• Program Director ( Cost…

    Molina Healthcare (Albuquerque, NM)
    …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
    Molina Healthcare (10/10/25)
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  • Executive Director , Government…

    Health Care Service Corporation (Albuquerque, NM)
    …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... lines of business. Responsible for improving the quality of care related to various State and CMS quality measures...The role will lead efforts related to operational and cost efficiency, product design, pricing, sales strategy and revenue… more
    Health Care Service Corporation (10/08/25)
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  • Medical Director (Pharmacy)

    Health Care Service Corporation (Albuquerque, NM)
    …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... for electronic documentation of case reviews PREFERRED REQUIREMENTS: + 3 years Managed Care experience + Speciality drug review + Peer-peer experience **This is a… more
    Health Care Service Corporation (10/08/25)
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  • Director & Actuary- Valuation

    Health Care Service Corporation (Albuquerque, NM)
    …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
    Health Care Service Corporation (10/08/25)
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  • Lead Director , National VBC Performance…

    CVS Health (Santa Fe, NM)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving… more
    CVS Health (10/10/25)
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  • Medical Director

    Molina Healthcare (Albuquerque, NM)
    …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
    Molina Healthcare (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (Roswell, NM)
    …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
    Molina Healthcare (10/17/25)
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  • Director , Data Technology Solutions

    Humana (Santa Fe, NM)
    …to put those customers at the center of everything it does. The Director , Data Technology Solutions devises an effective strategy for executing and delivering on ... IT business initiatives. The Director , Data Technology Solutions requires an in-depth understanding of...and involvement in specific initiatives to ensure desired value, cost and value requirements are achieved **Use your skills… more
    Humana (10/30/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Santa Fe, NM)
    …solutions, including optimizing optimize drug utilization, patient outcomes, and cost -effectiveness through value-based care models, digital health initiatives, ... and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description**… more
    Prime Therapeutics (10/02/25)
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  • Medical Director , Behavioral Health (NE)

    Molina Healthcare (Albuquerque, NM)
    …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
    Molina Healthcare (10/23/25)
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