- Evolent (Santa Fe, NM)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Sunrun (Santa Fe, NM)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Magellan Health Services (Santa Fe, NM)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation,… more
- Highmark Health (Santa Fe, NM)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Merck (Santa Fe, NM)
- …expense reports, time‐off requests and provide proper oversight of CTC's productivity/ utilization . + Provide input for capacity planning, including reporting of ... issues to CRM and CRD/TA-Head. + People and Resource Management : - Manages CTC - career development, performance reviews,...the line manager. + Ability to proactively develop risk management and mitigation plans in the country and resolve… more