Job Opportunities in United States


November 5, 2024

University of New Mexico

Albuquerque

FULL TIME


Spec,Legal Compl/QA/MedMal

Requisition ID
req31531

Working Title
Spec,Legal Compl/QA/Med Mal

Position Grade
13

Position Summary
Within the Office of University Counsel, plans, develops, and implements strategies for achieving and maintaining compliance with university goals associated with settlement agreements, corrective action plans and other components of the Mc Clendon vs. City of Albuquerque litigation as related to the patient care provided at the UNMH Metropolitan Detention Center Clinic. Provides guidance and expert interpretation regarding the UNMH MDC Clinic's compliance with its contract with the Metropolitan Detention Center Health Care Authority. Timely compiles data and prepares monthly and ad hoc reports evidencing the UNMH MDC Clinic's efforts toward compliance with goals. Assists in drafting and implementation of policies and quality assurance audit tools designed to assure achievement of compliance with goals. Investigates and evaluates complex and severe claims, primarily related to medical malpractice. Participates in all aspects of claim file management, under the direction of a claims attorney, including data gathering, investigation, and development of claim summaries and timelines. Prepares and maintains appropriate documentation in applicable databases and information systems. Prepares claim reports and communicates updated claims information to health system entities, as directed. Supports overall mission of the UNMH MDC Clinic operations
The monthly salary range for this position of $6,250.00 to $7,292.00 includes a salary determined by UNM’s salary structure, and an additional salary amount in recognition of this position’s primary work location at the Albuquerque Metropolitan Detention Center.
See the Position Description for additional information.


Conditions of Employment
  • Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).
  • Must successfully meet and maintain the minimum background requirements necessary to work within the MDC.

Minimum Qualifications
Bachelor's degree; at least 4 years of experience directly related to the duties and responsibilities specified.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Preferred Qualifications
  • Knowledge of complex Healthcare Systems & Processes
  • Quality/Performance Improvement.
  • Clinical Healthcare experience
  • Project Management experience

Additional Requirements

Campus
Health Sciences Center (HSC) - Albuquerque, NM

Department
HSC Legal Counsel Office (921A)

Employment Type
Staff

Staff Type
Regular - Full-Time

Term End Date

Status
Exempt

Pay
Monthly: $6,250.00 - $7,292.00

Benefits Eligible
This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the Benefits home page for a more information.

ERB Statement
As a condition of employment, eligible employees working greater than .25 FTE as determined by the New Mexico Education Retirement Act must make mandatory retirement contributions. For more information, review the Benefits Eligibility at a Glance grid.

Background Check Required
Yes

For Best Consideration Date
11/18/2024

Eligible for Remote Work
Yes

Eligible for Remote Work Statement
Occasional remote work may be possible for this position in the future.

Application Instructions
Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job advertisement on a 3rd party site, please visit UNMJobs to submit an application.
Please attach the following. 1) Resume 2) Cover Letter 3) Contact information of three professional references. These individuals will be contacted prior to an offer being issued.


Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details.
The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.
The University of New Mexico requires all regular staff positions successfully pass a pre-employment background check. This may include, but is not limited to, a criminal history background check, New Mexico Department of Health fingerprint screening, New Mexico Children, Youth, and Families Department fingerprint screening, verification of education credentials, and/or verification of prior employment. For more information about background checks, visit https://policy.unm.edu/university-policies/3000/3280.html. Refer to https://policy.unm.edu/university-policies/3000/3200.html for a definition of Regular Staff.


HEJ D&I

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