- FM (Johnston, RI)
- …subsidiaries (FM) with contracts, inclusive of non-disclosure agreements (excludes Claims and litigation based non-disclosure agreements). Responsibilities extend to ... The Corporate Affairs Contracts Specialist II supports the Corporate Affairs Contracts Manager , Corporate Affairs Counsel, the Manager , Corporate Affairs, and… more
- CVS Health (Providence, RI)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Providence, RI)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Providence, RI)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will ... on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around… more
- Humana (Providence, RI)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Walgreens (Bristol, RI)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Middlesex Savings (Walpole, MA)
- …and Bank's strategic goals. May perform the functions of a Senior Banker II, Senior Banker III, or Assistant Branch Manager in absence of said manager ; ... **Overview** It is the responsibility of the Senior Banker I to represent Middlesex Savings Bank...approvals, lost bank checks, basic service recovery, processing fraud claims , and complex business accounts, among other technical and… more
- Cardinal Health (Providence, RI)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Providence, RI)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Providence, RI)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- HUB International (Milford, MA)
- …to maintain their own unique, regional culture We are seeking a highly skilled Project Manager to help build out a PMO. This role will lead and manage key projects ... across the organization. The ideal candidate will also manage, provide oversight, guidance, and develop less experienced team members that will report directly to… more
- Target (Plainville, MA)
- …skills for a career. The role of a Human Resources Executive Team Leader can provide you with the** **skills and experience of** **:** + Creating and managing HR ... developing their teams + Influence across levels and partners (eg hourly team members, senior leaders) **As an Executive Team Leader Human Resources, no two days are… more
- Walgreens (Rumford, RI)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Coventry, RI)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Public Consulting Group (Providence, RI)
- …more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join ... understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including management of… more
- Prime Therapeutics (Providence, RI)
- … Manager provides information, analyses, and consulting to Health Plan and Prime senior management. The Account Manager supports senior management and ... functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more
