- 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
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- ** Senior Director, Early Development Team Lead** **Role Summary:** The Early Development Team (EDT) Lead is a critical role - working to deliver Otsuka's pipeline ... of opportunities to streamline development without compromising quality. - Engages senior leaders and functional area stakeholders to ensure alignment of program… 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
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …managing agency partners ushering all necessary resources through the Promotional Review Committee process, from draft to final approval. **Qualifications:** + ... in the pharmaceutical / healthcare space and working with review committees (med/legal/regulatory) is required. - Managing agencies for...description is intended to describe the general nature and level of the work being performed by the people… more
- Molina Healthcare (Albuquerque, NM)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * Coordinates and… more
- Molina Healthcare (Santa Fe, NM)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and… more
- Walgreens (Santa Fe, NM)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… 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 (Rio Rancho, NM)
- …Architectural compliance and governance. **Knowledge/Skills/Abilities** + Healthcare knowledge in Claims Processing and Payments + Develops software (hands on code ... program or program change is possible within existing system. + Conducts peer review of other developers (internal and contract staff) to ensure standards and… more