- Mass Markets (Mesilla, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
- Evolent (Santa Fe, NM)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data and insights… more
- UIC Government Services and the Bowhead Family of Companies (Chaparral, NM)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- HUB International (Albuquerque, NM)
- **About HUB International** HUB International is a leading global insurance broker, offering a comprehensive range of property, casualty, risk management, life and ... to helping individuals and businesses evaluate and manage their risks and insurance needs with personalized service, while our dedicated team delivers expert… more
- Highmark Health (Santa Fe, NM)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts… more
- Humana (Santa Fe, NM)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment + ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-23-2025 **About us**… more
- Humana (Santa Fe, NM)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-01-2025 **About us**… more
- Cognizant (Santa Fe, NM)
- …team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health, ... health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, Storage monitoring, Connect Direct subsystem. + Contact different… more
- Highmark Health (Santa Fe, NM)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Highmark Health (Santa Fe, NM)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more