- Highmark Health (Providence, RI)
- …requirements effective August 2016) Preferred + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience ... and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions;… more
- Humana (Providence, RI)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP). DVACO is a joint venture ... and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation accounts for the… more
- Humana (Providence, RI)
- …is a non-exempt position with responsibility for utilization management and clinical decision -making as outlined in the Autism Care Demonstration (ACD) defined in ... guidelines / procedures, utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and /… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... influence application portfolio consolidation and savings. + Drive opportunities and support governance for responsible use of AI/GenAI capabilities. + Facilitate… more