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Sr QNXT Analyst

Molina Healthcare

•

Santa Fe, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 4 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Roswell, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 4 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Albuquerque, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 4 hours ago

DH: Full Time Orthopedic Surgeon Needed in Artesia, NM

Clinical Magnet

•

Artesia, New Mexico, USA

Full-time

Job ID: 119616 Direct Hire Orthopedic Surgeon Role in Artesia, New Mexico Description: Fulltime, PermanentWell Established Practice with Existing Patient LoadGeneral or Sports MedicineFull Range of Orthopedic Cases, including hips and knees3-4 midlevels supportingSome PedsM-F 8a-5p with half day on Fridays for admin work (4.5 with patients)Call Required- 10 days a month, including one weekendJ1 Visa support offered Salary & Benefits: Competitive CompensaionDesirable Benefits Package Requirem
Posted 55 days ago | Updated moments ago

Engineer, Applications - Pega/SQL - Remote

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, process, and technology, both withi
Posted 3 days ago | Updated moments ago

LookML & SQL Looker Lead/Architect

E-Solutions, Inc.

•

California, USA

Third Party

Hi Professionals, We are seeking an experienced LookML & SQL Looker Lead Developer to design, develop, and creation of dashboard. The ideal candidate should have expertise in building and enhancing a looker dashboard and models. Writing efficient SQL queries, performance tuning in SQL. Key Responsibilities: - Using LookML, update existing Looker data models (views and explores) to adapt to new business concepts and demand for new data elements (dimensions and measures) Data model designs and en
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Posted 7 days ago | Updated 10 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Los Lunas, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 3 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Farmington, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 3 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Roswell, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 3 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Santa Fe, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 3 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Las Cruces, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 3 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Albuquerque, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 4 hours ago

Associate Program Manager (Provider Network)

Molina Healthcare

•

Rio Rancho, New Mexico, USA

Full-time

Remote and must live in California Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions'
Posted 4 hours ago

NodeJS Architect/Mern stack Architect/Application Architect

E-Solutions, Inc.

•

California, USA

Third Party

Hi Professionals, As a NodeJS/Application Architect, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - 10+ years of experience in full-stack development with expertise in: Application architect, Lead Full stack - MERN Frontend: React.js, Remix, TypeScript, JavaScript (ES6+). Backend: NodeJS, Ruby (legacy systems), C# (ASP.NET Core), TypeScript for backend services. Proven
Easy Apply
Posted 7 days ago | Updated 10 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Roswell, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Las Cruces, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Rio Rancho, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Farmington, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Los Lunas, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Albuquerque, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Management and Operations
Posted 4 hours ago