• Claims Specialist Sr , Professional…

    Sedgwick (Santa Fe, NM)
    …Professional Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly ... FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering… more
    Sedgwick (08/14/25)
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  • Regional Medical Director

    Genesis Healthcare (NM)
    …flexibility! We are seeking a part-time to full-time (24-30 hours per week) Regional Medical Director for remote position with some travel to our centers located in ... - $115 / hour. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents...Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Provides leadership and support… more
    Genesis Healthcare (07/30/25)
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  • Payment Integrity Subrogation Manager - REMOTE

    Molina Healthcare (Albuquerque, NM)
    …automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice , and mass tort-with the ability to manage ... Medicaid, Medicare, and Marketplace populations. + Collaborate with legal, claims , provider relations, finance, and compliance departments to ensure coordination… more
    Molina Healthcare (07/23/25)
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  • Attending Physician

    Genesis Healthcare (Santa Fe, NM)
    …on call)! We are seeking a part-time (16-24 hours per week) Attending Physician/ Medical Director for our Casa Real Center located in Albuquerque, NM, with potential ... to nearby centers. This is a Dual Role Attending Physician/ Medical Director. It is clinical in nature. Must be...within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and… more
    Genesis Healthcare (07/30/25)
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  • Nurse (Risk Management)-DHA

    Indian Health Service (Gallup, NM)
    …analyses to determine potential risks. Ensure patient and staff safety, respond to claims of clinical malpractice , address patient complaints, and comply with ... Division of Quality Management, Risk Management Branch at the Gallup Indian Medical Center in Gallup, NM. The primary responsibilities include maintaining Joint… more
    Indian Health Service (07/30/25)
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