- Humana (Providence, RI)
- …product life cycle for Part D benefits within Humana's Prescription Drug Plans. The Insurance Product Manager 2 monitors Prescription Drug Plan (PDP) ... professional to assist with managing the end-to-end process of insurance product design. The Part D Team...make an impact** **Required Qualifications:** + 2+ years of Medicare , Medicaid or Pharmacy Benefits experience + 1+ years… more
- Humana (Providence, RI)
- …and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products for customer use. ... The Senior Product Manager work assignments involving moderately complex...(3) or more years of combined professional experience in Medicare and Medicaid, with at least two (2) of… more
- Humana (Providence, RI)
- …members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design, technology, clinical, and ... community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full… more
- Humana (Providence, RI)
- …future of healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT ... record of delivering successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering,… more
- Humana (Providence, RI)
- …our members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, ... you will play a pivotal role in overseeing the product maturity of DevOps and Developer platform ecosystem across three unique tech stacks: open systems, mainframe,… more
- Fallon Health (Milford, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
- Cardinal Health (Providence, RI)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... rules and HIPAA regulations. This role involves care coordination, insurance verification and navigation, patient advocacy, program expertise, and continuous… more
- Cardinal Health (Providence, RI)
- …a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible ... the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, and travel and lodging +… more
- Cardinal Health (Providence, RI)
- …a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible ... rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in… more
- Insight Global (Woonsocket, RI)
- …Requirements Must be certified as an SM and preferably as a coach and/or Product Owner/ Product Manager /PM 5-10 years Scrum Master experience Healthcare ... seeking 2 strong Scrum Masters for a large health insurance client of ours. These resources will be responsible...skills Negotiation skills Able to lead without authority Plusses: Medicare Experience null We are a company committed to… more