- Fujifilm (Santa Fe, NM)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to ... the Corporate Compliance Director. The Compliance Manager ...compliance programs related to laws and regulations, including healthcare compliance , anti-corruption, antitrust, and anti-money laundering… more
- Molina Healthcare (Albuquerque, NM)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Molina Healthcare (Rio Rancho, NM)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified… more
- Molina Healthcare (NM)
- …(PSOC) projects, programs and deliverables to ensure compliance with all regulatory requirements. The manager will assume the role and responsibilities of ... abroad + Ensure appropriate consultation regarding threat mitigation, workplace violence, and regulatory compliance . Regularly report compliance metrics to… more
- CVS Health (Santa Fe, NM)
- …The auditor plays a critical role in maintaining quality standards and regulatory compliance across managed care operations. **Key Responsibilities:** + Lead ... **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA Accreditation standards and… more
- Molina Healthcare (Rio Rancho, NM)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Molina Healthcare (NM)
- …and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position… more
- Molina Healthcare (Santa Fe, NM)
- …with PMO standards, stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare /Claims)** + Deep understanding of claims lifecycle, EDI ... may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people,… more
- Molina Healthcare (Las Cruces, NM)
- …initiatives. Will focus on priority areas such as the quality Healthcare Effectiveness Data Information Set (HEDIS) measures, and collaborates with community-based ... * Stays informed of health care industry best practices and managed care regulatory requirements. * Lead or support organizational readiness and submission for NCQA… more
- Datavant (Santa Fe, NM)
- …Healthcare Administration, or a related field. + 6+ years of experience in healthcare compliance , privacy, or information governance. + Minimum 3 years of ... 30% **Desired Qualifications:** + Master's degree in Health Information Management, Healthcare Compliance , or a related discipline. + Professional certification… more