- Highmark Health (Providence, RI)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Monday-Friday from 7am-3pm.** Receiving general direction from the Manager of Investigations , the Violence Prevention/Intervention Coordinator (VPIC) responds to ... and mitigates the impact of incidents in high-risk areas within the hospital to ensure the protection of Dana Farber employees, property, information, reputation and brand. This position represents the department of Public Safety by promoting the hospital… more
- CVS Health (Cumberland, RI)
- …11:30 PM - 8:00 AM. **Position Summary** CVS Health is seeking a CAS Alarm Dispatch Coordinator to join our team. As a CAS Alarm Dispatch Coordinator , you will ... compliance of security alarm systems and frequent communications for active investigations of organized retail crime. + Maintain alarm processing database. (Call… more
- Cardinal Health (Providence, RI)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Providence, RI)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Providence, RI)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Providence, RI)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Boston Public Schools (Boston, MA)
- …if so, refer the case to the Director of Compliance and Title IX Coordinator or the Assistant Director of Compliance; + Determining if formal communication is needed ... appropriate. + Supervise and train co op students + Assist with investigations , including conducting interviews, note taking, and collecting documents. + Oversee… more
- Boston College (Chestnut Hill, MA)
- …The **Director of Student Affairs Title IX** serves as the Deputy Title IX Coordinator for Student Affairs and plays a critical role in ensuring the University's ... the University community. The Director collaborates closely with the University Title IX Coordinator , the Office of the Dean of Students, and other key stakeholders… more
- Prime Therapeutics (Providence, RI)
- …recommendations. + MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as ... + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States… more
- CVS Health (Cumberland, RI)
- …+ Monitor the team's performance by performing quarterly Matrix evaluations with each coordinator on their team. + Trains and Develop Alarm Coordinators on various ... ensure compliance of security alarm systems and frequent communications for active investigations of organized retail crime. + Responds to inbound security alarm… more
- State of Massachusetts (Franklin, MA)
- …as required. May also serve as a back-up to a Probation Case Coordinator . *Duties:* Probation Case Specialist I Duties: Provides customer service to attorneys, ... Officers, including typing case folders, violation hearing notices, pre-sentence investigations , probation transfers, letters, reports, and other non-standard documents… more
- Children's Hospital Boston (Boston, MA)
- …during patient visits. Performs study procedures designated for the Study Coordinator . + Completing record abstraction of source documents, conducts required study ... reporting any to the PI, the study sponsor, and Committee on Clinical Investigations IRB. Updates protocol and amendment changes. + Assisting investigators in data… more