153 utilization jobs at 88 companies in New Mexico
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Supervisor, Utilization Management
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Utilization Review Nurse Health Plans - Case Management
Alamogordo, New Mexico, United States
OnsiteFull Time
CHRISTUS Health: Catholic nonprofit health system providing comprehensive medical services.
3+ YOENurse with 3–5 years of nursing experience; LVN license required; RN license preferred; MS Office proficiency; strong communication and HIPAA knowledge.
POWER SYSTEM OPERATOR TRAINEE, POWER SYSTEM OPERATOR, SR. POWER SYSTEM OPERATOR (UP TO 3 VACANCIES)
Los Alamos, New Mexico, United States
$28-$45/hrOnsiteFull Time
Los Alamos County: Local government providing public services for Los Alamos County.
2+ YOEHigh school diploma/GED, minimum 2 years relevant work experience (varies by level), ability to work rotating day/night shifts including weekends/holidays, ability to obtain DOE LANL badge, and utility/NERC knowledge.
Utilization Review Healthcare Program Coordinator (DOH/NMRC #11961)
Roswell, New Mexico, United States
$23-$34/hrOnsiteFull Time
New Mexico Children, Youth and Families Department: Provides child protective, juvenile justice, and family support services.
0.5+ YOEHigh school diploma or equivalent and six months related experience; valid driver's license and defensive driving certificate; HIPAA completion; strong computer, communication, and data analysis skills.
Alabama or Oklahoma or Ohio or New Mexico or New Jersey or New Hampshire or Nebraska or Montana or Missouri or Mississippi or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Colorado or Arkansas or Arizona or Wyoming or Wisconsin or West Virginia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or United States
$71k-$98k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOECompact RN in state of residence, >1 year clinical RN experience (hospital/SNF/home health/acute), ability to apply medical necessity criteria and complete timely determinations in a remote, metrics-focused role.
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
USIC: Locates and marks underground utility infrastructure to prevent damage.
Perform outdoor field utility locating, read maps/tickets, operate locating technology, lift up to 75 lbs, pass drug screen, have valid driver\u0002s license, distinguish utility color codes, and communicate with customers.
City of Santa Fe: Municipal government providing public services to Santa Fe residents.
Level 4 Utility Operator Certification (water or wastewater) and commercial driver license (CDL) expected for lead-level operation and maintenance of water and wastewater systems.
MP Nexlevel: Constructing and maintaining telecommunications and utility infrastructure networks.
Valid commercial driver’s license, ability to read blueprints, computer/electronic device use, underground utilities construction experience, effective communication, able to lift up to 75 pounds.
Sacramento or Washington or Oregon or California or Utah or Arizona or New Mexico or Montana or Wyoming or Colorado
$92k-$120k/yrRemoteFull Time
Blue Forest: Non-profit using conservation finance to restore ecosystems.
5+ YOE5+ years experience in partnership or business development, experience working with utilities, strong relationship-building, communication, and systems-building skills; familiarity with carbon/natural capital markets preferred.
Indian Health Service: Provides comprehensive health services to Native American communities.
Maintain, operate, and repair hospital utility systems including boilers, generators, compressors; perform tests, preventive maintenance, and repairs; must meet OPM WG-4742 competencies.
Florence or Phoenix or New Mexico or Albuquerque or Sacramento or Las Vegas or Santa Fe or Colorado Springs or Sacramento or Dallas or Austin or Houston
OnsiteFull Time
ADB Companies: Provides nationwide turnkey telecommunications and utility infrastructure solutions.
1+ YOELaborer II in utility construction; 1+ year utility construction; 6+ months equipment operation; valid driver’s license; Class A CDL preferred; OSHA 10 preferred; high school diploma.
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual
Navajo Tribal Utility Authority: Multi-utility enterprise serving the Navajo Nation
High school diploma/GED required; experience in utility dispatching and electric, water/wastewater, or gas operations; valid driver's license; journeyman apprenticeship certification preferred; SCADA record keeping experience.
City of Rio Rancho: Provides public services and infrastructure for the Rio Rancho community.
4+ YOEBachelor's in Accounting/Finance (or equivalent experience), 4+ years utility/enterprise fund accounting experience (8 years without degree), regular driver's license required; CPA or CGFM preferred.
Minneapolis or California or Colorado or Connecticut or Illinois or Maine or Michigan or Minnesota or Nevada or New Mexico or New Jersey or New York or North Carolina or Oregon or South Carolina or Virginia or Washington or District of Columbia or Wisconsin
$125k-$165k/yrHybridFull Time
Great Plains Institute: Nonprofit accelerating the transition to net-zero carbon emissions.
10+ YOE10+ Mgmt10+ years utility/regulatory experience, stakeholder facilitation, staff and budget management, fundraising and proposal development, excellent written/oral skills, proficiency with Microsoft Office, bachelor’s or master’s degree preferred.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft SharePoint
Walnut Creek or Irvine or Eureka or San Diego or Seattle or Santa Barbara or Chico or Santa Rosa or Minnesota or Poland or Las Vegas or Redding or Los Angeles or San Jose or Carpinteria or San Francisco or Sacramento or San Luis Obispo or Bakersfield or Berkeley or Pasadena or New Mexico or Santa Maria or California or Fresno or Sunnyvale or Scottsdale
$143k-$184k/yrHybridFull Time
ERM: Global consultancy providing environmental, health, safety, and sustainability services.
8+ YOEBachelor's (or equivalent), 8+ years consulting experience in California electric/gas markets, proven CEQA/NEPA permitting experience, CPUC/131-E knowledge, utility relationships, business development and leadership skills.