Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management.
* Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console.
* Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console.
* Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary.
* Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff.
* Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit.
* Completes requested schedules for all add-ons and applicable orders:
* Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen.
* Schedules TIF OASIS collection visits and deletes remaining schedule.
* Reschedules declined or missed (if appropriate) visits.
* Processes reassigned and rescheduled visits.
* Ensures supervisory visits are scheduled.
* Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report.
* Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff.
* Verifies visit paper notes in scheduling console as needed.
* Assists with internal transfer of patients between branch offices.
* If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary.
* If clinical, may be required to perform patient visits and / or participate in on-call rotation.
Use your skills to make an impact
Required Experience/Skills:
* Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices
* Have at least 1 year of home health experience.
* Prior packet review / QI experience preferred.
* Coding certification is preferred.
* Must possess a valid state driver's license and automobile liability insurance.
* Must be currently licensed in the State of employment if applicable.
* Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$48,900 - $66,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$48.9k-66.2k yearly 31d ago
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Physical Therapist Assistant, Home Health
Humana Inc. 4.8
Humana Inc. job in Albuquerque, NM
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Physical Therapist Assistant, you will:
* Administer the physical therapy treatment plan as developed by the Physical Therapist.
* Administer non-complex active and passive manual therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities to patients.
* Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week.
* Attend educational meetings and coordinates and contributes to department in-services.
* Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, and any other departmental
* Schedule clients and performs varied office tasks.
* Apply concepts of infection control and universal precautions in performing patient care activities.
* Accept clinical assignments that are consistent with education and competence to care for patients.
* Promote compliance with all fiscal intermediaries and/or other third-party payors, through education, coaching, and other assistance as necessary.
Use your skills to make an impact
Required Experience/Skills:
* Performs other related duties as assigned.
* Associate degree in Physical Therapy from an American Physical Therapy Association.
* Current state license to practice Physical Therapy.
* Valid driver's license, auto insurance and reliable transportation.
* Proof of current CPR certification.
* Minimum two years experience as a Physical Therapy Assistant,
* Comprehensive knowledge of the physical, emotional, social, and biological changes that occur in the geriatric population.
* Self-directed, enthusiastic, and accepts constructive feedback.
* Demonstrates good verbal and written communication and organization skills.
* Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers, and others.
* Meets mandatory continuing education requirements of CenterWell Home Health and licensing board. Maintains clinical competency in Physical Therapy practice and theory.
* Ability to work a flexible schedule and travel locally.
* Able to maintain confidentiality.
* Maintains current licensure certifications and meets mandatory continuing education requirements.
* Must read, write, and speak fluent English.
* Must have good and regular attendance.
Pay Range
* $37.00 - $52.00 - pay per visit/unit
* $58,400 - $80,000 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$64,000 - $87,500 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$64k-87.5k yearly 60d+ ago
Hematology/Oncology Physician
Healthcare United 4.7
Albuquerque, NM job
Healthcare United is seeking a Board Eligible or Board Certified Hematologist-Oncologist to join an established Healthcare System in Southeast New Mexico. Candidate must have a strong work ethic, excellent communication skills, and motivation to optimize patient outcome through exceptional clinical care.
WHAT YOU CAN EXPECT:
Monday - Friday schedule, 8 AM - 5 PM
No weekends
No on-call schedule
Full benefits
Paid Holidays
RESPONSIBILITIES:
Diagnose and provide medical treatment for cancer, solid tumors, and benign and malignant blood disorders.
On in-patient and out-patient basis, write and administer chemotherapy orders, perform bone marrow biopsies and lumbar punctures, review smears and refer patients for radiation oncology and surgery services as needed.
On an in-patient basis, evaluate oncology emergencies and treatment-related complications, deliver chemo-infusion, and provide consultation services to other healthcare professionals.
Benefits
Competitive compensation, including income guarantee, with bonus incentives
Generous start-up and retention bonuses; relocation allowance
J-1 friendly and experienced.
Paid malpractice
CME allowance
Full benefits package, including health, life, dental, vision and legal insurance
Retirement options
STD & LTD
Leadership development through board and committee opportunities
Candidates who have interest in this opportunity please reach out to a Healthcare United representative today!
$167k-233k yearly est. 6d ago
Adjudicator, Provider Claims-On the phone
Molina Healthcare 4.4
Albuquerque, NM job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 16d ago
Pharmacist
Walgreens 4.4
Albuquerque, NM job
Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading resources, career advancement opportunities, and a strong commitment to work-life balance, we invest in you so you can invest in your patients.
For You - Competitive Pay & Flexible Scheduling
Competitive pay - Competitive wage offered based on geography and other business-related factors
Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters
Flexible scheduling - Flexible scheduling options to fit your lifestyle
For Your Family - Comprehensive Health & Wellness Benefits
Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members and other voluntary benefits
365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs
Family-forming support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also receive reimbursement for qualified adoption and surrogacy-related expenses
For Your Future - Growth, Education & Exclusive Perks
Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions
Walgreens University - Free training, certifications, and leadership development, plus tuition discounts at 30+ universities
Employee discounts - 25% off Walgreens brands and 15% off national brands, plus exclusive savings on electronics, travel, and more
401(k) with company match - Contribute to your retirement, and Walgreens provides matching contributions after one year and 1,000 hours of service. Additionally, Walgreens matches qualifying student loan payments as if they were 401(k) contributions
What You'll Do
Provide compassionate, expert-level pharmacy consulting services to patients
Educate and consult patients on medication usage, side effects, and cost-effective options
Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management
Ensure medication safety through accurate compounding, dispensing, and regulatory compliance
Mentor and train pharmacy team members in a collaborative and supportive environment
Who You Are
Patient-focused & service-driven - You're committed to making healthcare personal
A collaborative team leader - You support, inspire, and uplift those around you
A lifelong learner - You stay ahead of industry advancements and professional growth
A problem-solver - You navigate challenges, from insurance claims to medication management, with ease
Apply Today & Build Your Future with Walgreens!
This is more than just a job-it's a career with purpose. See below for more details!
About Us
Founded in 1901, Walgreens (****************** proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. 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.
Basic Qualifications
BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
Current pharmacist licensure in the states within the district.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Certified Immunizer or willing to become an immunizer within 90 days of hire.
Preferred Qualifications
At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: Pharmacist Hourly $61.50-$67.60
$61.5-67.6 hourly 4d ago
Social Worker-PRN
Unitedhealth Group 4.6
Albuquerque, NM job
Explore opportunities with At Home Healthcare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms.
**Primary Responsibilities:**
+ Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis
+ Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis
+ Instructs health care team members on community resources available to assist patients on a as needed basis
+ Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Master's Degree from a school of Social Work accredited by the Council of Social Work
+ Current CPR certification
+ Licensed Social Worker in the state of New Mexico
+ Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
+ 1+ years of social work experience in a health care setting
**Preferred Qualifications:**
+ Bereavement Coordination experience
+ Experience with establishing a plan of care for bereavement needs
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 10d ago
Analyst, Data
Molina Healthcare Inc. 4.4
Rio Rancho, NM job
JOB DESCRIPTIONJob Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES
* Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
* Sets up process for monitoring, tracking, and trending department data.
* Prepares any state mandated reports and analysis.
* Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
* Implements and uses the analytics software and systems to support the departments goals.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $116,835 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-116.8k yearly 20d ago
Supervisor, Dental Provider Services
Molina Healthcare Inc. 4.4
Albuquerque, NM job
is March 2026. Leads and supervises team responsible for enterprise network management and operations activities including network development, network adequacy, and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.
JOB QUALIFICATIONS
Job Duties:
* Oversees national Molina network management and operations function and team. Responsible for the daily operations of the department, including leading and supporting various enterprise-wide provider services activities including education, outreach and resolving provider inquiries.
* Develops and deploys strategic network planning tools to drive provider services and contracting strategy across the enterprise.
* Facilitates strategic planning and documentation of network management standards and processes.
* Develops standards and resources to help Molina health plans successfully develop and refine cost-effective and high-quality strategic provider networks, establishing both internal and external long-term partnerships.
* Collaborates with health plan network leadership and operations teams and functional business unit stakeholders to lead and/or support various provider services functions and strategic initiatives with an emphasis on developing and implementing standards, resources, tools and best practices sharing across the organization.
* Develops and deploys strategic network planning tools to drive provider services and contracting strategies across the organization; facilitates planning and documentation of network management standards and processes for all line of business.
* Oversees national network management and operations provider contracting strategies - identifying specialties and geographic locations to concentrate resources for purposes of establishing a sufficient network of participating providers to serve the health care needs of Molina members.
* Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards.
* Assists with ongoing enterprise-wide provider network development and the education of contracted network providers regarding various health plan procedures and claims payment policies.
* Develops and implements tracking tools to ensure timely issue resolution and compliance with all network-related standards.
* Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g. claims and encounter data, eligibility, reimbursement, and provider website).
* Serves as a resource to support health plam initiatives and help ensure regulatory requirements and strategic goals are realized.
* Ensures appropriate cross-departmental communication of provider network initiatives and contracted network provider issues.
* Designs and implements enterprise-wide programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and health plans.
* Develops and implements enterprise-wide strategies to increase provider engagement in Healthcare Effectiveness Data Information Set (HEDIS) and quality initiatives.
* Provides matrixed team support including: new markets provider/contract support services, resolution support, and national contract management support services.
* Builds, drafts and/or performs provider communications, training and education programs for internal staff, external providers, and other stakeholders.
* Develops and implements strategies to reduce member access grievances with contracted enterprise providers.
* Engages enterprise-wide contracted network providers regarding cost-control initiatives, medical cost ratio (MCR), non-emergent utilization, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) to positively influence future trends.
* Ensures compliance with applicable company/plan business requirements including state/federal statutes, government sponsored program requirements, and network access standards.
* Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration.
Job Requirements:
* At least 5 years of provider services experience, including experience supporting individual/group providers, hospitals, integrated delivery systems, and ancillary providers with Medicaid, Medicare, and or Marketplace products, or equivalent combination of relevant education and experience.
* Understanding of the health care delivery system, including government-sponsored health plans.
* Experience with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
* Previous experience with community agencies and providers.
* Organizational skills and attention to detail.
* Ability to manage multiple tasks and deadlines effectively.
* Interpersonal skills, including ability to interface with providers and medical office staff.
* Experience with preparing and presenting formal presentations.
* Project management experience.
* Ability to work in a cross-functional highly matrixed organization.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications:
* Management/leadership experience.
* Contract negotiation experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $128,519 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-128.5k yearly 3d ago
Entry Level Life Insurance Agent - No Experience Required (Remote)
Primerica 4.6
Albuquerque, NM job
EXPANSION ANNOUNCEMENT! Our offices are expanding and we're seeking hardworking individuals who are ready to step outside the box and build a business! We are seeking Life Insurance Agents to join our team. Whether you're an experienced insurance agent seeking a new opportunity or just beginning your career, we offer a chance to showcase your abilities and achieve professional growth.
No Experience Necessary
This opportunity is OPEN ONLY to US Residents residing in the United States
All necessary training and licensing expenses will be covered by the company
Candidates must pass a background check
Candidates must be ready to plug-in and follow a proven system
Position Overview:
As a life insurance agent, you will play a critical role in assisting clients with their financial needs. This entry-level opportunity does not require prior experience. New representatives will be expected to complete 10-25 hours of training (minimum) in their first 30 days and obtain the life license in the first 7-14 days. This is a 1099 opportunity, not a W2.
In addition to life insurance, applicants will have opportunities to pursue further licenses in Securities and Mortgage as part of their career development with our firm, with all licensing costs covered.
What we provide:
A Competitive Performance-based Compensation Package
Zoom Training & Bonus program (Up to $4500 based on sales in the first 60 days)
Ongoing Support & Mentorship System to Ensure Success
Opportunities For Quick Advancement Within
Earn All-Expense Paid Trips to Top Resorts with the Company
E & O Coverage Included
No Quotas
For more information, please visit: ****************************************
$27k-40k yearly est. Auto-Apply 60d+ ago
Analyst, Compliance (Sales)
Molina Healthcare Inc. 4.4
Albuquerque, NM job
(Sales) Compliance Analyst Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. KNOWLEDGE/SKILLS/ABILITIES is primarily responsible for Sales Oversight.
* Provide regulatory expertise to the Sales Organization: both State and Federal
* Have working knowledge of federal and state guidelines pertaining to Sales and Marketing.
* Perform internal Sales/Marketing Compliance Reporting.
* Perform internal Sales/Marketing monitoring.
* Detailed oriented to conduct thorough Sales allegations investigations.
* Recommend applicable corrective action(s) when applicable to business partners.
* Process improvement driven.
* Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
* Lead regularly scheduled Sales & Compliance leadership meetings.
* Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications.
* Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports.
* Review and interpret internal Sales dashboards for outliers and deeper dive research.
* Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found.
* Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.).
* Leads projects to achieve Sales compliance objectives.
* Interprets and analyzes state and federal regulatory manuals and revisions.
* Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight.
* Interact with Molina external customers, via verbal and written communication.
* Ability to work independently and set priorities.
Experience
* 2-4 years' related compliance work experience
* Exceptional communication skills, including presentation capabilities, both written and verbal.
* Excellent interpersonal communication and oral and written communication skills.
* High level Interaction with Leadership.
* Sales Allegation Investigations
* Policy & Procedures
Pay Range: $80,168 - $116,835 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-116.8k yearly 20d ago
Beauty and Wellness Consultant
Walgreens 4.4
Los Ranchos de Albuquerque, NM job
**Job Objectives** Maximizes sales and brand awareness by providing exceptional customer care to all customers in a friendly, efficient, and professional manner; gives impartial, personalized, expertise and advice regardless of brand and budget. Demonstrates a passion for beauty and wellness and provides inspirational beauty knowledge and know-how. Provides customers with solutions for their beauty and wellness needs, including mini-makeovers and skincare consultations, with an emphasis on the customers' total look. Models and delivers a distinctive and delightful customer experience. Oversees and maintains overall beauty department standards.
**Job Responsibilities/Tasks**
**Customer Experience**
+ Engages customers by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience.
+ Models and shares customer care best practices by proactively offering assistance, asking questions to determine customers' needs, and informing customers of options.
+ Greets, listens, and engages customers to identify their needs, making them aware of appropriate products and services, and providing warm transfers to other areas of the store when necessary
+ Provides expertise in product demonstrations and consultations utilizing tools such as the Skin Hydrometer and tablet.
+ Leads and delivers in-store events to promote brand awareness and loyalty of Owned Brands and total Beauty, Wellness and Personal Care.
+ Builds relationships with customers; provides authentic closure of customer interaction and builds and fosters relationships.
+ Engages with omni-channel solutions to enhance customer engagement/experience.
+ Locates products in other stores or online if unavailable in the store.
**Operations**
+ Achieves or exceeds predetermined sales goals by assisting customers in the purchase of products and by modeling exceptional customer care.
+ Reviews beauty business on a regular basis to understand performance within store and district in partnership with store leadership.
+ Consistently focuses on link-selling and up-selling with customers by showing them sale items and complimentary offerings.
+ Uses testers and sampling to demonstrate product application and leverage items from beauty promotional programs.
+ Ensures testers are stocked and maintained in compliance with hygiene standards; maintains a clean and organized department.
+ Implements company asset protection procedures to identify and minimize profit loss.
+ Processes sales for customers and/or employee purchases on cash register.
+ Participates in meetings and conference calls concerning programs and promotions, new items, brand launches, sales goals, and modeling exceptional customer care.
+ Has working knowledge of store systems and store equipment.
+ Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
+ Complies with all company policies and procedures; maintains respectful relationships with coworkers.
+ Completes special assignments as assigned.
**Training & Personal Development**
+ Seeks self-development by monitoring own performance, setting high personal standards, maintaining awareness of beauty and wellness trends, learning from others, and improving job performance.
+ Maintains knowledge of competition, new product/brand launches, and overall industry trends
+ Attends and participates in meetings, seminars, and other knowledge and business-driving opportunities; educates store team on new beauty updates, information, and learnings from training.
+ Attends training and completes e-learning modules requested by Manager or assigned by Corporate.
+ Maintains professional appearance and image in compliance with company guidelines at all times.
+ Models and shares behavior with other Beauty and Wellness Consultants; provides training and assistance to new Beauty and Wellness Consultants.
+ Works collaboratively with Store Leadership to review goals and maintain product knowledge.
**About Walgreens**
Founded in 1901, Walgreens ( ***************** ) proudly serves more than 9 million customers and patients each day across its approximately 8,000 stores throughout the U.S. and Puerto Rico. 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.
**Job ID:** 1732338BR
**Title:** Beauty and Wellness Consultant
**Company Indicator:** Walgreens
**Employment Type:** Part-time
**Job Function:** Retail
**Full Store Address:** 6605 4TH ST NW,LOS RANCHOS,NM,87107
**Full District Office Address:** 6605 4TH ST NW,LOS RANCHOS,NM,87107-06112-07735-S
**External Basic Qualifications:**
+ High School Diploma/GED and at least one year of experience working in a retail sales environment that required meeting a defined sales goal OR at least one year of experience proactively selling beauty or cosmetic products and providing customer care
+ Experience in developing ways to accomplish goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary
+ Knowledge of products and brands in order to engage and meet the needs of the customer.
+ Experience building and maintaining relationships within a team.
+ Basic level PC/tablet skills.
+ Requires willingness to work flexible schedule including evenings, weekends, and holidays.
+ Must be fluent in reading, writing and speaking English. (Except in Puerto Rico)
**Preferred Qualifications:**
+ Licensure in Cosmetology or as an Esthetician as granted by appropriate state licensing authority.
+ Experience establishing & maintaining relationships with individuals at all levels of the organization, in the business community & with vendors.
+ Experience demonstrating makeup application and providing makeovers to customers.
+ Experiencing selling Prestige brands.
+ Degree from Beauty School.
+ Experience with another retailer in the form of an Externship.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
**Shift:**
**Store:** 07735-LOS RANCHOS NM
**Pay Type:** Hourly
**Start Rate:** 16
**Max Rate:** 21
$27k-32k yearly est. 16d ago
Physical Therapist Home Health
Humana Inc. 4.8
Humana Inc. job in Albuquerque, NM
Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life.
As a Home Health Physical Therapist, you will:
* Plan and administer prescribed skilled physical therapy treatment and training for patients suffering from various injuries, illnesses and functional disabilities to attain highest level of physical function.
* Test/screen the patient's physical strengths to assist the physician in evaluating the patient's level of function and records findings to develop or pursue treatment programs and establish measurable training objectives.
* Develop/implement a conditioning/rehabilitation program consistent with physician's Plan of Treatment and the overall goals of the patient/rehab team. Adjust treatment as needed to achieve maximum results.
* Confer with physician and clinical team members to obtain additional patient information and assist in developing, implementing and revising the therapy treatment program and Plan of Treatment.
* Provide Physical Therapy Assistants and Home Health Aide staff with written instructions/care plan that reflects current plan of care as related to therapy, supervise/evaluate staffs' performance. Monitor the appropriate completion of documentation by physical therapy assistants and home health aides/personal care workers as part of the supervisory/leadership responsibility.
* Accurately, promptly and thoroughly document patients' care observations, interventions and evaluations. Assure that interim (verbal) orders received from the physician and physical therapist are promptly and accurately documented, submitted for physician signature and implemented
* Report patient's progress to the patient's physician, Clinical Manager, staff, patient and family. Submit evaluation, treatment plans, progress reports and discharge summary to the supervisor and care management staff.
Use your skills to make an impact
Required Experience/Skills:
* Degree from an accredited Physical Therapy Program (approved by the APTA)
* Minimum of one year physical therapy experience preferred
* Current and unrestricted Physical Therapy license
* Current CPR certification
* Strong organizational and communication skills
Pay Range
* $54.00 - $76.00 - pay per visit/unit
* $85,400 - $117,500 per year base pay
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$93,000 - $128,000 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$93k-128k yearly 60d+ ago
Inventory Specialist
Walgreens 4.4
Los Ranchos de Albuquerque, NM job
+ Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms.
+ Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing.
+ Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs.
+ In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day.
**Customer Experience**
+ Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience.
+ Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
**Operations**
+ Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders.
+ Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders.
+ Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product.
+ Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs.
+ Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims.
+ Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks.
+ Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required.
+ Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area.
+ Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations.
+ Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts.
+ Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
+ Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities.
+ Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory.
+ Supports keeping all counters and shelves clean and well merchandised.
+ Knowledgeable of all store systems and equipment.
+ Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program.
+ In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale.
+ Complies with all company policies and procedures; maintains respectful relationships with coworkers.
+ Completes any additional activities and other tasks as assigned.
**Training & Personal Development**
+ Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements.
+ Obtains and maintains a valid pharmacy license/certification as required by the state.
**Communications**
+ Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management.
**Job ID:** 1739345BR
**Title:** Inventory Specialist
**Company Indicator:** Walgreens
**Employment Type:** Full-time
**Job Function:** Retail
**Full Store Address:** 6605 4TH ST NW,LOS RANCHOS,NM,87107
**Full District Office Address:** 6605 4TH ST NW,LOS RANCHOS,NM,87107-06112-07735-S
**External Basic Qualifications:**
+ Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates).
+ Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
+ Must have a willingness to work a flexible schedule, including evening and weekend hours.
+ "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only).
+ Demonstrated attention to detail and ability to multi task and manage execution.
+ Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
**Preferred Qualifications:**
+ Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate.
+ Prefer to have prior work experience with Walgreens, with an evaluation on file.
We will consider employment of qualified applicants with arrest and conviction records.
**An Equal Opportunity Employer, including disability/veterans.**
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
**Shift:**
**Store:** 07735-LOS RANCHOS NM
**Pay Type:** Hourly
**Start Rate:** 17
**Max Rate:** 20
$24k-29k yearly est. 3d ago
Rheumatologist - Optum New Mexico
Unitedhealth Group 4.6
Albuquerque, NM job
**Optum NM is seeking a Rheumatologist to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together**
In this position you will provide Rheumatology patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. You will enjoy working with our employees who work with professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
We run a systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.
**Primary Responsibilities:**
+ Use scientific knowledge, the scientific method of problem solving, evidence-based decision making to evaluate and treat diseases of joints, muscle, bones, and tendons
+ Diagnose and treat arthritis, back pain, muscle strains, common athletic injuries, and 'collagen' diseases
+ Use injection skills for medication administration, specialty-based skills for rheumatology
**Albuquerque:**
+ 300 days a year of sun-drenched and picturesque mountain views
+ Enjoy all seasons with mild winters
+ A Top City with the Cleanest Air in America, Thrillist
+ Top destination for hiking, biking, skiing and running
+ Top 10 ranking for America's Best Cities for Foodies, Travel + Leisure
+ Diverse Culture - Art galleries, theater, concerts, shopping, music venues
+ A Top Big Best Cities for Active Families, Outdoor Magazine
+ Top 5 ranking for "Secretly Cool Cities", Huffington Post
**Compensation & Benefits Highlights:**
+ Med/Den/Vis, STD, LTD, United Health stock options
+ Continuing Medical Education allowance with time off
+ Robust Relocation program
+ Professional Liability Insurance
+ Excellent PTO package
+ Generous retirement program including employer funded contributions (401K)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ M.D. or D.O.
+ Medical Licensure in the State of New Mexico or ability to obtain prior to employment
+ Active and unrestricted DEA License or ability to obtain prior to employment
+ Board Certification or Board Eligibility in Rheumatology
Compensation for this specialty generally ranges from $219,500 to $357,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$219.5k-357k yearly 60d+ ago
Home Infusion Nurse, 32 hours - Accredo - Albuquerque, NM
Cigna Group 4.6
Albuquerque, NM job
Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes.
Provide follow-up care and manage responses to ensure their well-being.
Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
Active RN license in the state where you'll be working and living
2+ years of RN experience
1+ year of experience in critical care, acute care, or home healthcare
Strong skills in IV insertion
Valid driver's license
Willingness to travel to patients' homes within a large geographic region
Ability to work 32 hours a week (can include days, evenings, and weekends, per business need)
Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$49k-60k yearly est. Auto-Apply 60d+ ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare 4.4
Albuquerque, NM job
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
**Essential Job Duties**
- Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
- Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
- Ensures that adequate staffing coverage is present at all times of operation.
- Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
- Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
- Participates, researches, and validates materials for both internal and external program audits.
- Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
- Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
- Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
- Participates in the daily workload of the department, performing Representative duties as needed.
- Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
- Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
- Communicates effectively with practitioners and pharmacists.
- Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
- Assists with development of and maintenance of pharmacy policies and procedures
- Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
**Required Qualifications**
- At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
- Knowledge of prescription drug products, dosage forms and usage.
- Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
- Working knowledge of medical/pharmacy terminology
- Excellent verbal and written communication skills.
- Microsoft Office suite, and applicable software program(s) proficiency.
**Preferred Qualifications**
- Supervisory/leadership experience.
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Call center experience.
- Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$28k-34k yearly est. 16d ago
Medicare Sales Field Agent - Albuquerque, NM
Humana 4.8
Humana job in Albuquerque, NM
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact.
What You'll Do in This FIELD Based Role:
Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart.
Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community.
You'll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members' homes are a key part of this role.
Why Join Humana?
People-first culture that supports your personal and professional growth.
Inclusive and diverse environment that values multilingual talent and cultural understanding.
Autonomy and flexibility to manage your schedule and success.
Purpose-driven mission to help people achieve their best health-and transform healthcare along the way.
Benefits include:
Medical, Dental, Vision, and a variety of other supplemental insurances
Paid Time Off (PTO) and Paid Holidays
401(k) retirement savings plan with a competitive match
Tuition reimbursement and/or scholarships for qualifying dependent children
And much more!
Use your skills to make an impact
Required Qualifications
Active Health Insurance License or ability to obtain.
Must reside in the designated local territory to effectively serve the community.
Comfortable with daily face-to-face interactions in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events.
Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements).
Preferred Qualifications
Active Life and Variable Annuity Insurance License.
Prior experience selling Medicare products.
Experience in public speaking or delivering presentations to groups.
Associate's or Bachelor's degree.
Experience using Microsoft Office tools such as Teams, Excel, Word, and PowerPoint.
Bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages.
Additional Information
This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review.
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success.
Training: The first five weeks of employment and attendance is mandatory.
Interview Format:
As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process.
Pay Range
The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements.
$80,000 - $125,000 per year
#medicaresalesrep
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$26k-33k yearly est. Auto-Apply 60d+ ago
Social Worker-PRN
Unitedhealth Group Inc. 4.6
Albuquerque, NM job
Explore opportunities with At Home Healthcare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms.
Primary Responsibilities:
* Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis
* Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis
* Instructs health care team members on community resources available to assist patients on a as needed basis
* Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Master's Degree from a school of Social Work accredited by the Council of Social Work
* Current CPR certification
* Licensed Social Worker in the state of New Mexico
* Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
* 1+ years of social work experience in a health care setting
Preferred Qualifications:
* Bereavement Coordination experience
* Experience with establishing a plan of care for bereavement needs
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58.8k-105k yearly 10d ago
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens 4.4
Rio Rancho, NM job
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center - interacting with our customers and developing strong patient relationships. Pharmacy is the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their goals.
Walgreens is proud to invest & champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician Certification Board (PTCB) Certified Pharmacy Technician and helping you maintain the high level of skill required in the pharmacy care industry. Arming you with a nationally recognized, portable credential that will help you advance your career.
Whether you are new to working in pharmacies or are an experienced Pharmacy Technician Apply Now! Walgreens will train you to use your skills and talents to serve and care for our patients and customers. The courses, learning activities, and resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to become a certified pharmacy technician.
+ In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in accordance with Company policies and procedures.
+ Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy cash registers.
+ Models and delivers a distinctive and delightful customer experience.
**Customer Experience**
+ Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience.
+ Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
+ Develops strong relationships with most valuable customers.
**Operations**
+ Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct.
+ Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow.
+ Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program.
+ Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities.
+ Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. Takes customer to OTC aisle when possible to assist in locating products.
+ Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians.
+ Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
+ Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
+ May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers.
+ Assists Pharmacy Manager and Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care providers, by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities.
+ Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and appearance.
+ Complies with all company policies and procedures; maintains respectful relationships with coworkers.
+ Completes special assignments and other tasks as assigned.
**Training & Personal Development**
+ Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician.
+ Attends training requested by Manager and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments.
**Job ID:** 1733099BR
**Title:** Pharmacy Technician / Pharm Tech Apprenticeship
**Company Indicator:** Walgreens
**Employment Type:** Flexible hours
**Job Function:** Retail
**Full Store Address:** 1941 SOUTHERN BLVD SE,RIO RANCHO,NM,87124
**Full District Office Address:** 1941 SOUTHERN BLVD SE,RIO RANCHO,NM,87124-03510-04187-S
**External Basic Qualifications:**
+ Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
+ Requires willingness to work flexible schedule, including evening and weekend hours.
**Preferred Qualifications:**
+ Prefer six months of experience in a retail environment.
+ Prefer to have prior work experience with Walgreens.
+ Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications.
+ Prefer good computer skills.
+ Prefer the knowledge of store inventory control.
+ Prefer PTCB certification.
We will consider employment of qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
**Shift:**
**Store:** 04187-RIO RANCHO NM
**Pay Type:** Hourly
**Start Rate:** 16.5
**Max Rate:** 20
$27k-32k yearly est. 14d ago
Adjudicator, Provider Claims-On the phone
Molina Healthcare 4.4
Rio Rancho, NM job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.