• Medical Director , Clinical…

    Highmark Health (Santa Fe, NM)
    …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
    Highmark Health (07/29/25)
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  • Medical Director

    Genesis Healthcare (Santa Fe, NM)
    …Administrator for delivery of clinical services as stipulated in the Medical Director Agreement, and accountable to the Regional Medical Director ... to nearby centers. This is a Dual Role Attending Physician/ Medical Director . It is clinical ... Director to promote the delivery of clinical services in a manner that fulfills… more
    Genesis Healthcare (07/30/25)
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  • Medical Director - OneHome

    Humana (Santa Fe, NM)
    …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
    Humana (08/25/25)
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  • Regional Medical Director

    Genesis Healthcare (NM)
    …at one or more AlignMed centers * Provide interim direct patient care and/or medical director services at other centers within the region as ... our day-to-day operations. Responsibilities The Regional Medical director (RMD), in addition to his/her clinical ... director (RMD), in addition to his/her clinical and individual medical director … more
    Genesis Healthcare (07/30/25)
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  • Medical Director

    Molina Healthcare (Santa Fe, NM)
    …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
    Molina Healthcare (09/12/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Santa Fe, NM)
    …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
    Molina Healthcare (08/08/25)
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  • Medical Director

    REMOVERY LLC (Albuquerque, NM)
    …of all medical and clinical policies for Removery in that location. The Medical Director will liaise with our Clinical Advisory Board to ensure best ... in their skin. We provide the highest quality of service and care at every stage of our clients'...Overview: We are on the search for an onsite Medical Director for our Albuquerque location. The… more
    REMOVERY LLC (08/08/25)
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  • Attending Physician

    Genesis Healthcare (Santa Fe, NM)
    …Albuquerque, NM, with potential float to nearby centers. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE ... The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves the AlignMed Partners mission. This… more
    Genesis Healthcare (07/30/25)
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  • Sr Director Clinical Strategy…

    Prime Therapeutics (Santa Fe, NM)
    …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
    Prime Therapeutics (07/01/25)
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  • Clinical Transformation Director

    Highmark Health (Santa Fe, NM)
    …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
    Highmark Health (08/21/25)
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