• Director of Care Management

    Community Health Systems (Carlsbad, NM)
    **Job Overview** Carlsbad Medical Center is seeking an experienced ** Director of Care Management ** to oversee the Care Management and Social Work ... patient care coordination. + **Program Development:** Develop and implement care management programs, including utilization review, discharge planning, and… more
    Community Health Systems (01/08/25)
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  • Director , Reporting & Analytics…

    Molina Healthcare (NM)
    …health care administration degree preferred **Preferred Experience** + **_Care Management Analytics_** + **_Azure Databricks_** + **_SQL_** + **_Power BI_** + ... Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying… more
    Molina Healthcare (01/21/25)
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  • Medical Director --Claims Management

    Humana (Santa Fe, NM)
    …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
    Humana (10/29/24)
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  • Client Care Director - Commercial…

    CBRE (Santa Fe, NM)
    …- United States of America **About the Role:** As a CBRE Client Care Director , you will oversee the management of a team responsible for the achievement of ... Client Care Director - Commercial Lease Administration Job ID 196755 Posted 17-Dec-2024 Service line GWS Segment Role type Full-time Areas of Interest Sales &… more
    CBRE (01/16/25)
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  • Medical Director - Gulf South

    Humana (Santa Fe, NM)
    …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
    Humana (12/03/24)
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  • Medical Director - Mid West Region

    Humana (Santa Fe, NM)
    …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... and use of business metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants… more
    Humana (10/29/24)
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  • Director Strategic Accounts (DSA), Group…

    J&J Family of Companies (Santa Fe, NM)
    Director Strategic Accounts (DSA), Group Purchasing Organization (1 of 2) - Johnson & Johnson Health Care Systems Inc. Johnson & Johnson Health Care Systems ... Inc. Strategic Customer Group is recruiting for a Director Strategic Accounts (DSA)-Group Purchasing Organizations. The position is a field-based role with a… more
    J&J Family of Companies (01/22/25)
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  • Managing Director , Value Based Care

    Evolent (Santa Fe, NM)
    …is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This role will be a key member of the leadership team for ... ECP generated over $64M of savings for Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care / President of Evolent … more
    Evolent (01/22/25)
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  • Center Director

    Learning Care Group (Santa Fe, NM)
    …additional center/school requirements may apply. + Willingness to attain state mandated Director requirements + 2 years supervisory/ management experience of at ... Center Director Share by Email Share on LinkedIn Share on...Join a strong community where all we do is care -for the children and families we serve every day, as… more
    Learning Care Group (12/17/24)
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  • Director , Account Management

    Prime Therapeutics (Santa Fe, NM)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Director , Account Management - Remote **Job Description** The Director Employer ... application of client communication and interaction principles developed by the Account Management Office; lead efforts to ensure a coordinated client experience by… more
    Prime Therapeutics (01/15/25)
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  • Director , Risk Management

    MAPFRE Insurance (Albuquerque, NM)
    Director , Risk Management Date: Jan 3, 2025...NM, US Company: MAPFRE At MAPFRE, our commitment to care is not just our purpose; it's the driving force ... behind everything we do. We care about the things that resonate with the needs...or revised programs. + Additional responsibilities related to client management and client services, as well as others, may… more
    MAPFRE Insurance (12/28/24)
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  • Director Account Management , PACE…

    Prime Therapeutics (Santa Fe, NM)
    management activities including assurance of Service Level Agreement performance in Care Management Centers (CMC) and Shared Services, assurance of accuracy ... and drives every decision we make. **Job Posting Title** Director Account Management , PACE - Remote **Job...Management : Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest,… more
    Prime Therapeutics (12/19/24)
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  • Associate Director , Global Regulatory…

    Takeda Pharmaceuticals (Santa Fe, NM)
    …will inspire you and empower you to shine? Join us as an Associate Director , Global Regulatory Project Management and Strategic Planning - Neuroscience TAU ... (HA) for early to late phase programs by providing effective Project Management leadership, oversight, direction and planning. + Directly supports program GRL by… more
    Takeda Pharmaceuticals (01/19/25)
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  • Medical Director

    Genesis Healthcare (NM)
    …flexibility, with no weekends! We are seeking a Fee-For-Service Attending Physician/Medical Director for our Colfax General Long-Term Care Center located in ... dually accountable to the Center Administrator and the AlignMed Partners Regional Medical Director for clinical care within the Center, accountable to the Center… more
    Genesis Healthcare (01/10/25)
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  • Assistant Director Nursing Services - ABSN…

    Grand Canyon University (Albuquerque, NM)
    Assistant Director Nursing Services - ABSN Education job in Albuquerque, NM with Grand Canyon University + Search All Jobs + Careers Home + Faculty Jobs + Staff Jobs ... + Graduate Assistant Opportunities + Return to GCU Home (https://www.gcu.edu/) Assistant Director Nursing Services - ABSN Education Click Here to Apply Online Job… more
    Grand Canyon University (01/16/25)
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  • Senior Medical Director , Behavioral Health…

    Magellan Health Services (Albuquerque, NM)
    …The Senior Medical Director ensures the delivery of appropriate health care by overseeing the service coordination, utilization management , care /case ... of the Medical Directors and Physician Advisors in providing cost-effective and quality care management services. Also develops and sustains an interface with… more
    Magellan Health Services (12/31/24)
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  • Director , HIV Medical Affairs - NYC…

    Merck (Santa Fe, NM)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
    Merck (12/19/24)
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  • Community Pharmacy Director

    Intermountain Health (Santa Fe, NM)
    **Job Description:** The Community Pharmacy Director is responsible for broad oversight of multiple business units or practice areas, as well as service line ... change and engage the team around action planning. The Director will also develop and provide education, training, and...will also develop and provide education, training, and performance management of new or enhanced services and software, and… more
    Intermountain Health (01/24/25)
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  • Director , Technology Consulting

    Public Consulting Group (Santa Fe, NM)
    …platform), and management approaches (eg, Agile, Waterfall) are required. The Director will recruit, hire, manage, and develop resources to support the business ... Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector...strong team necessary to navigate the fast-paced world of management consulting. This position will be responsible for the… more
    Public Consulting Group (11/07/24)
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  • Medical Director - Commercial Appeals

    CVS Health (Santa Fe, NM)
    … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and ... in Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management ) experience *Active and current state… more
    CVS Health (11/13/24)
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