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 McClendon 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.

• 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.

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.

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

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.

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.