Manager Healthcare Payer Jobs in Rio Rancho

Home Care for the 21st Century is a national franchise business that is looking for the best of the best in working for a national brand. We are looking for someone ..

... Clinical Analytics and Trend Program Manager in Albuquerque New Mexico Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Job DescriptionnRegistered Nurse(RN) / Travel / Case ManagernRegistered Nurse Case ManagernType: Registered Nurse (RN) nRio Rancho, NMnMAS Medical Staffing is currently seeking a(n) Registered Nurse (RN) professional with Registered Nurse (Case ..

Genesis HealthCare is one of the leading ... of the leading providers of healthcare services from short-term to long-term ... *Learn the characteristics of each payer source, and the implications..

... the nations' leading provider of healthcare services from short-term to long-term ... operating results as a Scheduling Manager. Position HighlightsVisible position that serves ... MCS4 Qualifications: Bachelor's Degree in..

Job Information Humana Lead Product Manager - Healthcare API in Albuquerque New Mexico ... Mexico Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve ..

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..

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 ..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

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 ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Albuquerque New Mexico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Job Information Humana Manager, Utilization Management RN - Remote ... Albuquerque New Mexico Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

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 ..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

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 ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..