- Humana (Providence, RI)
- …key Lean Portfolio Management (LPM) ceremonies for the Medicaid portfolio. The Lead Product Manager will be responsible for optimizing intake workflows, ... put health first** Humana is seeking a highly skilled Lead Product Manager to own...LACE) guidelines. + Serve as the primary facilitator for Medicaid Product Standup and Medicaid … more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...Medicaid business by driving communications, client-facing initiatives, and product and program recommendations. This position leads client initiatives… more
- Datavant (Providence, RI)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard...types to enhance AI-driven coding accuracy + **Data Integration:** Lead efforts in collaboration with the Retrieval Product… more
- Point32Health (Canton, MA)
- …adjustment programs and initiatives that impact Medicare, Medicaid , and Duals product members. This individual will lead the development and implementation ... to identify and recommend opportunities for process improvement across the department. The Manager will also help lead the current-state assessments of provider… more
- Fallon Health (Foxborough, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... 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
- Prime Therapeutics (Providence, RI)
- …clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and ... decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health...to socialize and advocate for client strategic plans * Lead client meetings with the ability to directly address… more
- Insight Global (Woonsocket, RI)
- …experience as a Program Manager or RTE * Experience with Medicare, Medicaid or healthcare within claims, provider contacting, product benefits, etc. * ... Job Description Insight Global is seeking a Program Manager to support a large health insurance client...client of ours. This resource needs to take the lead to help the teams get organized/determine the prioritization… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** ... aide service requirements). + Initiates and makes changes/updates to product and service orders with vendors + Initiates and...elderly population + At least one year in a lead or supervisory capacity + Must complete a standardized… more
- Humana (Providence, RI)
- …to make an impact** **Required Responsibilities:** + **Experience as a Lead Solutions Architect involving large scale cloud contact center experience solutions ... implementation on Genesys cloud platform** + Partner with product managers and product owners to understand business needs and develop architecture solutions and… more
- Cardinal Health (Providence, RI)
- …get life-changing therapies to patients who need them-faster** Are you ready to lead change at the forefront of healthcare innovation in patient access and support? ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more
- Public Consulting Group (Providence, RI)
- …with minimal supervision; serve as an internal consultant to other projects or product lines; play a key role in proposals and sales presentations and present ... agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it is… more