- Fallon Health (Worcester, MA)
- …QNXT; completing 10 records monthly to maintain provider linking knowledge. * May review P&Ps for updates needed and provide updates to management for ... and Directories, staff will perform an audit sampling of provider data within the symplr Payer application....and recommends improved processes and/or training needs. Meets with Provider Specialist staff monthly to review error… more
- CVS Health (Woonsocket, RI)
- …wireframes and prototypes based on end user feedback and human centered design; Healthcare data management processes and techniques, including data ... production; Contributing to large-scale applications development, data science, or data analytics projects; Domain support for healthcare or retail… more
- Adecco US, Inc. (Cumberland, RI)
- …is an excellent opportunity for recent graduates to develop foundational skills in healthcare compliance, data integrity, and regulatory operations. What do we ... in areas such as compliance, quality assurance, regulatory reporting, or internal review -particularly within pharmacy, health services, or healthcare benefits. +… more
- CVS Health (Woonsocket, RI)
- …DB2; Relational database concepts; Software development best practices; Domain support for healthcare or retail organization; Healthcare data management ... determine project requirements and objectives, define features and capabilities, and review and approve project deliveries; evaluate and recommend tools and… more
- CVS Health (Woonsocket, RI)
- …large-scale applications development, data science, or data analytics projects; Data analytics in healthcare , business, or retail sector; Data ... initiatives to create features (Minimum Viable Product) that are usable and provide value (ROI); streamline the execution of team priorities while maintaining the… more
- CVS Health (Woonsocket, RI)
- … review underwriting assumptions, contract language, and actual results, and provide data driven recommendations to senior leadership; leverage expertise in ... and develop data analytics solutions to summarize data and provide usable business information. Duties...data and support large analytics projects; perform monthly data pulls and review performance metrics to… more
- Generac Power Systems (Marlborough, MA)
- …up) as well as "fit-out" project types. + Specific and Extensive Expertise: + Industrial, Data center or healthcare project expertise for greater than 5 years or ... a standard for building the critical power and cooling infrastructure that supports data centers **As we continue to expand, Constructiv is building a pipeline of… more
- State of Massachusetts (Marlborough, MA)
- …processes to obtain continuity with similar tasks in the future. This role could provide new insight and serve as short term staffing support during the review ... Health offices and bureaus as well as supporting public health and healthcare operations across the state. *Duties and Responsibilities:* * **Collaborate to document… more
- Aveanna Healthcare (Worcester, MA)
- …and the opportunity to build one-on-one relationships with your patients. Aveanna Healthcare , delivers a one-of-a-kind continuum of care, seeking to provide ... that is compatible to achieving organizational goals. Requirements RESPONSIBILITIES + Provide occupational therapy services as prescribed by the physician under the… more
- Aveanna Healthcare (Worcester, MA)
- …+ Plan and implement branch improvement opportunities in administrative functions. + Thorough review of activity reports and other performance data to measure ... Degree Preferred + 2-3 Years Management Experience Preferred + Healthcare experience a plus Physical Requirements: + Must be...+ Must be able to travel; company does not provide vehicles or transportation + Occasional lifting, carrying, pushing… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …educational development of children the program cares for.. + Ensure the collection, review , analysis, and reporting of data related to outcomes for children, ... oversight of the clinical and administrative operations of Westborough Behavioral Healthcare Hospitals' Child and Special Needs Unit. The Program Director will… more
- Walgreens (Worcester, MA)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient… more
- Fallon Health (Worcester, MA)
- …health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program ... skills, may complete NaviCare Program Assessment Tools and Minimum Data Set Home Care (MDS HC) Form when a...policies and processes as outlined to be able to provide education to members and providers; performing a member… more
- Elevance Health (Smithfield, RI)
- … review of work completed by other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents or other ... further experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to… more
- Elevance Health (Smithfield, RI)
- …limited and full desk reviews on teaching, organ acquisition hospitals and other complex provider cost reports. **How you will make an impact:** + Plans, directs and ... controls specific provider audits. + In charge auditor on large and/or...issues as assigned. + Participates in special projects and review of work done by lower level auditors as… more
- BrightSpring Health Services (Hudson, MA)
- …collecting, evaluating and interpreting the results of laboratory data , clinical data and other pertinent patient information. + Provide consultation and ... Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Pharmacist to join our Pharmacy team as we grow to be… more
- Fallon Health (Worcester, MA)
- …focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated ... through discharge and ensures all Care Team members and healthcare providers are aware of member's status. The BHCM...their dependence on the medical system. * Offers proactive review of members for a multidisciplinary care planning with… more
- CVS Health (Woonsocket, RI)
- …heart, each and every day. **Position Summary** As Legal Counsel-Caremark you will provide legal and regulatory review , analysis and counsel to internal business ... complaints when legal support is needed, evaluation of pharmacy data pulls for regulatory requests including state department of...related to pharmacy audit questions, PBM client requests and review of provider manual updates and pharmacy… more
- Fallon Health (Worcester, MA)
- …health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program ... Managing a multi-location clinical team to ensure timely coordination of quality healthcare and care coordination services for Fallon Health members with varying… more
- Option Care Health (Framingham, MA)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more