• Medical Director -- Claims

    Humana (Santa Fe, NM)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Medical Director

    Genesis Healthcare (Santa Fe, NM)
    …on call or weekends)! We are seeking a part-time (16-24 hours per week) Attending Physician/ Medical Director for our Casa Real Center, located in Santa Fe, NM. ... for this position is $115 - $145 / hour. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or… more
    Genesis Healthcare (10/10/24)
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  • Medical Director - National Medicare…

    Humana (Santa Fe, NM)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Medical Director

    Genesis Healthcare (Santa Fe, NM)
    …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for split position between our Casa Real Center, located in ... $300000 / year. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature....within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA.Participate in required orientation and training… more
    Genesis Healthcare (10/10/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Santa Fe, NM)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/29/24)
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  • Client Services Director - Casualty | CST…

    Sedgwick (Santa Fe, NM)
    …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | CST & EST Time Zones...EST Time Zones **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be… more
    Sedgwick (11/12/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Santa Fe, NM)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Coordinator, Intake Utilization Management

    Evolent Health (Santa Fe, NM)
    …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
    Evolent Health (11/12/24)
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  • Occupational Health Nurse

    Army National Guard Units (Santa Fe, NM)
    …Consultant for ensuring development, evaluation, implementation and monitoring a comprehensive medical case management program for civilian employees who have ... service core functions, which are prescribed as: Health facilities, health plan management , medical resources, health care information, management and… more
    Army National Guard Units (09/27/24)
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  • Physician Compensation Analyst

    Intermountain Health (Santa Fe, NM)
    Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
    Intermountain Health (11/05/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Santa Fe, NM)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
    Intermountain Health (10/31/24)
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  • Senior Compliance Specialist

    Fujifilm (Santa Fe, NM)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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