Managed Care Jobs in Albuquerque
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Search Results - Managed Care Jobs in Albuquerque
Consumer Direct Care Network-Albuquerque
JOB SUMMARY
The Operations Supervisor is responsible for supervising the day-to-day operations of Consumer Direct Care Network programs while maintaining compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules...
mindmatch.ai -
Mindlance-Albuquerque
and other items as required by management.
4. Respond to fee requests from providers.
5. Provide ongoing development of database, reports and statistical analyses of managed care networks. Create, modify and maintain new and existing reports to provide...
resume-library.com -
Consumer Direct Care Network-Albuquerque
Manage compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules
• Manage daily intake and referral processes, local payroll processes, and AR processes to ensure positive business growth and development
• Manage...
mindmatch.ai -
Integrated Resources, Inc-Albuquerque
permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
• Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians...
resume-library.com -
Consumer Direct Care Network-Albuquerque
JOB SUMMARY
The Administrative Supervisor monitors administrative duties in compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules. Manage a team of Administrative Coordinators who handle customer service...
mindmatch.ai -
Albuquerque
Call center experience, Claims processing experience in managed care or enrollment experience
Qualifications:
• High school diploma plus one to three years office/business experience; call center experience preferred and/or is currently demonstrating...
icims.com -
Presbyterian Healthcare Services-Albuquerque
of experience in clinical setting, emergency, urgent care, or managed care experience.
• Experience in Nurse Advise Triage, Hospice, Home Healthcare, Oncology and or Infusion centers preferred.
Organizational and Analytical Skills: Experienced analytical skills...
Albuquerque
wellness program, vision, dental, paid time off, retirement and more for FT employees.
Ideal Candidate: Minimum of 1 year Retail Pharmacy experience. Minimum of 1-year Managed care customer service experience
Qualifications:
• GED or High School...
icims.com -
Albuquerque
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
Albuquerque
education or G.E.D. equivalent required. Associates Degree preferred.
Three (3) years experience in a customer service setting required of which one year in a health care environment is preferred.
Experience in managed care field such as Claims or Member...
icims.com -
Albuquerque
of experience in clinical setting, emergency, urgent care, or managed care experience.
• Experience in Nurse Advise Triage, Hospice, Home Healthcare, Oncology and or Infusion centers preferred.
Organizational and Analytical Skills: Experienced analytical skills...
icims.com -
Albuquerque
contracts and/or vendors.
Qualifications:
• Bachelors degree required and five+ years experience in managed care required (preferably in quality assurance, utilization management, or compliance)
• Equivalent experience in auditing/compliance/ health care...
icims.com -
Albuquerque
of enterprise
• Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, physicians, and physician office staff using strong dialogue and customer service competencies
Advanced levels of:
• Compliance
• Managed...
icims.com -
Albuquerque
Successful track record in health plan leadership to include P&L experience with commercial and government payer programs.
• 10+ years of relevant leadership experience in the managed care/health care field.
• Inspirational, intuitive leader with a focus...
icims.com -
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