- Cardinal Health (Providence, RI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (New Bedford, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Brockton, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Highmark Health (Providence, RI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Charter Care Health Partners (North Providence, RI)
- …Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions, ... Reports to the Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective… more
- Athena Health Care Systems (Lakeville, MA)
- …nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Providence, RI)
- We are hiring a Hospice Clinical Manager to join our care team with Athena Hospice of Rhode Island! Salaried role with weekly pay. Mileage reimbursement ... allow you to grow within the company. The Clinical Manager helps oversee the direction of hospice clinical services...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Humana (Providence, RI)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Molina Healthcare (Norfolk, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- CDM Smith (Warwick, RI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CVS Health (Woonsocket, RI)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- CVS Health (Cumberland, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** As a Manager for the Business Compliance Office (BCO) located within...this team implements parts of PBM regulations that are co- managed between the two teams. + Facilitate the compliance… more
- CVS Health (Woonsocket, RI)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Woonsocket, RI)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Pacific Northwest National Laboratory (Providence, RI)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- UMB Bank (Providence, RI)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- CVS Health (Woonsocket, RI)
- …conduct a thorough analysis **Required Qualifications** + 8+ years of experience in managed care , with a focus in pharmacy benefit management, pharmaceutical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Charter Care Health Partners (North Providence, RI)
- …abuse, discharge planning, bereavement, end of life issues, financial issues, managed care companies/third party payer matters, Senior Friendly ED/Elder ... disease or disability. Works closely with the RN Case Manager , Nurse Manager and Physician to effectively...counseling, and evaluate results. Knowledge of community resources and managed care companies/third party payers. Ability to… more
- Lilly (Providence, RI)
- …relationships with state and local advocacy groups, teaching institutions, key influencers, and managed care organizations. They will be viewed as a credible ... Specialty Territory Managers will be responsible for account-based selling to health care providers (HCPs) who prescribe and influence the treatment for the disease… more
- Western Digital (Providence, RI)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more