- Commonwealth Care Alliance (Worcester, MA)
- …visit. + Utilize our electronic health record, scheduling platforms, and claims platforms to collect data, document member interactions, organize information, and ... or patients as part of the job duties. **Required Education (must have):** + Associate degree in Nursing + RN with an active registered nursing license in the… more
- Staples (Framingham, MA)
- …together.** **What you will be doing:** Join our dynamic Legal division as a Claim Associate , where you will become a vital part of an integrated strategic claims ... will triage new incidents, support claim investigations, and evaluate and resolve claims , primarily focusing on workers' compensation but also supporting other claim… more
- Zurich NA (Providence, RI)
- Claims Construction, Professional Liability Claims (Senior or AVP level) 128423 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...Management areaOR + Zurich Certified Insurance Apprentice, including an Associate Degree with 8 or more years of experience… more
- Zurich NA (Providence, RI)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...Management area.OR + Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience… more
- Zurich NA (Providence, RI)
- AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims ... role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor… more
- Humana (Providence, RI)
- …(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart ... healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **_Associate Director, Established Brands Marketing_** **Position Summary** The Associate Director, Established Brands Marketing is responsible for driving marketing ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** **** The Associate Director, MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- ** Associate Director, Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Walgreens (Bellingham, MA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Customer Care Associate II **Job Description** This position is a frontline service position providing ... Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities… more
- Evolent (Providence, RI)
- …impact of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, ... Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Associate Director, Technology Solution Implementation delivers new technological solutions to meet ... within a specified scope while aligned to enterprise objectives. The Associate Director, Technology Solution Implementation requires a solid understanding of how… more
- Highmark Health (Providence, RI)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Walmart (Worcester, MA)
- **Position Summary ** **Are you currently a Walmart associate ?** Please login to your Workday account and use the Find Jobs report to apply for this job. + Find Jobs ... buildings and food safety audits Creates audit reports Acts as an associate interface for workers compensation issues Obtain necessary records Analyzes and reports… more
- Guardian Life (Providence, RI)
- …new absences for members as well as answering questions about current benefits and claims . At Guardian we foster a team culture where 'People Count," "We Do the ... compassion and care. **Qualifications** **You have:** + High School Diploma. + Associate Degree or bachelor's degree preferred. + Experience in a service-related… more
- Sumitomo Pharma (Providence, RI)
- …a dynamic, highly motivated, and experienced individual for the position of ** Associate Director, Commercial Data Management** . This high impact role requires a ... knowledge of CRM platforms (Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this role is $153,200 to… more
- Highmark Health (Providence, RI)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health ... Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement +… more
- MAPFRE Insurance (Webster, MA)
- …Physical Damage (Express/Glass)** to lead our fast-paced Express and Glass Claims Units and oversee post-training deployment for staff entering the Physical ... on operational excellence, transformation, and talent development-ideal for a seasoned claims professional ready to drive innovation and elevate customer experience.… more
