Tracking Code

2019-19

Job Description

* Provide operational management of non-clinical staff who support case management, utilization review, and/or specialty reviews activities.

* Develop, implement, and maintain departmental policies and procedures, staffing protocols, training programs, quality management programs, and department budgets.

* Ensure that department fully meets all required legal, contractual and accreditation standards as well as compliance with corporate policies.

* Participate in business/product development, proposals and customer relations activities.

* May also perform non-clinical work, e.g., processing providers requests for services.

Required Skills

* AA/AS in a related field

* Equivalent combination of education and/or work experience may be substituted

* Intermediate MS Office Suite proficiency

* Working knowledge of Medicaid, workers' compensation, or commercial insurance preferred

Required Experience

* 4+ years of work experience that includes healthcare experience

* 1+ years of supervisory experience; experience with financial management

Job Location

Albuquerque, New Mexico, United States

Salary Type

Annually

Qualis Health is an Equal Employment Opportunity/Affirmative Action Employer that embraces and practices diversity, reflecting the communities we serve. We encourage minorities, protected veterans and individuals with disabilities to apply.