- Humana (Santa Fe, NM)
- …university. + Minimum of 3 years' experience working in clinics, hospital case management , managed care settings, Autism services and/or other healthcare ... caring community and help us put health first** The Care Management Support Assistant 3 assists in...an impact** **Required Qualifications** + **Our Department of Defense Contract requires US citizenship for this position.** + **Successfully… more
- Humana (Santa Fe, NM)
- …This will include coordination and collaboration with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and ... care , eligibility for assistance and/or need for care management program or other referral services.... + 3 or more years of clinical or managed care experience. + Experience in managing… more
- Molina Healthcare (Santa Fe, NM)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management , or project … more
- Prime Therapeutics (Santa Fe, NM)
- … (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting + Must ... our passion and drives every decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant… more
- Cardinal Health (Santa Fe, NM)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation ... **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical… more
- Molina Healthcare (Albuquerque, NM)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... concert with established company guidelines with physicians, hospitals, and other health care providers. * Utilizes standardized contract templates and VBP/Pay… 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 ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage… 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 ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations...service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and… more
- Mass Markets (Las Cruces, NM)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... POSITION OVERVIEW ENERGY CUSTOMER CARE REPRESENTATIVE (FULL-TIME) Here at MCI, we keep...for all aspects of the sales cycle and pipeline management including prospect identification, quote, sales verification and post-sale… more
- Molina Healthcare (Roswell, NM)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... occur to discuss and resolve issues related to utilization management , pharmacy, quality of care , and correct...and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting… more