- Highmark Health (Santa Fe, NM)
- …and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- Mass Markets (NM)
- …as needed in response to disaster relief efforts. This is a temporary, remote position contingent on hurricane disaster relief needs. Candidates accepted for this ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Molina Healthcare (NM)
- …of business as it relates to audits. * Delegation Oversight; voting representative for delegation oversight committees. * Liaison to Special Investigative Unit ... 5 years of experience in Medicare, DSNP and CSNP population, Enrollment, A&G, Claims , Compliance, or other Operations experience To all current Molina employees: If… more
- Canon USA & Affiliates (Santa Fe, NM)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Humana (Santa Fe, NM)
- …across the department. **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & ... skills to make an impact** **WORK STYLE:** Work at home/ remote with 15-20% travel required **WORK HOURS:** Regular business...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more