- Merck (Santa Fe, NM)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Customer Strategy, Health Economics, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product… more
- Molina Healthcare (NM)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care , and correct coding. * Independently… more
- Mass Markets (NM)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT… 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 ... regulatory inquiries + Develop and implement litigation and risk management strategies that align with Prime's business objectives, mitigate...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
- Evolent (Santa Fe, NM)
- …with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + ... and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups… 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 ... maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based... management + 2 years Understanding of provider contract documents and overall contract management… 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 ... and various sites of care /service is preferred + Familiarity with value-based care and utilization management is preferred + Understanding of data systems… more
- Mass Markets (NM)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... focusing on enterprise-level clients with complex outsourcing needs. + Relationship Management Build and maintain trusted relationships with C-suite executives and… more
- Mass Markets (Las Cruces, NM)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... leadership role, you'll guide your team to success through coaching, performance management , and operational excellence. This is a management -level position… more
- Mass Markets (NM)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring optimal staffing levels and… more