- Molina Healthcare (Santa Fe, NM)
- …4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
- Cardinal Health (Santa Fe, NM)
- …of greater responsibility in the future. + Maintain working knowledge of client-facing, clinical , and industry trends, and as well as providing updates to program ... and analysis to clients to demonstrate subject matter expertise. + Grow program margin through demonstrated performance, patient support, and implementation of all… more
- Molina Healthcare (Santa Fe, NM)
- …preferred. Further details to be discussed during our interview process. Remote position Work hours: Monday - Friday 8:00am - 5:00PM **KNOWLEDGE/SKILLS/ABILITIES** ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Serves as… more
- Sharecare (Santa Fe, NM)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program ... high-quality telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Sharecare (Santa Fe, NM)
- …4:30pm CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of ... enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and… more
- EBSCO Information Services (Santa Fe, NM)
- …Join us to help make an impact. **Your Opportunity** The Customer Success Manager (CSM) partners with EBSCO's Clinical Decisions customers to drive meaningful ... than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we...increase the adoption of our tools and solutions across clinical workflows and care teams. The CSM is responsible… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- Summary The Healthcare Technology Manager (HTM) service line Chief is responsible for the professional and administrative management at a Level I complexity VA ... care and university-affiliated institution. Assures provision of a continuing education program for professional staff addressing the principles and application of… more
- Fujifilm (Santa Fe, NM)
- …. **Job Description** **Essential Job Functions:** + Partner with Territory Manager in assigned territory to understand prospect's clinical needs, ... Manager to pursue and close deal + Provide Clinical / Technical / Educational support to new and...a fantastic compensation package, including benefits, and a 401k program . Visit us today to learn more about our… more
- Medtronic (Albuquerque, NM)
- …appropriate therapy settings and continuation of care. The DCE works closely with the Clinical Territory Manager under the direction of the Clinical District ... Day in the Life** Medtronic is seeking a Diabetes Clinical Educator (DCE) to provide individual or group training,...is to be in the field 3-4 days/week and remote the remaining days. + Sets up and facilitates… more
- Sharecare (Santa Fe, NM)
- …to members with chronic and acute conditions, providing nutritional consults with any clinical or coaching program member by request. Secondarily, RD colleagues ... primary responsibility for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an… more
- Molina Healthcare (Santa Fe, NM)
- …/ QI Compliance + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for other specialists within the ... key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions… more
- Prime Therapeutics (Santa Fe, NM)
- …decision we make. **Job Posting Title** Senior Vice President, Operations - REMOTE **Job Description** The Senior Vice President, Operations is accountable for ... driving transformation in Prime's Operations organization including member and clinical operations, claims and benefit operations, implementations, operational regulatory… more
- Eliassen Group (Santa Fe, NM)
- …Program Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Insurance **Workplace Type:** Remote **Reference ... + Recommended Jobs **Description:** Our industry-leading client is looking for a Project/ Program Manager to help with overseeing and coordinating smaller… more
- Humana (Santa Fe, NM)
- …deliver quality and value in a fast-paced, dynamic environment to support our Medicaid program through engaging in the transformation of clinical data to inform ... and help us put health first** The Senior Data Manager supports all aspects of configuration control, data management,...partners across the enterprise and support of the HEDIS program and related activities. This will require building and… more
- EBSCO Information Services (Santa Fe, NM)
- …EBSCO employs more than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we thrive on innovation, ... Join us to help make an impact. **Your Opportunity** The **Regional Sales Manager - Growth (RSM)** is responsible for driving market share and revenue growth… more
- CBRE (Santa Fe, NM)
- …remote position with up to 50% travel. We are looking for a project manager with Healthcare or clinical experience to support one of our pharmaceutical ... Senior Healthcare Construction Project Manager - Travel Required Job ID 200441 Posted 06-Jan-2025...Location(s) Chicago - Illinois - United States of America, Remote - US - Remote - US… more
- Eliassen Group (Santa Fe, NM)
- …Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Financial Services **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/QG20Yv + Description + Recommended Jobs **Description:** **100% Remote ** Our Fintech client is looking for a Senior Product… more
- Eliassen Group (Santa Fe, NM)
- …Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Financial Services **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/VBPJoq + Description + Recommended Jobs **Description:** *100% Remote * Our client has an exciting opportunity for a Sr.… more
- Eliassen Group (Santa Fe, NM)
- …Application Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Insurance **Workplace Type:** Remote ... 02/25/2025 **Shortcut:** http://careers.eliassen.com/V1LvHA + Description + Recommended Jobs **Description:** Remote role, must be local to Rhode Island. Our client… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...+ Manages 5 associates and two contractors; supports one clinical platform for three Medicaid and two Medicare plans;… more