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Summary Due to the Pandemic and individual states with different phases of reopening, the selecteeu2019s report date to the official duty station/facility may be delayed until such time as employees are ..
Job Information Humana AVP, Business Technology Implementation, Humana Pharmacy Solutions in Albuquerque New Mexico Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
Job Location Albuquerque, NM - 3609 - Albuquerque, NM Position Type Full Time Salary Range $49,000.00 - $51,000.00 Fitness Center Manager There's a spot on our team waiting for you! Become ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Associate Director of Technology Support Services leads a team of technical support specialists that enable a reliable technology experience for Humana's senior leaders (C-suite, SVPs, etc.) and their staff ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..
Description The IT Project Manager 2 oversees various system projects and/or programs of a highly complex nature. The IT Project Manager 2 work assignments are varied and frequently require interpretation and ..
Job Information Humana IT Program Manager (Senior IT Project Manager) in Albuquerque New Mexico Description Are you an experienced IT Program Manager looking for an exciting role where the problems and ..
... maintaining clinical operations. As the facility leader, you will be part ... Program Manager to oversee the facility’s Home Therapies Program.Maintains integrity of ... timely patient schedules to ensure..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Genesis is the nation's leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is ..
Description The Procurement Specialist ensures that the department's materials and products meet all of their specifications. We are looking for a Procurement Specialist to join our team and help manage our ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Genesis Healthcare Marketing and Admissions Director in Clayton New Mexico Benefits Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off Variable compensation plans Inclusive workplace with DEI committee. ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Job Information Marriott Director-Engineering in Santa Fe New Mexico Additional Information Director, Electric Vehicle (EV) Charging Program Management Job Number 23034565 Job Category Engineering & Facilities Location Marriott International HQ, 7750 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Albuquerque New Mexico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..