Healthcare Risk Manager Jobs in Albuquerque

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Albuquerque New Mexico Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Behavioral Health Program Manager Department: Ambulatory Services Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Organize, administer, and oversee the operation of a set of clinical therapy, ..

Manager of Patient Access (Full Time - 1.0) Department: Patient Financial Services Location: Rio Rancho, NM START YOUR APPLICATION Job Summary Directly Manage, Financial Counselors, Supervisors and Leads of Patient Access ..

Emergency Department Manager Department: Emergency Department Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for assisting with overall operations, and implementation and evaluation of activities for the ..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Albuquerque New ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

RN Case Manager - PRN Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

... Finance M&A Integration Senior Project Manager in Albuquerque New Mexico Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

CLINICAL NUTRITION MANAGER Department: Food & Nutrition Services Location: Rio Rancho, NM START YOUR APPLICATION JOB SUMMARY Plan, organize, develop, and conduct all aspects of a clinical nutrition program in accordance ..

RN, Case Manager - Full-time Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

Manager of Inpatient Units Department: Inpatient 4th floor Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for assisting with overall operations, and implementation and evaluation of activities ..

RN, Case Manager - Part-Time Department: Case Management ... Scope The Registered nurse case manager is responsible for facilitating individualized ... nursing staff, social worker, case manager assistant, utilization review..

Program Manager of Trauma Department: Quality Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the management, development, implementation, evaluation, and coordination of the SRMC Trauma Program ..

Job Information Humana Technical Product Manager - Remote in Albuquerque New ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

... Humana Telephonic Behavioral Health Care Manager in Albuquerque New Mexico Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Case Manager Assistant Department: Case Management Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The case management assistant is responsible for providing assistance to case management discharge services ..