• Encounter Data Management Professional

    Humana (Santa Fe, NM)
    …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
    Humana (08/16/25)
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  • Associate Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …policy and travel is expected 20% of the time based on business needs. Remote options may be considered within the US. As an **Associate Director, Quantitative ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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  • Senior Encounter Data Management Professional

    Humana (Santa Fe, NM)
    …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
    Humana (08/15/25)
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  • Associate Director, Medical Affairs Omnichannel

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …or not clearly defined. + **Travel & Collaboration:** + Although this is a remote role, 30% travel for in-person meetings will be essential, including travelling to ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Executive Director, CNS Strategy, Global Medical…

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …25% travel is required, based upon business needs + Position can be remote based **Competencies** **Accountability for Results -** Stay focused on key strategic ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Call Center Customer Service Supervisor

    Mass Markets (Las Cruces, NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Be a subject matter expert on your client's business + Manage remote employees as needed. + Other duties and responsibilities as assigned CANDIDATE QUALIFICATIONS… more
    Mass Markets (07/25/25)
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  • Human Resources Business Partner I

    Mass Markets (Las Cruces, NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Provide general HR support in collaboration with operations teams + Partner with remote HR teams and the HR Manager to address key HR issues and initiatives… more
    Mass Markets (07/10/25)
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  • Technical Customer Care Representative…

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Do you know what it means to "Pair a Remote "? + Trouble shoot data, video, and voice (VoIP...Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.… more
    Mass Markets (05/28/25)
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  • Virtual Executive Assistant

    Mass Markets (NM)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... highly organized, well-established, and detail-oriented Virtual Executive Assistant to join our remote team. As a Virtual Executive Assistant, you will perform a… more
    Mass Markets (08/15/25)
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