- Humana (Santa Fe, NM)
- …and help us put health first** The Group Medicare Proposal Development/ Contract Review Professional 2 reviews solicitations and prepares routine contract ... proposals (RFPs)/request for renewals (RFRs). The Group Medicare Proposal Development/ Contract Review Professional 2 is primarily responsible for reviewing moderate… more
- Intermountain Health (Santa Fe, NM)
- …include the drafting, implementation, tracking and updating of medical service contracts for Intermountain Healthcare and maintaining appropriate records of ... position. **Job Essentials:** 1. Serves as primary contact and resource to Contract Administrators for a designated portfolio of contracts. Coordinates and manages… more
- Ensono (Santa Fe, NM)
- Associate Client Engagement ManagerRemote - United StatesJR010794 At Ensono, our **Purpose is to be a relentless ally, disrupting the status quo and unleashing our ... reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT ... business initiatives. The Associate VP, Technology Solutions requires a in-depth understanding of...leading large people teams + In-depth knowledge of vendor contract negotiations, technology, and risk best practices + Strong… more
- Zurich NA (Santa Fe, NM)
- Associate Degree Apprenticeship Program - F&I Claims - Multiple Locations (Summer 2025) 115858 **_Zurich North America's Apprentice Program_** Zurich is accepting ... will support our **F&I Claims Team** with: + Monitors inbound calls from contract holders and repair facilities + Processes low complexity automotive claims over the… more
- J&J Family of Companies (Santa Fe, NM)
- Associate Director, Thought Leader Liaison, Neurology Rare Disease - Northeast - 2406207036W **Description** Johnson & Johnson is recruiting for an Associate ... profoundly impact health for humanity. Learn more at https://www.jnj.com/ . The Associate Director Thought Leader Liaison's (TLL) key primary responsibility is to… more
- The ODP Corporation (Santa Fe, NM)
- …to our customers encompassing Technology, Services, Furniture and Print offerings. The associate will quickly build and maintain customer relationships and become a ... conducted by a third-party. **Primary Responsibilities** + Provides exceptional customer service by educating customers about Office Depot products and services.… more
- Evolent Health (Santa Fe, NM)
- …Put your passion where it meets purpose! We are looking for an Associate Director, Partner Operations that embodies deep relationships, serves as a trusted advisor ... aspects of the contracts with assigned clients as well as ensure ongoing contract performance through risk management activities including assurance of Service … more
- Sumitomo Pharma (Santa Fe, NM)
- …and experienced individual for the position of Manager, CTSA. The CTSA Associate Manager is responsible for the management of the Pharmacovigilance (PVRM) and ... PV operations manager, manages PVRM vendors to the responsibilities outlined in the contract and statement of work. Develops a strategic relationship with the vendor… more
- The ODP Corporation (Santa Fe, NM)
- …Retail Sales Advisor is a part-time role providing exceptional customer service by performing duties as cashier, provides logistics support, stocking, restocking, ... by a third-party. **Primary Responsibilities:** + Provides exceptional customer service by performing duties as cashier, provides logistics support, stocking,… more
- Highmark Health (Santa Fe, NM)
- …Dental **Job Description :** **JOB SUMMARY** **Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position** **must** **be a US ... claim edits, reviews history records and determines benefit eligibility for service . Reviews payment levels to arrive at final payment determination; elevates… more
- Lincoln Financial Group (Santa Fe, NM)
- …(internally/externally) while working in this fast-paced environment. As a Contracts Service Processor for Group Benefits, you will be responsible for producing ... haves:** + High School diploma or GED or minimum Associate degree in lieu of required experience. + 2...experience. + Ability to articulate/alter provisions - comfortable with contract language + Strong analytical and problem-solving skills +… more
- CAI (Santa Fe, NM)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Service Desk Analyst, you will be responsible for receiving requests from ... and vendors, and providing the technical support and customer service needed to solve requests. **Job Description** We are...phone, email, or chat. This position will be **full-time contract ** and **remote** . **What You'll Do** + Provide… more
- SHI (Santa Fe, NM)
- …pricing, overcome objections, collect customer data, and work the opportunity to contract signature. This position will report to the Solutions Director or Solutions ... and closing managed services opportunities through customer meetings, follow-up, discovery, contract negotiations, and contract signature + Serving as the… more
- System One (Santa Fe, NM)
- HR Advisory Consultant (remote) **Employment Type:** Contract /Temp **Date Posted:** 9/12/2024 **Location:** Remote **Pay Range:** $32.00 - $40.00 per Hour **Job ... and associates by providing expert advice and counsel on workplace situations (ie associate issues, associate conflicts, behavioral concerns) as well as guidance… more
- Humana (Santa Fe, NM)
- …of our caring community and help us put health first** Our Government Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database ... SQL databases and support the implementation of a new contract for Medicare. + Operate in agile environments, supporting...(125% match for the first 6% contributed by an associate ), etc. **Your Whole Health -** Humana's health products… more
- Humana (Santa Fe, NM)
- …determinations based on strong knowledge of coding guidelines, claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding ... of performance and productivity to meet turnaround times and service level agreements (SLAs) + Stays current with most...in determining root cause. + Experience in interpreting provider contract language + Experience with DRG & APC calculations… more
- Humana (Santa Fe, NM)
- …May apply intermediate mathematical skills. **Humana Government Business government contract requires US citizenship for this position.** The **Care Manager, ... to make an impact** **Required Qualifications** + **Our Department of Defense contract requires US Citizenship for this role** + **Successfully receive approval for… more
- Humana (Santa Fe, NM)
- …business problems through insightful and actionable analytics. With an emphasis on contract and measure-level intelligence, this position will play a pivotal role in ... and develop best-in-class new products * Identify optimal solutions that advance contract and measure reporting * Communicate insights and analytical findings to a… more
- Humana (Santa Fe, NM)
- …with more than 2,000 physicians and approximately 70,000 Medicare fee-for- service beneficiaries. Additionally, DVACO currently holds performance-based contracts with ... reporting, performance improvement, physician engagement, informatics, network development, and contract /payer relations. This design gives the Fellow the opportunity… more