- Molina Healthcare (Santa Fe, NM)
- …and credentialing. **Job Duties** This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community ... sent to prospective new providers. * Completes and updates Provider Information Forms for each new contract ....sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist directory).… more
- Intermountain Health (Santa Fe, NM)
- …complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate 's Degree, preferred… more
- CARMAX (Santa Fe, NM)
- …Fe, New Mexico, 87507 CarMax, the way your career should be! As a Customer Specialist , you will be empowered to provide an iconic experience for our Customers ... will help you succeed, too. **What you will do - Essential Responsibilities** + Provide exceptional customer service by guiding customers every step of the way, from… more
- Molina Healthcare (Santa Fe, NM)
- …**Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Merck (Santa Fe, NM)
- **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract , etc.) + Comprehend complex accounts and local market interdependencies to… more