- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Magellan Health Services (Albuquerque, NM)
- …assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico ... and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing… more
- Evolent Health (Santa Fe, NM)
- …from scrubs to jeans. **Collaboration Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of ... Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team.… more
- Highmark Health (Santa Fe, NM)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Magellan Health Services (Albuquerque, NM)
- …the communities at the state and local level. Utilize this understanding of the Behavioral Health System of Care to support transitions of care including ... The Children in State Custody (CISC) Director has expansive knowledge and experience of the...- Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health Education - Preferred License and… more
- Highmark Health (Santa Fe, NM)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Santa Fe, NM)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Santa Fe, NM)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Marriott (Santa Fe, NM)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Network is recruiting for a Psychology Program Manager assigned to the Behavioral Health Residential Care Division (MH-RRTP). The incumbent will provide ... program operations recommendations to the Director , BHCL regarding strategies that ensure quality patient care...compliance with facility and VHA strategic goals. Consult with medical center staff on a wide variety of patient… more
- Evolent Health (Santa Fe, NM)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …is recruiting for a Social Worker (Program Coordinator) assigned to the Behavioral Health Residential Care Division (MH-RRTP). The incumbent will exercise ... include but not limited to: Evaluate compliance across NMVAHCS Mental Health Residential Rehabilitation Treatment Programs (MHRRTP) with respect to all requirements… more
- Sharecare, Inc. (Santa Fe, NM)
- …one or more of the following areas: NICU, Oncology, Transplant, Maternity, and/or Behavioral Health . + Training in motivational interviewing preferred. + Strong ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for education or… more
- Conviva (Santa Fe, NM)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** This role is embedded within the clinical...CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line… more
- Compass Group, North America (Santa Fe, NM)
- …assistance available! + Location : Morrison Healthcare at Christus St. Vincent Regional Medical Center + Setting : Acute Care + Schedule : Full time, Monday ... platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier… more
- Molina Healthcare (Rio Rancho, NM)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... live in the Albuquerque area _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- Marriott (Santa Fe, NM)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Exchange/Email… more
- Marriott (Santa Fe, NM)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **Relocation?** N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Entra… more