Director Operations Healthcare Jobs in Albuquerque

... closely with the market QI director on a frequent basis. Support ... expertise within the realm of Healthcare Quality operations and improvement methodology, HEDIS/CAHPS and ... a subject matter..

Nursing House Supervisor - PT 0.5 Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities ..

Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..

Nursing House Supervisor - PRN Department: House Supervisors Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Responsible for the overall operations, and implementation and evaluation of activities for ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Job ID 21000FKWAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..

Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..

Description The Director, Provider Reimbursement is responsible for ... the organization to include Network Operations, Provider Administration, Claims, and IT. ... team of associates. Responsibilities The Director, Provider Reimbursement develops..

Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... and services. Partners closely with operations, vendors, customer success..

Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..

... for diagnosis code selection Educate healthcare provider, coder and/or office staff ... long-term, self-sustaining solution for the healthcare provider's practice Assist healthcare providers to document accurately and ... environment..

Pharmacy Tech - FT 0.875 Department: Pharmacy Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope The Pharmacy Technician, under the supervision of a licensed pharmacist, works to provide ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

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