, NM)
- …a Nutshell The Produce Assistant is responsible for assisting the Produce Manager in the successful operation and profitability of the produce department. ... extended. 11/27/2025 Responsibilities Main Ingredients: + Providing World Class Customer Service as a number one priority. + Exemplifying integrity, responsibility,… more
- Walmart (Rio Rancho, NM)
- …** It's time to see optometry through a new lens. Walmart is revolutionizing healthcare and this your chance to be part of it. A Walmart Associate Optometrist ... is the clinical partner to the Vision Center Manager , and core to our mission of advancing eyecare affordably for everyone. About The Optometry Team We're looking… more