- Sedgwick (Providence, RI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Cognizant (Providence, RI)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- Humana (Providence, RI)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Prime Therapeutics (Providence, RI)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Providence, RI)
- …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
- Prime Therapeutics (Providence, RI)
- …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims… more
- Prime Therapeutics (Providence, RI)
- …drives every decision we make. **Job Posting Title** Sr Solution Strategist - Remote **Job Description** **Calling all Solution Strategists! We are looking for a ... Solutions Strategist to be a part of our JUDI Team . If you are interested in working within a...utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions… more
- Prime Therapeutics (Providence, RI)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion… more
- Prime Therapeutics (Providence, RI)
- …non-lawyer and lawyer professionals and is a key member of the legal department's leadership team . **Responsibilities** + Lead and mentor a team of attorneys ... make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads...and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed… more
- Insight Global (Woonsocket, RI)
- Job Description Insight Global is looking for a true Scrum Master to lead one of our healthcare clients remotely. This person will be supporting the data ... is specific to their pharmacy portal, moving data from claims or member. On a day-to-day basis, this person...will be managing 2-4 teams at a time. This team is going through a transition from Rally to… more
- Guardian Life (Providence, RI)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and ... to evaluate business processes and drive improvements aimed at minimizing risk. The Lead will focus on Project Management and is responsible for oversight of the… more
- Cognizant (Providence, RI)
- **About the role** We are looking for Test Lead with 10+ years of QA experience who have good exposure and understanding of personal lines Insurance (Auto or Home). ... to solve straightforward problems, seeking input and guidance from team members. + Works with more junior members to...**Based on this role's business requirements, this is a remote position open to qualified applicants in Phoenix, AZ.**… more
- GE Aerospace (Providence, RI)
- **Job Description Summary** Join our dynamic audit team at ERAC, a corporate holding of GE Aerospace, as a Reinsurance Auditor and lead audits that drive ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Cardinal Health (Providence, RI)
- …messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + ... Hybrid or remote position Schedule: Monday - Friday, 8:00am -...Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …to excel performance across the Globe. Clear strategic thinking with the ability to lead and demonstrate passion for the brand is required. You'll join an empowered, ... fast-paced, high-visibility team at the forefront of scientific innovation, where your work will shape decisions that impact patients worldwide with autoimmune and… more
- Humana (Providence, RI)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
- UIC Government Services and the Bowhead Family of Companies (Providence, RI)
- …seeking a field Superintendent with extensive vertical construction experience for remote Alaska construction projects. Site superintendent oversee all types of ... allocate resources, including labor and equipment, to meet project milestones. + Lead and support crews consisting of carpenters, laborers, and specialty trade… more
- Norstella (Providence, RI)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote , United States Date Posted: Oct 24, 2025 Employment Type: Full Time Job ID: R-1541 **Description** ... and the pharmaceutical industry to join our RWD Engagement Team as a RWD Senior Analytic Consultant to support...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- GE Vernova (Foxborough, MA)
- …during design and construction phases. Highlights scope or design changes (data for claims , CO's). Informs Project Lead Engineer of design issues all along ... of committed budget, planning, and quality. His/ her objective is to plan & lead basic and detailed design, to manage / monitor detailed execution progress, and to… more