- Molina Healthcare (NM)
- …with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints ... fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain...Member and Provider Contact Center to ensure stellar service is delivered according to Molina policies and procedures.… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Services - Remote **Job Description** The Senior ... Master's Degree and/or Actuarial Credentials (ASA or PSA) + Member of Professional Pricing Society **Minimum Physical Job Requirements**...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Highmark Health (Santa Fe, NM)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will… more
- Humana (Santa Fe, NM)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Public Consulting Group (Santa Fe, NM)
- …and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 ... change lives for the better. The firm is a member of a family of companies with experience in...better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational… more
- Ankura (NM)
- …Services and Managed Data Protection Services . Role Overview: As a Senior Director , you will be a key member of the cybersecurity investigations and ... and growth. Practice Overview: Ankura's Cybersecurity and Privacy Practice is a full- service suite of solutions to respond to clients' cybersecurity and privacy… more
- Grifols Shared Services North America, Inc (Santa Fe, NM)
- …transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. **Job Description:** Sr ... Director Pulmonology Sales / US Pulmonology National Sales Lead (NSL) Location: Remote / Field Based (50%). Expected to spend 1 week per month at RTP but does not… more
- Copeland (Santa Fe, NM)
- …inside sales, operations, engineering, and project management. **This is a US based remote role.** **As the Director of Industrial Refrigeration and Heating ... an impact. Join our team and start your journey today! **Description** The Director of Industrial Refrigeration and Heating Sales, North America participates in the… more
- Humana (Santa Fe, NM)
- …interruptions to protect member PHI / HIPAA information This is a remote position \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical … more
- Humana (Santa Fe, NM)
- …of our caring community and help us put health first** The Director , BH Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements with behavioral health providers. The Director , BH Provider Contracting requires an in-depth understanding of how organization… more
- Ankura (NM)
- …well regarded and fast-growing Cybersecurity and Data Privacy Practice offers a full- service suite of information security, data privacy and AI regulatory compliance ... We provide proactive cyber advisory, incident response, expert witness and investigatory services , data mining, managed detection and response services , data… more
- Cayuse Holdings (Santa Fe, NM)
- …manage multiple tasks at any one time. **Reports to:** CNS Executive Managing Director **Working Conditions** + Professional remote office environment. + Must be ... director /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-_ **ID** _102737_ **Category** _Business Development_ **Position Type** _Full-Time Salary Exempt_ ** Remote ** _Yes_ **Clearance Required**… more
- Cardinal Health (Santa Fe, NM)
- …activities and customer needs + Ability to function effectively as a team member through remote relationships + Ability to travel 50-75 percent; mostly ... alliance co-created with oncologists and practice leaders that offers advanced support services and technology to help practices remain independent and thrive. True… more
- Hilton (Santa Fe, NM)
- …corporate office in McLean, VA\*\*\*_ **WHAT WILL I BE DOING?** The Director , Investor Relations works directly with the Senior Vice President, Investor Relations ... of our benefits \(https://jobs\.hilton\.com/us/en/benefits\) At Hilton, we believe every Team Member is a leader\. We are committed to offering leadership… more
- Ryder System (Santa Fe, NM)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Director Business Development SCS is responsible for leading the ... team by providing clear direction on deal strategy: pricing, service , value proposition and presentation message and medium. The...by Sales & Operations management. Transition new business to Director of Key Accounts to further develop after 24… more
- Western Digital (Santa Fe, NM)
- …and measures to mitigate risk. + Register new marks (classes, description of goods/ services ) using clear criteria for registration of marks. + Respond to office ... + Maintain understanding and knowledge of WD products and services . + Manage outside counsel on worldwide trademark oppositions...school; top 50 law school strongly preferred. + Current member of a state bar in good standing. +… more
- Prime Therapeutics (Santa Fe, NM)
- …that meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and satisfaction + Lead client meetings ... every decision we make. **Job Posting Title** Employer Account Executive - Remote **Job Description** The Employer Account Executive serves as the primary… more
- Prime Therapeutics (Santa Fe, NM)
- …and drives every decision we make. **Job Posting Title** Sales Executive - Remote **Job Description** The Sales Executive develops and executes sales and marketing ... new groups within the Blue Plan market to attain member growth. This position leads the pharmacy sales process...comprehensive knowledge of the company and our products and services , the market, the competition, and opportunities; relay Prime's… more
- Prime Therapeutics (Santa Fe, NM)
- …drives every decision we make. **Job Posting Title** Compliance Principal - Remote **Job Description** The Compliance Principal is responsible for the successful ... inquiries. + Provides prompt and thorough resolution for client and/or member satisfaction. + Other duties as assigned **Minimum Qualifications** + Bachelor's… more
- BrightSpring Health Services (Albuquerque, NM)
- …regulatory scrutiny, and staffing challenges, PharMericaConsultant Pharmacistsprovide clinical services that drive facility compliance, prescriber engagement, and ... nursing time Intensely focused on the local delivery of services , our Consultant Pharmacist team's high quality medication management...adapt to rapid change. The Consultant Pharmacist is a remote role and will be responsible for covering the… more