Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Assists clinical management in the development and on-going management of
Applied Research Associates, Inc. (ARA), Southwest Division (SWD) is looking for an experienced Senior Design Engineer to join our Concept Development Group (CDG), located in Albuquerque, New Mexico. CDG boasts a multidisciplinary team of engineers performing
Bilingual Representative This position is remote in New Mexico. You will have the flexibility to work remotely as you take on some tough challenges. Imagine being able to get answers to your health plan questions from
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or