- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by ... overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance ....completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments.… more
- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- Ford Motor Company (Santa Fe, NM)
- …countries around the world. In this position Ford Credit is seeking a Director of Data, Risk , and AI Architecture to lead the evolution of our data and AI ... that deliver demonstrable business value. What you'll do + Lead the development and implementation of a comprehensive data...and implementation of robust data pipelines supporting our credit risk models and ensuring data quality , integrity,… more
- Molina Healthcare (Santa Fe, NM)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
- CenterWell (Santa Fe, NM)
- …care continuum and quality improvement activities to address high risk , high-utilizers/high-cost patient management. The Program Delivery Lead works on ... influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems… more
- Humana (Santa Fe, NM)
- …to design, validate scale new innovative value-based care/ alternative payment models in risk -based healthcare. The Clinical Strategy Lead will: + Engage in an ... part of a team that leads non-PCP and specialty risk initiatives, amongst other home-based and virtual care clinical...experts to identify the greatest opportunities in clinical outcomes, quality , cost, and experience for members. + Lead… more
- Humana (Santa Fe, NM)
- …Plans by serving its members through a single source solution. We engage in risk -based (eg, capitation, shared savings) deals with health plans and other risk ... infusion services. The Value-Based finance team is seeking a Financial Analytics Lead . The position will work directly with senior management, including the Segment… more
- Cushman & Wakefield (Santa Fe, NM)
- **Job Title** Procurement Lead **Job Description Summary** The Procurement Director will lead a team of procurement professionals of varying levels and ... the on-account leadership team of varying service lines. The Procurement Director will lead in all aspects of procurement including, but not inclusive of: Strategic… more
- Humana (Santa Fe, NM)
- …consumer funnel. We are seeking a talented data professional to join our team as a Lead Data Scientist. As the Lead Data Science, you will be responsible for ... provide data science and analytical solutions with the objective of optimizing performance across digital and non-digital channels. This position requires you to… more
- Lumen (Santa Fe, NM)
- …customer care, operations, program management plans, change management plans, resource plans, quality assurance plans, and risk management plans. + Directly ... Join us as we digitally connect the world and shape the future. **The Role** Lead Site Survey Engineer, Federal Programs in support of the Department of the Air… more
- Lincoln Financial Group (Santa Fe, NM)
- …for this opportunity. **Requisition #:** 73532 **The Role at a Glance** This position will lead a team that is responsible for a pricing and rating model for all the ... and directs the implementation of process improvements that significantly improve quality across the team, supporting the automation and production capabilities of… more
- J&J Family of Companies (Santa Fe, NM)
- …adequate and appropriate process controls. May be responsible for participating and/or taking lead role in developing the risk management plan for new projects ... Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in...technical problems. Participates in decisions on scope of work, risk management, design changes, process improvements, material disposition, and… more
- Evolent (Santa Fe, NM)
- …for the mission. Stay for the culture. What You'll Be Doing: Our Performance Suite Analytics team offers candidates the opportunity to support the evolution of ... patient value and demonstrate this by ensuring that our risk -based financial arrangements are equitable and sustainable. We are...Opportunities: This individual will serve as a key member Performance Suite Analytics team at Evolent. This role is… more
- Pearson (Santa Fe, NM)
- **Position Overview** As the Head of Quality Engineering, you will lead the charge in ensuring the delivery of high- quality K12 assessment products across ... the needs of the K12 assessment market. You will lead a dynamic team of quality managers...critical role in increasing release speed and enhancing software quality by coding and implementing test automation, performance… more
- Evolent (Santa Fe, NM)
- …MD will lead our Quality program, with accountability for ECP's Quality performance across contracts. The MD will partner with our Payor Operations and ... and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment, and patient and provider… more
- Verint Systems, Inc. (Santa Fe, NM)
- …of feature design - proactively work with others to identify issues or potential risk areas with the architecture ( performance , etc) + Distill requirements from ... or other improvements intended to benefit productivity, efficiency and/or quality of the solutions developed by the team and...the right work is being done, work with Team Lead to know that product qualities like, unit tests,… more
- Meta (Santa Fe, NM)
- **Summary:** Meta seeks a highly engaged and experienced team player for a lead role to join our Design, Engineering & Construction (DEC) organization. As a Contract ... and financial information to maximize contract value and reduce risk to the owner. In this role, you will...team, peers, and outside business units to enhance the quality and efficiency of contracting processes 13. Ensure all… more
- UNUM (Santa Fe, NM)
- …cases and the continued profitable retention of in force cases. + Conduct high quality risk assessments on all cases to assure business guidelines, target profit ... + Award-winning culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that includes: Health, Vision,… more
- Humana (Santa Fe, NM)
- …and contractors responsible for IT stakeholder and 3rd Party software risk , relationship, financial, contract, and performance management. This Director ... + Implements strategic plans, drives goals & objectives, and improves performance . + Partners with internal stakeholders and departments to determine requirements… more
- Molina Healthcare (Santa Fe, NM)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates ... management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, … more