- Magellan Health Services (Albuquerque, NM)
- …+ Leads and organizes the ongoing evaluation of the utilization management program against quality and utilization benchmarks and targets. Identifies ... quality of care including the development and coordination of in-service education programs for vendors, providers, UM staff, and case managers. Makes… more
- Molina Healthcare (Roswell, NM)
- …ability to learn new programs . Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness… more