- United Site Services (Westborough, MA)
- …collaboration of our diverse team, which includes field technicians, customer care representatives, sales professionals, and functional experts. Each member of our ... every aspect of our business. **Primary Purpose** The Senior Project Manager drives the planning, coordination, and execution of complex, cross-functional… more
- Olympus Corporation of the Americas (Westborough, MA)
- …True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. ? Our ... a business casual, team-oriented atmosphere. Products are developed and managed from Westborough, but manufacturing is performed at other...to improve patient outcomes by elevating the standard of care in targeted disease states. For more than 100… more
- Cardinal Health (Providence, RI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Athena Health Care Systems (Webster, MA)
- We are hiring a Unit Manager to join our dynamic care team at Lanessa Extended Care in Webster! Full-time on Monday-Friday 3p-11p. Weekly pay! Working with ... you to grow within the company. As the Unit Manager , you are responsible for the coordination and management...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Highmark Health (Providence, RI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Charter Care Health Partners (North Providence, RI)
- …Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions, ... Reports to the Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective… more
- Athena Health Care Systems (Worcester, MA)
- We are hiring a per diem Registered Nurse (RN) Case Manager to join our dynamic care team at Hospice of Western & Central Massachusetts in Worcester County! This ... you to grow within the company. The RN Case Manager plans, organizes, and directs hospice care ...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Athena Health Care Systems (Worcester, MA)
- We are hiring an RN Unit Manager to join our dynamic care team at Parsons Hill Rehabilitation & Health Care Center in Worcester! Full-time on 3p-11p with ... you to grow within the company. As the Unit Manager , you are responsible for the 24-hour coordination and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Woonsocket, RI)
- We are hiring a Hospice Clinical Manager to join our care team with Athena Hospice of Rhode Island! Salaried role with weekly pay. Mileage reimbursement ... allow you to grow within the company. The Clinical Manager helps oversee the direction of hospice clinical services...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Humana (Providence, RI)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Molina Healthcare (Norfolk, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- CDM Smith (Pawtucket, RI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Beth Israel Lahey Health (Needham, MA)
- …2. License required: Nursing License 3. 3-5 years related work experience required in Acute care or managed care setting with two years prior experience in ... & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care ...Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services,… more
- CVS Health (Woonsocket, RI)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more
- CVS Health (Cumberland, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** As a Manager for the Business Compliance Office (BCO) located within...this team implements parts of PBM regulations that are co- managed between the two teams. + Facilitate the compliance… more
- CVS Health (Woonsocket, RI)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Woonsocket, RI)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Pacific Northwest National Laboratory (Providence, RI)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- Fallon Health (Worcester, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more
