• Senior Provider Contracting

    Humana (Santa Fe, NM)
    …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms, payment structures,… more
    Humana (09/18/24)
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  • Financial Analyst Senior

    Highmark Health (Santa Fe, NM)
    …expert for team members. Analyzes financial or contractual results, trends, performance metrics and provides root cause analysis to support business decisions. ... and reporting functions for specific or programs funded by commercial, federal , state, local, foundation or industry partners through grants, contracts, or… more
    Highmark Health (07/26/24)
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  • Senior Vendor Management Professional

    Humana (Santa Fe, NM)
    …a part of our caring community and help us put health first** The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting ... out over the remainder of the calendar year beginning 1/1/2025. The Senior Vendor Management Professional builds and maintains positive relationships with vendors… more
    Humana (09/12/24)
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  • Senior Financial Analyst - Remote

    Prime Therapeutics (Santa Fe, NM)
    … require working knowledge of compliance requirements and accounting complexitiesof federal government contracting , including Federal Acquisition Regulation ... our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires significant… more
    Prime Therapeutics (09/12/24)
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  • Senior Account Executive, Strategic…

    Norstella (Santa Fe, NM)
    Senior Account Executive, Strategic Solutions Company: Citeline Location: Remote, United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-555 ... understanding every facet of a client's business including organizational structure, performance , business strategy and key leadership * Execute against a… more
    Norstella (09/12/24)
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  • Contracts Specialist, Federal Government…

    IMSolutions, LLC (Santa Fe, NM)
    …including pre-solicitation, solicitation, award, contract administration, and closeout. (cradle-to-grave contracting ) + Possess working knowledge of the Federal ... Contracts Specialist, Federal Government - All Levels Remote Full Time...(RFQs) - Under the guidance and approval of the Contracting Officer (CO), assemble the RFP/RFQ and post it… more
    IMSolutions, LLC (08/28/24)
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  • Senior Project Manager, Medicaid Network…

    CVS Health (Santa Fe, NM)
    …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) of provider ... networks as they pertain to Medicaid products ( contracting , adequacy, value-based payment models) + Previous Network experience...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
    CVS Health (09/20/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Santa Fe, NM)
    …Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject ... This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care environment. They will be… more
    Cardinal Health (08/14/24)
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  • Lead Project Manager Federal

    Lumen (Santa Fe, NM)
    …operational support systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care, operations, ... Management Contracts + Program Management Reviews (PMR's) to include both customer and senior level Lumen management + Assist at the ground level with the… more
    Lumen (09/04/24)
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  • Sr. Contracts Administrator (Remote)

    GovCIO (Santa Fe, NM)
    …engineering, software development, C5ISR, mission services, and sustainment solutions for federal Health, Civilian, Veteran, and Department of Defense agencies, as ... legal requirements, and government regulations, to specifically include applicable Federal Acquisition Regulation (FAR) and Defense Federal Acquisition… more
    GovCIO (09/13/24)
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  • Utilization Management Strategy Lead

    Humana (Santa Fe, NM)
    …internal and external stakeholders, such as clinical operations, markets, provider contracting , analytics to identify opportunity areas, set priorities, design and ... model and roadmap to capture prioritized opportunities + Monitor progress and performance of initiatives using key performance indicators (KPIs) and metrics… more
    Humana (09/19/24)
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  • Director, Strategic Sourcing - Remote

    Prime Therapeutics (Santa Fe, NM)
    …RFP/RFIs, supplier scorecards, contracts, and agreements, etc.) + Manage team performance and development, motivate and drive accountability of best outcomes while ... to ensure proper alignment to contract templates and execution of consistent contracting standards + Other duties as assigned **Minimum Qualifications** + Bachelor's… more
    Prime Therapeutics (09/05/24)
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  • Manager Actuarial

    Highmark Health (Santa Fe, NM)
    …hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and ... empathy. Effectively communicate to staff the overall project objectives, purpose, performance standards & measurements of success, deadlines, key milestones, risks,… more
    Highmark Health (09/04/24)
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  • Managing Director, Medicare & Debt Resolution

    Travelers Insurance Company (Santa Fe, NM)
    …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $121,000.00 - $199,700.00 **Target ... relationships, internally and externally to navigate this ever-changing landscape of federal and state regulatory requirements, keeping us ahead of the curve… more
    Travelers Insurance Company (07/18/24)
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  • Category Manager - HR & Professional Services

    Verint Systems, Inc. (Santa Fe, NM)
    …to improve decisions regarding budgeting, forecasting, sourcing, compliance, quality and contracting . + Bring strategic thinking to spend categories to support ... partnerships. + Initiate and lead supplier business reviews that address performance , technology, roadmaps, business growth strategies and supply market changes. +… more
    Verint Systems, Inc. (07/12/24)
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