- Lincoln Financial (Santa Fe, NM)
- …#:** 74522 **The Role at a Glance** We are excited to bring on a ** Licensing and Contracting Reviewer ** to support the Producer Solutions Operations in ... a work from home environment. _Background Details_ As a Licensing and Contracting Reviewer , you...read on! **What you'll be doing** + You will review contracting paperwork for accuracy and process… more
- Fujifilm (Santa Fe, NM)
- …Holdings America Corporation's strategic legal operations and lead the commercial contracting center of excellence (COE). This role requires a strategic leader ... primary responsibility for providing strategic leadership to our COE contracting team and operations team. You will have the...of identified commercial contracts into COE; + When necessary, review , draft, negotiate, and advise on a variety of… more
- CoreCivic (Milan, NM)
- …requirements. + Collaborates with facility management, department managers, FSC and contracting agency to formulate, revise and implement policies and procedures in ... standards, and contractual requirements. Develops strong working relationships with contracting agencies and ensures consistent communications between the facility… more
- RES (Santa Fe, NM)
- …seamless transition of projects from the initial proposal phase through contracting and into construction. The Pre-Construction Manager communicates, plans, and ... of project proposals. + Facilitates and leads relevant Stage Gate and executive review /approval meetings. + Acts as (interim) Project Manager on RES 3rd Party… more
- Molina Healthcare (Santa Fe, NM)
- …production results for given territory with internal and external partners. * Review current production with local agencies/agents and discuss enrollment goals and ... plans * Meet regularly with local health plan representatives (IPAs, Provider Servicing/ Contracting ) to learn about any changes in contracting (adding or… more
- Molina Healthcare (Las Cruces, NM)
- …care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... The position also entails producing audit reports for internal and external review . The position may also work with other internal departments, including Compliance,… more
- Molina Healthcare (NM)
- …care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... The position also entails producing audit reports for internal and external review . The position may also work with other internal departments, including Compliance,… more
- Molina Healthcare (Rio Rancho, NM)
- …of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting experience. * ... quality and financial goals across all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the BH MD lead trainers in the… more
- Molina Healthcare (NM)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- Hensel Phelps (Los Alamos, NM)
- …or construction management experience. + Must have a valid Driver's License . + Solid problem-solving skills. + Exhibits consistent and competent judgement. ... in the Book of 14. + Job purchasing and contracting is the responsibility of the project manager and...feedback and ensure that employees participate in the performance review process. **Physical Work Classification & Demands:** Moderate Work.… more