- Molina Healthcare (Santa Fe, NM)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Santa Fe, NM)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- RxBenefits (Albuquerque, NM)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- CVS Health (Santa Fe, NM)
- …critical thinking, problem resolution and interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- Humana (Santa Fe, NM)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- HUB International (Albuquerque, NM)
- …* believe in integrity and building success by developing relationships with others ** Senior Account Manager ** This role requires an individual who is ... in investing in the future of our employees and provide continuous opportunities for growth and development. Our entrepreneurial...to clients in response to those changes independent of manager approval + Acts as liaison between clients and… more
- Walgreens (Belen, NM)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Santa Fe, NM)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- United Therapeutics (Santa Fe, NM)
- …form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical ... audits, and driving corrective actions to completion. As a leader, you provide guidance and mentorship to your direct report, fostering precision, accountability,… more
- Mass Markets (Mesilla, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer ... industry-leading organization. Looking to add an experiencedCall Center Client Account Manager IIto support complex business process outsourcing accounts. This role… more