- Evolent (Providence, RI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Providence, RI)
- …Correlates Revenue/Expense to volumes and prepares reports to assist financial management in assessing financial performance. (20%) + Evaluates, updates, and ... have a financial impact to WPAHS. Makes recommendations to Decision Support Management for financial and performance improvement. (20%) + Performs all other duties… more
- Highmark Health (Providence, RI)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Cardinal Health (Providence, RI)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- CenterWell (Providence, RI)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management , health plans /...necessary / required actions initiated by CMS * Oversee rules and regulations of ACO programs as outlined in… more