• Sr Compliance RCM & Coding Auditor

    Humana (Santa Fe, NM)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, ... caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider...requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop… more
    Humana (08/23/25)
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  • Director, Clinical Data Acquisition (HEDIS…

    Molina Healthcare (Las Cruces, NM)
    **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection ... within Molina plans. + Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member… more
    Molina Healthcare (08/21/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (Santa Fe, NM)
    …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... other departments. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists… more
    Molina Healthcare (06/26/25)
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