- Sharecare (Santa Fe, NM)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Santa Fe, NM)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Providence (NM)
- **Description** **Senior Product Manager \* Remote - Most States Eligible The Senior Product Manager combines user experience, business acumen in healthcare ... patient experience, patient access, to risk-based contract analytics, total cost of care management, and population health management. It requires strong skills in… more
- Molina Healthcare (Las Cruces, NM)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program Manager is ... work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work...years of work experience in a clinical and/or managed care setting + Must be eligible to work in… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout the… more
- Prime Therapeutics (Santa Fe, NM)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Reporting & Analytics - Remote **Job Description** The Manager , ... client demands, continuous improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff to meet or… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Financial Systems - Remote **Job Description** The Manager , Financial ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Santa Fe, NM)
- …fuels our passion and drives every decision we make. **Job Posting Title** Account Manager - Remote **Job Description** The Employer Account Mgr is responsible ... * Coordinate with the Employer Account Executive and Sr. Employer Account Manager in communication with clients throughout the development of reports and trend… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description** Overall management of assigned book of ... or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's business and… more
- Prime Therapeutics (Santa Fe, NM)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Operations ( Remote ) **Job Description** + Operations: Manages team members in ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Highmark Health (Santa Fe, NM)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Molina Healthcare (NM)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- RELX INC (Santa Fe, NM)
- Product Mananger II Are you a technical Product Manager looking to work with an industry leading organization? Are you wanting to expand your knowledge within the ... to enhance investigations. About the Role As a Project Manager , you will be responsible for driving and managing...Hospital Indemnity + Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits + Health Savings,… more
- Sharecare (Santa Fe, NM)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Identify potential risks and execute mitigation strategies. *… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Rio Rancho, NM)
- …Develops data quality strategies and solutions to close risk and quality care gaps. * Communicate effectively and consistently with key stakeholders, including ... organizations. * Comprehensive mastery of the drivers of value in managed health care as well as in-depth knowledge of the healthcare industry * Expert-level ability… more
- Molina Healthcare (Rio Rancho, NM)
- …Education** Advanced clinical degree or advanced public health or health care administration degree **Preferred Experience** * State QI experience * Medicaid ... and/or Medicare QI + **Databricks** + **Development leading indicators and data visualization** + **Informatics** + **SQL** + **Power BI** **Preferred License, Certification, Association** * Black Belt in Lean/Six-Sigma To all current Molina employees: If you… more