NewPharmacist - Sign-On Bonus Available WALGREENSPharmacist - Sign-On Bonus AvailableFarmington, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
NewPharmacist - 25k Sign-On Bonus Available WALGREENSPharmacist - 25k Sign-On Bonus AvailableLos Lunas, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Pharmacist - Sign-on Bonus Available WALGREENSPharmacist - Sign-on Bonus AvailableEspañola, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Pharmacist WALGREENSPharmacistCarlsbad, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Overnight Pharmacist - 25k Sign-On Bonus Available WALGREENSOvernight Pharmacist - 25k Sign-On Bonus AvailableLas Cruces, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Overnight Pharmacist - Sign-On Bonus Available WALGREENSOvernight Pharmacist - Sign-On Bonus AvailableCorrales, NM$60.90–$82.30 / hourSee WALGREENS Terms & Conditions at https://www.walgreens.com/topic/help/generalhelp/termsofuse.jsp?foot=terms and Privacy Policy at https://www.walgreens.com/topic/help/generalhelp/privacyandsecurity.jsp and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Registered Nurse JobotRegistered NurseAlbuquerque, NM$30–$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,242 to $1,249 per week in Albuquerque, NM TalentBurst, Inc.Travel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,242 to $1,249 per week in Albuquerque, NMAlbuquerque, NM$1,242–$1,249.20Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,242 to $1,255 per week in Gallup, NM TalentBurst, Inc.Travel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,242 to $1,255 per week in Gallup, NMGallup, NM$1,242–$1,254.60Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,116 to $1,134 per week in Albuquerque, NM TalentBurst, Inc.Travel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,116 to $1,134 per week in Albuquerque, NMAlbuquerque, NM$1,116–$1,134Summary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,858 to $1,861 per week in Clovis, NM TalentBurst, Inc.Travel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,858 to $1,861 per week in Clovis, NMClovis, NM$1,858–$1,860.88Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterNMRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsNMRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Multi-Line Claims Adjuster - New Mexico Provencher & Company, LLCMulti-Line Claims Adjuster - New MexicoSanta Fe, NMWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)NMRemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
NewFinancial Services Claims Adjuster- West Coast Assurant IncFinancial Services Claims Adjuster- West CoastNM$19.08–$30.53 / hourA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Named a Best/Great Place to Work in 14 countries and awarded the Fortune America's Most Innovative Companies recognition, we bring together top talent around the world.
Senior Claims Adjuster Trean Insurance Group IncSenior Claims AdjusterNM$75,000–$90,000 / yearEnsure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterNM$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterNM$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Senior Workers Compensation Claims Adjuster - NM GallagherSenior Workers Compensation Claims Adjuster - NMAlbuquerque, New MexicoRemoteFull timeHow you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Workers Compensation Claims Adjuster GallagherSenior Workers Compensation Claims AdjusterAlbuquerque, New MexicoRemoteFull timeAbout you : Ideal candidates for this position will have: • Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files • Jurisdictional Experience: NM • Active Adjusters' licenses : NM As a key member of our experienced Claims Adjuster team, you will: How you'll make an impact : • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESanta Fe, NMRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTESanta Fe, NMRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewWorkers'''' Compensation Claims Adjsuter Argo Group International Holdings IncWorkers'''' Compensation Claims AdjsuterNMRemoteQualifications / Experience Required: Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through: Bachelor's degree required, OR two insurance designations OR four additional years of Indemnity Workers' Compensation adjusting experience in lieu of degree. This role reports to a manager in North Carolina and focuses on adjudicating workers' compensation indemnity claims in AL, AZ, CO, & FL and also focuses on adjudicating workers' compensation indemnity and medical only claims in NM.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageNM$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Regional Claims Manager Hub International LtdRegional Claims ManagerLas Cruces, NMWith more than 650 offices and over 22,000 employees across North America, we are committed to helping individuals and businesses evaluate and manage their risks and insurance needs with personalized service, while our dedicated team delivers expert guidance and tailored solutions to ensure superior customer experience and lasting value for our clients. Analyze commercial insurance policies, including workers' compensation, general liability, auto, property, and professional liability, to identify and assert all available coverage arguments on behalf of clients facing carrier denials or coverage limitations.
NewCommunication Effectiveness Trainer - Allstate Claims University Allstate Insurance CompanyCommunication Effectiveness Trainer - Allstate Claims UniversityNM$62,100–$105,300 / yearCoaching, Coaching, Coaching Techniques, Collaboration, Collaborative Development, Communication, Communication Strategy Development, Cultural Awareness, Design, Development Communication, Empathic Communication, Facilitating Learning, Facilitation, Indian Culture, Instructional Design, Leadership, Learning and Development (L&D), Learning Effectiveness, Learning Materials Development, Negotiation, Objection Handling, Performance Management (PM), Project Coordination, Project Planning, Results-Oriented {+ 7 more}. Develops, designs and delivers learning offerings that are aligned to business and enterprise strategy; Ensures talent management practices are understood and supported consistently within learning offerings; Drive adoption of skills-based culture to empower and develop meaningful business-relevant skills through design and delivery of learning.
Claims Specialist I - Journal Center, (1536) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1536)Albuquerque, NMESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, nongovernment, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration. Responsibilities include routine follow-up on accounts, working the No activity and Unresolved accessions Report for contracted and non-contracted insurances, analyzing aged AR in assigned EP searches working in XIFIN.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteNMRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteNMRemoteRequsition ID: 442190 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistNMRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Claims Specialist-Journal Center, (783) TriCore Reference LaboratoriesClaims Specialist-Journal Center, (783)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
Claims Specialist- Journal Center, (784) TriCore Reference LaboratoriesClaims Specialist- Journal Center, (784)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
NewInstructional Designers - Allstate Claims University Allstate Insurance CompanyInstructional Designers - Allstate Claims UniversityNM$53,500–$86,400 / yearAdult Development, Adult Learning Methodologies, Adult Training, Auto Insurance Claims, Bodily Injury Claims, Communication, Content Design, Development Strategy, Facilitate Training Sessions, Facilitating Adult Learning, Facilitating Learning, Facilitation, Injury Assessment, Instructional Design, Learning and Development (L&D), Learning Effectiveness, Learning Materials Development, Learning Systems, Personal Injury Claims, Project Coordination, Training Facilitation, Training Programs. Builds and maintains relationships with business partners, clients and cross-functional teams; Drive adoption of skills-based culture to empower and develop meaningful business-relevant skills through design and delivery of learning.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminAlbuquerque, NMRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepAlbuquerque, NMRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Program Manager (Claims - MST hours) Molina Healthcare IncProgram Manager (Claims - MST hours)Las Cruces, NMProvides support to Molina functional areas (Claims, and claims configuration) through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationNM$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerAlbuquerque, NMRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Director , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformNM$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteNMRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeNMEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorAlbuquerque, NMPart timeOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselNM$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
NewSenior Personal Injury Attorney Catastrophic Claims & Trials BCG Attorney SearchSenior Personal Injury Attorney Catastrophic Claims & TrialsAlbuquerque, NMYou will collaborate with senior trial attorneys to create effective case strategies and make a meaningful difference in clients' lives. The ideal candidate will have at least 5 years of litigation experience, strong communication skills, and a Juris Doctor (JD) degree.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerAlbuquerque, NMRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Multi-Line Claim Specialist, Senior CCMSIMulti-Line Claim Specialist, SeniorAlbuquerque, New Mexico$75,000–$95,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. Experience handling claims for public entities , such as school districts, municipalities, state or local government agencies, cities, or counties , is highly preferred and will contribute to success in this role.
NewSenior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteNMRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesNM$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNM$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.