Healthcare Application Specialist Jobs in New Mexico

Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

Job Information Humana Clinical Pharmacy Lead, Remote in Albuquerque New Mexico Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Albuquerque New Mexico Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..

Job Location Albuquerque, NM - 3609 - Albuquerque, NM Position Type Part Time Salary Range $17.00 - $18.00 Hourly Let what you love be what you do. Become an On-Call Fitness ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albuquerque New Mexico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

Job Location Albuquerque, NM - 3609 - Albuquerque, NM Position Type Full Time Salary Range $36,000.00 - $38,000.00 Salary/year Description There's a spot on our team waiting for you! Become a ..

Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..

Job Information Humana FP&A Lead, Medicaid Market in Albuquerque New Mexico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Albuquerque New Mexico Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

POSITION SUMMARY:Working under the direction of the Director of Nursing or RN designee, the LPN Nurse Practice Educator functions as a practitioner, consultant, educator and facilitator for all nursing staff focusing ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience Healthcare and/or managed care experience Ability ... job as we are a..