- APTIM (Santa Fe, NM)
- **Summary:** The Senior - Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to ... on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also supports mentoring of mid- level staff, provides guidance… more
- Ryder System (Santa Fe, NM)
- …here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates… more
- Fujifilm (Santa Fe, NM)
- **Position Overview** We are hiring a Senior Counsel to be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM ... Inc., wholly-owned subsidiaries of FUJIFILM Holdings America Corporation (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will… more
- Walgreens (Albuquerque, NM)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Albuquerque, NM)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Molina Healthcare (Rio Rancho, NM)
- …of the organization and outsourced vendor work. The Sr. Analyst providers peer level support to Analysts in the department through training and guidance on audits ... any identified finding; Supports management with presenting results and recommendations to Senior Leadership and department staff. * Recommends new or updated job… more
- Molina Healthcare (Las Cruces, NM)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. ... multiple data sources, crosswalks, and built-in validation checks. + Use peer-to-peer review process and end-user consultation to reduce errors and rework. + Assist… more
- Cardinal Health (Santa Fe, NM)
- …enhance the overall healthcare experience. We are seeking a highly motivated and experienced Senior Data Scientist to join our team as a thought leader and architect ... knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. +… more
- Molina Healthcare (Albuquerque, NM)
- …team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data ... strategic investment decisions + Research and develop reports and analyses for senior management and effectively and concisely communicate results and key takeaways… more
- Travelers Insurance Company (Santa Fe, NM)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... communication will be required as you build partnerships with senior management and other business partners throughout B&SI. As...reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in shaping… more