- Prime Therapeutics (Santa Fe, NM)
- …Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting + Must ... of network contracts, participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation… more
- Mass Markets (NM)
- …project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
- Prime Therapeutics (Santa Fe, NM)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS, OIG,… more
- CVS Health (Santa Fe, NM)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Santa Fe, NM)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Evolent (Santa Fe, NM)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Cardinal Health (Santa Fe, NM)
- …+ Ensure all insurance plans are set up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish ... service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and... groups, ensuring revenue is attributed to the correct contract based on provider, group and plan type +… more
- Mass Markets (NM)
- …in competitive environments + Expertise in long sales cycles, high-value contract negotiation, and consultative selling + Exceptional leadership, team-building, and ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Sodexo (Albuquerque, NM)
- …transforming campus experiences across the country. We're seeking a **Food & Nutrition Managed Services Seller, preferably based in Denver, CO** to help colleges and ... the full sales cycle-prospecting, solution development, proposals, pricing, and contract negotiations. + Build executive relationships, engaging C-level leaders to… more
- Grifols Shared Services North America, Inc (Albuquerque, NM)
- …with key physicians and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their patients. The HSSR ... accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy, Critical Care , Blood Bank and other departments and stakeholders necessary in the… more