- Travelers Insurance Company (Providence, RI)
- …for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling ... case . + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each...and thus the technical expertise to evaluate severe and complex claims . + Able to make independent… more
- Evolent (Providence, RI)
- …with value-based care and programs - Preferred + Working knowledge of Medicare claims , episode and condition groupers, case /episode and risk adjustment, patient ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …Providence Healthcare System (VAPHCS), providing inpatient and/or outpatient psychiatric services. Major Duties & Responsibilities include, but are not limited to: ... for a wide population of patients with mental health symptoms and complex psychosocial issues. Participate effectively in team meetings and treatment planning… more
- CDM Smith (Providence, RI)
- …solicitations, teaming agreements, contracts, subcontracts and other agreements. * Resolving major subcontractor issues, including claims . * Advising division ... budget. * Overseeing the development of cost and pricing proposals for complex projects. * Developing pricing strategy and conducting cost negotiations for … more