- Fallon Health (Worcester, MA)
- …appeals review + Member appeals review + Pharmacy issues and referral requests + Medical director on-call coverage + Support the benefits and technology review ... to practice medicine in MA (or licensable). Board certified in medical or surgical specialty. **Experience:** Utilization management; network management; medical… more
- Evolent (Providence, RI)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent is seeking an ** Associate Medical Director - Cardiovascular Medicine** to play a critical ... in Cardiology** (with Cardiology training and clinical experience). + **Unrestricted medical license** in the state of residence and willingness to obtain… more
- Merck (Providence, RI)
- …Responsibility** As a member of the Device Quality & Regulatory QMS group, the Associate Director will participate in and/or lead various initiatives in support ... aspect of our business processes, systems, and data. The Associate Director will collaborate and interact with...re-evaluation, maintenance, and sustainability. + Supports Supplier Audits, as Medical Device SME. + Partner with MDCP sites and… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Associate Director , Software Engineering leads software development application team based on ... business requirements. The Associate Director , Software Engineering requires a solid...speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL… more
- Humana (Providence, RI)
- …Description Humana's Insurance IT organization is seeking an experienced and strategic Associate Director , Technology Solutions to lead technology efforts within ... Humana financial processes, and enterprise data management is highly preferred. The Associate Director , Technology Solutions acts as a liaison and collaborates… more
- United Therapeutics (Providence, RI)
- …You are passionate about PV and enjoy being part of a collaborative team. The Associate Global PV Case Management Director plays a key role in management and ... in end-to-end case processing of ICSRs with a bachelor's degree or + 10 + years of experience in pharmacovigilance in end-to-end case processing of ICSRs with… more
- Ford Motor Company (Providence, RI)
- …and responsible allocation of enterprise resources. **In this position ** As the Associate Director of M&A Integration, you will lead the strategic integration ... MBA or other advanced degree preferred. + Minimum of 10 years of experience in mergers and acquisitions integration...work life that works for you, including: * Immediate medical , dental, and prescription drug coverage * Flexible family… more
- Evolent (Providence, RI)
- …the impact of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal ... + 4+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 4+ years of… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...**. After an initial training period, schedule is four 10 -hour workdays per week, Thursday-Sunday, or Friday-Monday.** **Use your… more
- Grifols Shared Services North America, Inc (Cranston, RI)
- …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... an equivalency could include 8 years of experience, an Associate 's degree with 6 years of experience, or a...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more
- Grifols Shared Services North America, Inc (Cranston, RI)
- …with 2 years of experience. **Pay Scale:** The estimated pay scale for the Medical Affairs Scientific Director 2 role based in the United States ... to 180 hours per year. **For California:** The estimated pay scale for the Medical Affairs Scientific Director 2 role based in California, is $250,000.00-… more
- Humana (Providence, RI)
- …community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for development, ... clinical practices and processes for clinical community within the enterprise. The Director , Clinical Strategy and Practice requires an in-depth understanding of how… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- CenterWell (Providence, RI)
- …a part of our caring community and help us put health first** The Director , Account Management is responsible for growing membership within existing accounts and for ... directly managing business relationships with client accounts. The Director , Account Management requires an in-depth understanding of how organization capabilities… more
- Evolent (Providence, RI)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve ... impact on the organization and patient health. This role supports both medical cost management activities and business development efforts. **What You Will Be… more
- GE Aerospace (Providence, RI)
- **Job Description Summary** As a Director of a software engineering group, you will apply your knowledge of management, software development methodologies, best ... with minimum of **8** years of professional experience OR associate 's degree with minimum of **11** years of professional...to close on August 8, 2025. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to… more
- CVS Health (Woonsocket, RI)
- …in the tactical requirements of Product Lifecycle Management, will train Associate Product Development Managers **Stakeholder Influence and Change Management** + ... CPG product roadmaps at the direction of the Lead Director , balancing short term execution with long term strategies....or equivalent experience + **Travel requirements** - up to 10 % travel expected, based on needs of the business… more
- Prime Healthcare (Woonsocket, RI)
- …Responsibilities Under the direction and authorization of the medical director and cardiopulmonary director , ... Overview At Landmark Medical Center, our dedicated team of professionals is...within 60 days of hire and maintain current. 8. Associate Degree or Bachelor of Science degree preferred 9.… more
- Amgen (West Greenwich, RI)
- …team within the Facilities & Engineering department and who will work with the Associate Director of Automation. We are seeking a person with a strong ... **Basic Qualifications:** + High school diploma / GED and 10 years of automation and/or engineering experience OR +... years of automation and/or engineering experience OR + Associate 's degree and 8 years of automation and/or engineering… more
- Humana (Providence, RI)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... core business hours on EST time between (9am-5pm). + Willingness to travel up to 10 % to conduct audits at site locations. + Ability to manage multiple or competing… more