- Sedgwick (Providence, RI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- Molina Healthcare (Marlborough, MA)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- CenterWell (Providence, RI)
- …Owner to lead strategy and execution for our referral management and specialist network solutions, including prior authorization and related EMR-integrated ... delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. +… more
- Amentum (Providence, RI)
- …Credentials that meet DoD Cyber Workforce requirements for specialty codes 441 ( Network Operations Specialist ), 451 (Systems Administration Specialist ), and ... **Facility-Related Control System (FRCS) Cybersecurity Manager** The Contractor shall provide a FRCS Cybersecurity Manager to install, configure, calibrate, operate,… more
- Highmark Health (Providence, RI)
- …TQC or other quality management certification. + Experiencein health plan provider network performance management, population health management, continuous ... DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality,… more
- Pike Corporation (Mansfield, MA)
- Position Overview: This is the third level of the Communications Specialist classifications. The purpose of this position is to read and interpret existing drawings ... issues or evolving requirements. Requirements + Must have experience in telecommunications network design. + Ability to access, impute and retrieve information from … more
- PPL Corporation (Providence, RI)
- …Louisville Gas and Electric, Kentucky Utilities and Rhode Island Energy - provide an outstanding experience for our customers, consistently ranking among the best ... company. + Must possess a high level of initiative to continually expand network through leveraging user groups, blogs, and networking events. + Responsible for… more
- Sanofi Group (Framingham, MA)
- **Job Title:** Quality Operations Continuous Improvement Specialist **Location** : Framingham, MA **About the Job** We deliver 4.3 billion healthcare solutions to ... to support operations and drive continuous improvement. The Continuous Improvements (CI) Specialist role is to drive industrial excellence to achieve the PCU's… more
- Concentrix (Providence, RI)
- Job Title: Specialist , Customer Acquisition Job Description The Customer Acquisition Specialist is responsible for demonstrating the value and benefits of our ... " awards every year? Then a remote Customer Acquisition Specialist position at Concentrix is just the right place...are. **WHAT YOU WILL DO IN THIS ROLE** + Provide accurate weekly/ monthly/ quarterly sales forecast + Mastery… more
- Atrius Health (Dedham, MA)
- …of a multitude of current insurance payors. Researches referral and provider information as needed.Also responsible for coordinating andfacilitating the processing ... capabilities on the internet needed to determine insurance benefits and find provider information. Able to explain referral requirements to both staff and patients.… more
- Middlesex Savings (Westborough, MA)
- **Overview** The Payment Systems Specialist supports several of the Bank's critical functions and is required to work in a fast-paced environment processing ... a high volume and dollar amount. The Payment Systems Specialist is a key role focused on providing exceptional...systems and services (included but not limited to ATM Network , ACH, Wire Transfers, Internal Transfers), identify customer needs,… more
- Advocates (Framingham, MA)
- …Apply Now! (https://careers-advocatesinc.icims.com/jobs/12030/overnight-peer- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336180790) Broadcast via ... of our staff. Peer Specialists are fully integrated team members who provide individualized services to people receiving services from Advocates Mental Health… more
- CenterWell (Providence, RI)
- …shifts twice a month.** + **Available to work 3 holidays a year.** The E-Referral Specialist is an integral part of the referral process as this role is the initial ... + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:...put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest… more
- Textron (Providence, RI)
- **Ethics & Compliance Specialist ** **Description** **JOB SUMMARY:** At Textron, we are a network of global businesses with people who are passionate about ... Textron Corporate Legal Team as an Ethics and Compliance Specialist \. The E&C Specialist will report to...That's why we offer more than just a job-we provide a workplace where your well\-being matters\. Our on\-site… more
- Highmark Health (Providence, RI)
- …or managed care + 1 year in customer service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services Management ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job coordinates and implements the credentialing and privileging activities… more
- Actalent (Providence, RI)
- Quality Systems Specialist !! Job Description Join our dynamic team as a Quality Systems Specialist , where you will be responsible for organizing and controlling ... + Develop dashboards, metrics, and reports for management review. + Provide data-driven recommendations to improve product quality and process efficiency. +… more
- Advocates (Marlborough, MA)
- …are seeking more independence in their next role! As a Mobile Outreach Specialist (MOS), you will provide psychiatric rehabilitative interventions to people ... we serve. We put the individual first. Apply Now! (https://careers-advocatesinc.icims.com/jobs/12096/mobile-outreach- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336180790) Broadcast via Social Network **Connect With… more
- American Red Cross (Dedham, MA)
- …its best. Are you ready to be part of the world's largest humanitarian network ?_** **Join us-Where your Career is a Force for Good!** **Job Description:** **QC ... Laboratory Specialist - 3rd shift** **(Union)** **_WHY CHOOSE US?_** Joining...become a vital part of the world's largest humanitarian network . Joining a team of welcoming individuals who are… more
- Advocates (Franklin, MA)
- …Apply Now! (https://careers-advocatesinc.icims.com/jobs/11054/employment- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336180790) Broadcast via ... **Overview** **Starting Rate: $18.50/hour** As an Employment Specialist at the Employment Center, you will play...a combination of group and one-on-one sessions, you will provide tailored support to help participants develop essential job… more
- Elevance Health (Smithfield, RI)
- **Referral & Resource Specialist ** **Location:** Candidates must reside in one of the following states to be considered : **MASSACHUSETTS, NEW HAMPSHIRE, ... risk, and history of trauma. **The Referral and Resource Specialist ** will be responsible for screening, assessing, training, and...an immediate course of action. It is a nationwide network . **We operate 24 hours a day, 7 days… more