- Molina Healthcare (Albuquerque, NM)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Albuquerque, NM)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Albuquerque, NM)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Albuquerque, NM)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Albuquerque, NM)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Molina Healthcare (Albuquerque, NM)
- …through support and oversight for assigned markets, including D-SNP market performance management . + Function as Medicare subject matter expert and point of contact ... to and present in market performance review meetings. + Collaborate with Network teams on value-based services. + Partner with Government Contracts on regulatory… more
- Acxiom (Albuquerque, NM)
- …clients in a collaborative and client-focused manner to understand their needs, provide expert advice, and offer solutions that address those needs effectively. ... to Acxiom products, solutions, and services as well as solutions across the IPG network . + Establishes annual and monthly revenue and bookings forecasts. + Meets and… more
- Amazon (Albuquerque, NM)
- …Amazon's network size to maximize economies of scale. * Provide frequent on-site monitoring, auditing and enforcement of maintenance execution, safe work ... we have significantly expanded our product offerings, international sites, and worldwide network of fulfillment and customer service centers. Our focus on the… more
- Ethos Veterinary Health (Albuquerque, NM)
- Job Title : Veterinary Doctor Assistant Job Status: Full‐time Supervisor: Hospital Director & Medical Director Route 66 Veterinary Emergency & Critical Care ... veterinary care. We have the most skilled doctors in the state and provide significantly complex treatments in the western US. Our support staff has amazing… more
- Fresenius Medical Center (Albuquerque, NM)
- …Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important ... profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. PATIENT...Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. +… more