- Conviva (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Santa Fe, NM)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Santa Fe, NM)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Santa Fe, NM)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Santa Fe, NM)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...Dynamic leadership skills. + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Santa Fe, NM)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director Regulatory Affairs** . The Director is part of the Global ... activities and submissions + May be responsible for creating and reviewing SOPs and regulatory department operating procedures. **Key Core Competencies** +… more
- Cardinal Health (Santa Fe, NM)
- **JOB TITLE:** Director , Compensation **Track / Level:** M3 **At Cardinal Health, we're developing the innovative products and services that make healthcare safer ... and communicates policies to managers throughout the enterprise. The Director , Compensation will drive broad-based and sales compensation for Pharma/Specialty… more
- Sumitomo Pharma (Santa Fe, NM)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Regulatory Affairs** . The Associate Director is part of the ... promotional materials review committee (PMRC) along with Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of in advertising and… more
- Touro University (Albuquerque, NM)
- Overview Reporting directly to the Director of Clinical Education, the Director of Orthodontics at the Touro College of Dental Medicine will have the ... protocols in clinical areas. + Infection Control Compliance + Reviewing student activity as required. + Overseeing Clinical Formative...which includes: + Full range of Health Plans + Medical Plans (choice of EPO, PPO, High Deductible HSA)… more
- Touro University (Albuquerque, NM)
- …to the Executive Assistant Dean of Clinical Affairs with a dotted line to the Director of Clinical Education, the Director of Hygiene at the Touro College of ... protocols in clinical areas. + Infection Control Compliance + Reviewing student activity as required. + Overseeing Clinical Formative...which includes: + Full range of Health Plans + Medical Plans (choice of EPO, PPO, High Deductible HSA)… more
- Takeda Pharmaceuticals (Santa Fe, NM)
- …and building appropriate global regulatory strategy. + Preferred experience includes reviewing , authoring, or managing components of both drug and device regulatory ... or long-term incentives. US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company match, short-term and… more
- Touro University (Albuquerque, NM)
- Overview Directly reporting to the Director of Clinical Education, the Clinical Practice Leader (CPL) at Touro College of Dental Medicine's clinical site in ... to clinical practice. + In the case of community practices, continually reviewing student rosters. + Delegating patient assignments or redistributing to student… more
- BrightSpring Health Services (Albuquerque, NM)
- …to determine needs, and assigning appropriate hospice personnel to case + Reviewing patient medical diagnosis, prognosis, medications, procedures and clinical ... a positive impact from day one. Apply today! Our comprehensive benefits include: + Medical and dental benefits + Short- and long-term disability + Life insurance +… more
- WM (Santa Fe, NM)
- …guidance, direction and recommendations to field operations by preparing and reviewing compliance reports, permit applications and draft permits. The team supports ... tracking and updates; and training. This position will report to the Senior Director of Air Programs and take direction from, coordinate with and/or assist Senior… more
- System One (Santa Fe, NM)
- …for federal grant consideration, under the direction of the Senior Director , Media Technology & Service Strategies. **Duties & Responsibilities** + Evaluates ... documentation. + Strong analytical skills, with attention to detail in reviewing technical budgets, identifying variances, and providing solutions. + Excellent… more
- Evolent (Santa Fe, NM)
- …at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client ... clinical team, which includes our Nurse, Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively with other Clinical Operation Leaders… more
- Evolent (Santa Fe, NM)
- …operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: ... work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be...also be available. **What You Will Be Doing:** + Reviewing internal workflows and policies to determine if submitted… more
- Meta (Santa Fe, NM)
- …or publishing partner, will assess and address redlines in consultation with the Director of Sourcing, the Game Sourcer and Oculus Publishing legal partners. This ... 11. Manage contract close-out, extension, or renewals while drafting and reviewing , negotiating and finalizing certain forms of contracts, such as confidentiality… more
- IQVIA (Santa Fe, NM)
- …procedures set forth by IQVIA Biotech and sponsors. Supports the department director in development of functional training, mentoring, and definition of standards ... Biotech's operational processes are maintained, projects are done within scope * Reviewing and identifying project study trends and proactively responding to client… more