Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Albuquerque, NMRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Launch Your Healthcare Career – FREE Home Health Aide Training! PT & FT AlbuquerqueLaunch Your Healthcare Career – FREE Home Health Aide Training! PT & FTAlbuquerque, New MexicoWe're offering a FREE two-week Home Health Aide (HHA) Training Program designed to prepare you for a rewarding career helping seniors remain safe and independent in their own homes. After successfully completing training, you'll begin working as a Home Health Aide starting at $17.00 per hour while enjoying one of the most flexible careers in healthcare.
Launch Your Healthcare Career - Free Home Health Aide Training! PT & FT Always Best CareLaunch Your Healthcare Career - Free Home Health Aide Training! PT & FTAlbuquerque, NMWe're offering a FREE two-week Home Health Aide (HHA) Training Program designed to prepare you for a rewarding career helping seniors remain safe and independent in their own homes. After successfully completing training, you'll begin working as a Home Health Aide starting at $17.00 per hour while enjoying one of the most flexible careers in healthcare.
Launch Your Healthcare Career - FREE Home Health Aide Training PT & FT Always Best CareLaunch Your Healthcare Career - FREE Home Health Aide Training PT & FTAlbuquerque, NMWe're offering a FREE two-week Home Health Aide (HHA) Training Program designed to prepare you for a rewarding career helping seniors remain safe and independent in their own homes. After successfully completing training, you'll begin working as a Home Health Aide starting at $17.00 per hour while enjoying one of the most flexible careers in healthcare.
ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionAlbuquerque, NMRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.
Part-Time Healthcare Environmental Technician Arcwood Environmental, LLCPart-Time Healthcare Environmental TechnicianAlbuquerque, New MexicoPart timeProvides inspection services to clients, including collection bin inspections, data collection via mobile app, packaging of full containers for shipment and conducting other various facility inspections as required. With deep expertise and innovative waste management technology across a growing nationwide footprint, Arcwood protects people, communities, and the environment through work that often happens behind the scenes.
Security Officer - Healthcare Facility Allied UniversalSecurity Officer - Healthcare FacilityAlbuquerque, NMPay Rate: $18.00 / Hour Job Schedule: DayTimeMon09:30 PM - 05:30 AMSun09:30 PM - 05:30 AM How This Role Works: Fixed-Shift Commitment ("Anchor Shifts"): You will be hired for a designated site and weekly shift that serves as your reliable base schedule. As a Security Officer - Healthcare Facility this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you.
Healthcare Sales Representative InnovAge Holding CorpHealthcare Sales RepresentativeAlbuquerque, NM$70,000–$80,700 / yearUnder the direction and supervision of the Regional Sales Director, the Outreach Specialist is responsible for all sales activities and engagement to achieve professional, community, and government entity referral and enrollment goals in the assigned territories to support increasing the funnel to reach and exceed census targets. Develops and manages accounts by maintaining regular contact with referral sources and documents communication in regard to type of contact, follow-through, and results for the assigned territory and business line being worked directly into the Customer Relationship Management (CRM) software in real time.
Contact Center Platform Support Specialist I Remote - NM, TX, AZ only Unity BPO IncContact Center Platform Support Specialist I Remote - NM, TX, AZ onlyAlbuquerque, NMRemote$18–$20 / hourWorking closely with senior administrators and engineers, you'll help keep our contact center running smoothly - supporting users, configuring call routing, and troubleshooting day-to-day issues - while building hands-on expertise in cloud communications and customer experience technologies. The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification/job function.
Tier 1 Help Desk Support Specialist Weekdays + Weekends Remote - Must reside in NM, TX, or AZ Unity BPO IncTier 1 Help Desk Support Specialist Weekdays + Weekends Remote - Must reside in NM, TX, or AZAlbuquerque, NMRemote$14–$16.50 / hourPlease complete the speed test using Speedtest by Ookla - The Global Broadband Speed Test @ speedtest.net and please send a screen shot of the upload and download speeds to speedtest@unitybpo.com. Provide first-level technical support for hardware and software problems, (Microsoft Office, VPN, Active Directory, customer specific software applications, laptops, desktops, printers, VOIP telephony, etc.).
Office Assistant / Client Services Support Senior HelpersOffice Assistant / Client Services SupportAlbuquerque, New MexicoSenior Helpers is a growing in-home care agency serving seniors and their families. Serve as a reliable “first line” support so schedulers and leadership can stay focused.
Service Desk Analyst, Remote - NM, TX, AZ only Unity BPO IncService Desk Analyst, Remote - NM, TX, AZ onlyAlbuquerque, NMRemoteAs a Patient Customer Service Support Specialist, you'll be a vital part of our team, assisting patients with questions about their healthcare portals, scheduling, account access, and other non-clinical needs. We provide ongoing training, support your pursuit of certifications, and offer real opportunities for career development-all while making a meaningful difference in healthcare every day.
NewCustomer Service Coordinator / CSC Administration Lovelace Health SystemCustomer Service Coordinator / CSC AdministrationAlbuquerque, New MexicoHeart Hospital of New Mexico at Lovelace Medical Center is New Mexico’s only hospital dedicated exclusively to cardiovascular care, including the state’s only facility performing left ventricular aortic device (LVAD) implants and a state-of-the-art hybrid operating room. Responsibilities: Provide direct customer service and front desk assistance for assigned departments, including but not limited to admitting, registering, scheduling, and verifying insurance.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMAlbuquerque, NMRemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerAlbuquerque, NMRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Travel Occupational Therapist (OT) - $1,953 per week Healthcare SupportTravel Occupational Therapist (OT) - $1,953 per weekAlbuquerque, NMYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Vivian Health provides transparent Travel Occupational Therapist Salary information and unbiased reviews from leading Travel Therapy Agencies across the United States, so you can compare travel opportunities matching your desired criteria.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)San Felipe Pueblo, NM$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Compliance Officer Giving Home Health CareCompliance OfficerAlbuquerque, New MexicoThe Compliance Officer works closely with the Chief Compliance Officer (CCO) to provide guidance, oversight, and education to promote a culture of integrity, compliance, and ethical conduct throughout the home health operations. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantAlbuquerque, New MexicoThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
NewPatient Coordinator Giving Home Health CarePatient CoordinatorAlbuquerque, New Mexico$24–$28 / hourThe Patient Coordinator is a vital member of our Care Team at Giving Home Health Care, serving as a liaison between Giving Home Health Care, patients, caregivers, and internal departments to ensure clear communication, coordinated care support, and a positive overall patient experience. #INDNM/ABQ Key Responsibilities: Serve as the primary liaison between patients, caregivers, clinical staff, and internal departments, ensuring clear and timely communication throughout the care continuum.