- Cardinal Health (Santa Fe, NM)
- …experience will be considered + Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.). Auditing certification preferred. ... fee coding and auditing. + Working knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… more
- Molina Healthcare (Santa Fe, NM)
- …the organization's business and industry requirements. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... Experience** * 5 years of process improvement experience **Required License, Certification , Association** LEAN certification and/or Lean Six Sigma Green… more
- Molina Healthcare (Santa Fe, NM)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Sedgwick (Santa Fe, NM)
- …in a state or territory of the United States required. **Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… more
- Molina Healthcare (Santa Fe, NM)
- …in support of business objectives. * Serves as a Provider Engagement internal consultant and subject matter expert; works collaboratively to ensure the PETs and ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more