- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- Humana (Providence, RI)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Fallon Health (Dartmouth, MA)
- …staff including, but not limited to Provider staff, administrative support staff, medical assistants, nurses, activities assistants, rehab staff, health aides ... **Overview** **COMING SOON: Fallon Health Opens New Summit Eldercare Site in Dartmouth,...adults and their caregivers to avoid or delay nursing home care. Participants in Summit ElderCare are cared for… more
- Intermountain Health (Providence, RI)
- …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
- Cardinal Health (Providence, RI)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- CVS Health (Providence, RI)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...member of the Payer Relations leadership team this Executive Director plays a vital role in informing and executing… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Director , Key Providers is accountable for developing and ensuring execution of sales ... and growth strategy for Key Provider partnerships. The Director , Key Providers requires an in-depth understanding of how...+ Establish / increase relationship with all key Villages Health leadership and staff + Business owner The Villages… more
- Evolent Health (Providence, RI)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (Providence, RI)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- CenterWell (Providence, RI)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Director , Associate Benefits applies forward-looking, innovative thought to design, ... make the company, and each of its divisions, an employer-of-choice. The Director , Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** ESS Business Intelligence is an Enterprise Shared Services (ESS) team focused on data, ... reduce administrative cost and improve the customer's experience. The **Associate Director , Data Governance** supports all aspects of configuration control, data… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations requires an...Sales & Labor Relations leads a team that sells health insurance and related products to new group accounts… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Associate Director , Business Intelligence for CPSS Data and Analytics will support the ... + Prior health insurance industry experience **Additional Information** **Work at Home /Remote Requirements** At minimum, a download speed of 25 Mbps and an… more