- Molina Healthcare (Santa Fe, NM)
- …4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
- Cardinal Health (Santa Fe, NM)
- …of greater responsibility in the future. + Maintain working knowledge of client-facing, clinical , and industry trends, and as well as providing updates to program ... and analysis to clients to demonstrate subject matter expertise. + Grow program margin through demonstrated performance, patient support, and implementation of all… more
- Molina Healthcare (Santa Fe, NM)
- …of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Serves as ... or health plan supervisory or managerial experience, including oversight of clinical staff. + Experience working within applicable state, federal, and third… more
- Sharecare (Santa Fe, NM)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program ... high-quality telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Sharecare (Santa Fe, NM)
- …4:30pm CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of ... enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and… more
- EBSCO Information Services (Santa Fe, NM)
- …Join us to help make an impact. **Your Opportunity** The Customer Success Manager (CSM) partners with EBSCO's Clinical Decisions customers to drive meaningful ... than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we...increase the adoption of our tools and solutions across clinical workflows and care teams. The CSM is responsible… more
- Fujifilm (Santa Fe, NM)
- …. **Job Description** **Essential Job Functions:** + Partner with Territory Manager in assigned territory to understand prospect's clinical needs, ... Manager to pursue and close deal + Provide Clinical / Technical / Educational support to new and...a fantastic compensation package, including benefits, and a 401k program . Visit us today to learn more about our… more
- Molina Healthcare (Santa Fe, NM)
- …/ QI Compliance + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for other specialists within the ... key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions… more
- Prime Therapeutics (Santa Fe, NM)
- …decision we make. **Job Posting Title** Senior Vice President, Operations - REMOTE **Job Description** The Senior Vice President, Operations is accountable for ... driving transformation in Prime's Operations organization including member and clinical operations, claims and benefit operations, implementations, operational regulatory… more
- CVS Health (Santa Fe, NM)
- …heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager position is a 100% remote role requiring a HIPAA-compliant workspace ... plan sponsor requests pharmacist attendance for an onsite visit/assessment/audit. Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary… more
- Eliassen Group (Santa Fe, NM)
- …Program Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Insurance **Workplace Type:** Remote **Reference ... + Recommended Jobs **Description:** Our industry-leading client is looking for a Project/ Program Manager to help with overseeing and coordinating smaller… more
- EBSCO Information Services (Santa Fe, NM)
- …EBSCO employs more than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we thrive on innovation, ... Join us to help make an impact. **Your Opportunity** The **Regional Sales Manager - Growth (RSM)** is responsible for driving market share and revenue growth… more
- CBRE (Santa Fe, NM)
- …remote position with up to 50% travel. We are looking for a project manager with Healthcare or clinical experience to support one of our pharmaceutical ... Senior Healthcare Construction Project Manager - Travel Required Job ID 200441 Posted 06-Jan-2025...Location(s) Chicago - Illinois - United States of America, Remote - US - Remote - US… more
- Eliassen Group (Santa Fe, NM)
- …Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Financial Services **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/QG20Yv + Description + Recommended Jobs **Description:** **100% Remote ** Our Fintech client is looking for a Senior Product… more
- Eliassen Group (Santa Fe, NM)
- …Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Financial Services **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/VBPJoq + Description + Recommended Jobs **Description:** *100% Remote * Our client has an exciting opportunity for a Sr.… more
- Eliassen Group (Santa Fe, NM)
- …Application Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Insurance **Workplace Type:** Remote ... 02/25/2025 **Shortcut:** http://careers.eliassen.com/V1LvHA + Description + Recommended Jobs **Description:** Remote role, must be local to Rhode Island. Our client… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...+ Manages 5 associates and two contractors; supports one clinical platform for three Medicaid and two Medicare plans;… more
- Eliassen Group (Santa Fe, NM)
- **Technical Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Technology **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/mx91Fl + Description + Recommended Jobs **Description:** **100% Remote ** Our client has an exciting opportunity for a… more
- Pearson (Santa Fe, NM)
- …As a key member of the Service Delivery team, the Counseling Services Manager is responsible for the overall strategy, planning, and execution of the counseling ... support students social-emotional, behavioral, and academic development. The Counseling Manager oversees operations across Pearson Virtual Schools in various states,… more
- Fujifilm (Santa Fe, NM)
- **Position Overview** **Territory Manager - Greensboro, NC - Remote ** As a member of our sales team, you will sell portable ultrasound systems in a consultative, ... portable, compact systems are expanding the use of ultrasound across the clinical spectrum by cost-effectively bringing high-performance ultrasound to the point of… more