- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
- Molina Healthcare (Las Cruces, NM)
- …overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Humana (Santa Fe, NM)
- …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing , prior authorization, formulary management and clinical ... first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes… more
- Public Consulting Group (Santa Fe, NM)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... workers for work authorization, including H-1B sponsorship** . \#LI \#LI-LR1 \#LI- remote **Compensation:** Compensation for roles at Public Consulting Group varies… more
- Guardian Life (Santa Fe, NM)
- …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more