- Mass Markets (NM)
- …sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of employment, and all ... employees have access to MEC medical plans after just 30 days. Benefit options vary by location. + Retirement Savings: Secure your future with retirement savings… more
- CVS Health (Santa Fe, NM)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... Qualifications** + Experience working in a call center environment + Medical terminology/insurance experience + Results oriented and self motivated + Ability… more
- Evolent (Santa Fe, NM)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments ... managed care, Commercial, Marketplace, Medicaid and/or Medicare programs; knowledge of medical policy benefits and exclusions is a plus **Technical Requirements:**… more
- Molina Healthcare (Rio Rancho, NM)
- …therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics ... pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …the assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned ... CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Fresenius Medical Center (Albuquerque, NM)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …will work closely with brand teams, market access, sales, finance, legal, and medical teams to develop messaging, resources, and programs that support patient access ... adaptation. + **Fulfillment Programs:** Work with Market Access as CNS Marketing representative in support of identifying and executing programs that reduce Rx… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …markets innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health As ... The Director will author/review **clinical pharmacology** submission documents and representative of the department at different product development team meetings.… more
- Stantec (Albuquerque, NM)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve the development and management of the Project ... + Proactive interface and communication with designated Client commercial representative , as appropriate + Prepare and issue Contractual written communications,… more
- Mass Markets (Las Cruces, NM)
- …ourselves as a trusted partner in the industry. The customer account representative position is a full-time, inside sales role for experienced sales representatives. ... sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of employment, and all… more